Han T S, Tijhuis M A, Lean M E, Seidell J C
Department of Human Nutrition, University of Glasgow, Glasgow Royal Infirmary, United Kingdom.
Am J Public Health. 1998 Dec;88(12):1814-20. doi: 10.2105/ajph.88.12.1814.
This study quantified the impairment of quality of life attributable to body fatness by using the standardized SF-36 Health Survey.
Tertiles of waist circumference and body mass index (BMI) in 1885 men and 2156 women aged 20 to 59 years in the Netherlands in 1995 were compared.
The odds ratios and 95% confidence intervals of subjects with the largest waist circumferences, compared with those in the lowest tertile, were 1.8 (1.3, 2.4) in men and 2.2 (1.7, 2.9) in women with difficulties in bending, kneeling, or stooping; 2.2 (1.4, 3.7) in men and 1.7 (1.2, 2.6) in women with difficulties in walking 500 m; and 1.3 (1.0, 1.9) in men and 1.5 (1.1, 1.9) in women with difficulties in lifting or carrying groceries. Anthropometric measures were less strongly associated with social functioning, role limitations due to physical or emotional problems, mental health, vitality, pain, or health change in 1 year. The relationship between quality of life measures and BMI were similar to those between quality of life measures and waist circumference.
Large waist circumferences and high BMIs are more likely to be associated with impaired quality of life and disability affecting basic activities of daily living.
本研究采用标准化的SF - 36健康调查对因身体肥胖导致的生活质量损害进行量化。
比较了1995年荷兰1885名年龄在20至59岁之间的男性和2156名女性的腰围和体重指数（BMI）三分位数。
与腰围最小三分位数的受试者相比，腰围最大的受试者出现弯腰、跪或俯身困难时，男性的比值比和95%置信区间为1.8（1.3，2.4），女性为2.2（1.7，2.9）；步行500米有困难时，男性为2.2（1.4，3.7），女性为1.7（1.2，2.6）；提拿或搬运食品杂货有困难时，男性为1.3（1.0，1.9），女性为1.5（1.1，1.9）。人体测量指标与社会功能、因身体或情感问题导致的角色限制、心理健康、活力、疼痛或1年内的健康变化之间的关联较弱。生活质量指标与BMI之间的关系与生活质量指标与腰围之间的关系相似。
大腰围和高BMI更有可能与生活质量受损以及影响日常生活基本活动的残疾相关。
