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. 2013;17(6):495-501.
doi: 10.1007/s12603-013-0022-y.

The relationship between body mass index and quality of life in community-living older adults living in the United States

F G Bottone Jr  1 , K Hawkins, S Musich, Y Cheng, R J Ozminkowski, R J Migliori, C S Yeh
Affiliations

The relationship between body mass index and quality of life in community-living older adults living in the United States

F G Bottone Jr et al. J Nutr Health Aging. 2013.

Abstract

Background: Carrying excess weight is associated with various chronic conditions especially in older adults, and can have a negative influence on the quality of life of this population.

Objective: The objective of this study was to estimate the independent (i.e. adjusted for demographic, socioeconomic and health status differences) impact of Body Mass Index (BMI) on health-related quality of life.

Design: A mail survey was sent to 60,000 older adults living in 10 states.

Methods: The survey assessed quality of life using the average physical component scores (PCS) and mental component scores (MCS) obtained from the Veterans Rand 12-item (VR-12) health status tool embedded in the survey. Ordinary least squares (OLS) regression techniques were used to estimate the independent impact of each BMI category on quality of life, compared to the impact of other chronic conditions.

Results: A total of 22,827 (38%) eligible sample members responded to the survey. Of those, 2.2% were underweight, 38.5% had a normal BMI, 37.0% were overweight, 18.5% were obese and 1.9% were morbidly obese. Following OLS regression techniques, respondents' PCS values were statistically significantly lower for the underweight, overweight, obese and morbidly obese BMI categories, compared to the normal BMI group. Compared with all other chronic conditions, being morbidly obese (-6.0 points) had the largest negative impact on the PCS. Underweight was the only BMI category with a statistically significantly lower MCS value.

Conclusions: The greatest negative impacts of the various BMI categories on quality of life were on physical rather than mental aspects, especially for those in the underweight, obese and morbidly obese categories, more so than many other chronic conditions.

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Figures

Figure 1
Figure 1
Prevalence of select chronic diseases in relation to BMI category in the study population
Figure 2
Figure 2
Change in PCS and MCS summary scores relative to normal weight following OLS regression techniques to estimate the independent impact of each BMI category on quality of life
See this image and copyright information in PMC

References

    1. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303(3):235–241. 10.1001/jama.2009.2014 PubMed PMID: 20071471. - DOI - PubMed
    1. CDC. Centers for Disease Control and Prevention 2009. Health Data Interactive Data Sources, 2009
    1. Flegal KM, Graubard BI, Williamson DF, Gail MH. Cause-specific excess deaths associated with underweight, overweight, and obesity. JAMA. 2007;298(17):2028–2037. 10.1001/jama.298.17.2028 PubMed PMID: 17986696. - DOI - PubMed
    1. Lang IA, Llewellyn DJ, Alexander K, Melzer D. Obesity, physical function, and mortality in older adults. J Am Geriatr Soc. 2008;56(8):1474–1478. 10.1111/j.1532-5415.2008.01813.x PubMed PMID: 18662211. - DOI - PubMed
    1. Hubert HB, Bloch DA, Fries JF. Risk factors for physical disability in an aging cohort: the NHANES I Epidemiologic Followup Study. J Rheumatol. 1993;20(3):480–488. PubMed PMID: 8478855. - PubMed

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