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[ Recorded presentation ] Recorded presentation

Health-Related Quality-of-Life for the U.S. Adults with Obesity

Haomiao Jia, PhD, Community Medicine, Mercer University School of Medicine, 1550 College Street, Macon, GA 31207, 478-301-4179, haomia@yahoo.com and Erica Ilene Lubetkin, MD, MPH, Department of Community Health and Social Medicine, CUNY Medical School/Sophie Davis School of Biomedical Education, 138th Street and Convent Avenue, New York, NY 10031.

BACKGROUND: The U.S. Preventive Services Task Force recently recommended screening all adult patients for obesity due in part to the strong association between obesity and numerous chronic diseases. However, how obesity affects health-related quality-of-life (HRQL), particularly for persons without any chronic diseases, is less clear.

METHOD: The relationship between obesity and HRQL was examined using data from the 2000 Medical Expenditure Panel Survey (MEPS), a representative survey of the US general population. Respondents > 18 years were classified as underweight, normal weight, overweight, moderate obesity, and severe obesity based on BMI. HRQL was measured by the 12-item Short Form physical and mental summary scores (PCS-12 and MCS-12, respectively) and EuroQol EQ-5D index and visual analogue scale (VAS). The impact of obesity on HRQL was examined through multivariate models, adjusting for sociodemographics and disease status.

RESULTS: After adjustment, HRQL decreased with increasing level of obesity. Compared to normal weight respondents, persons with severe obesity had significantly lower scores with scores on the PCS-12, MCS-12, EQ-5D index, and VAS being 3.9, 1.3, 0.075, and 5.0 points lower, respectively. Such decrements of HRQL for severe obesity were similar to the decrements seen for diabetes or hypertension. Persons with moderate obesity or who were overweight also had significantly lower HRQL scores, particularly on the PCS-12 and EQ-5D index.

CONCLUSION: Persons with obesity had significantly lower HRQL than those who were normal weight and such lower scores were seen even for persons without chronic diseases known to be linked to obesity.

Learning Objectives:

Keywords: Quality of Life, Obesity

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

[ Recorded presentation ] Recorded presentation

Health and Obesity: Lifestyles, Behaviors, and Perceptions

The 132nd Annual Meeting (November 6-10, 2004) of APHA