ArticlePloS one2015
Association between Body Mass Index and Health-Related Quality of Life: The "Obesity Paradox" in 21,218 Adults of the Chinese General Population.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed.
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- Age-appropriate BMI cut-offs for malnutrition among older adults in India.Scientific reports · 2024Article
- Trends of underweight, overweight, and obesity among older adults in China from 2008 to 2018: a national observational survey.BMC public health · 2023Observational
- Depression and health-related quality of life in adolescents and young adults with childhood-onset end-stage kidney disease: a multicenter study in Japan.Clinical and experimental nephrology · 2023Article
- The impact of BMI on psychological health in oldest old individuals-Are there differences between women and men?PloS one · 2023Article
- Association of body mass index with survival in U.S. cancer survivors: a cross-sectional study of NHANES 1999-2018.Frontiers in oncology · 2023Article
- Morbid obesity, multiple long-term conditions, and health-related quality of life among Australian adults: Estimates from three waves of a longitudinal household survey.Preventive medicine reports · 2022Article
- Does social capital buffer or exacerbate mental health inequality? Evidence from the China Family Panel Study (CFPS).International journal for equity in health · 2022Article
- Health-related Quality of Life Increases After First-time Acute Myocardial Infarction: a Population-based Study.Zdravstveno varstvo · 2022Article
- Secular Difference in Body Mass Index From 2014 to 2020 in Chinese Older Adults: A Time-Series Cross-Sectional Study.Frontiers in nutrition · 2022Article
- Associations between health-related quality of life and measures of adiposity among Filipino adults.PloS one · 2022Article
- Article
- Stay Slim or Get Fat?: An Examination of the "Jolly Fat" Effect in Chinese Older Adults.Risk management and healthcare policy · 2021Article
- Health-related quality of life and determinants in North-China urban community residents.Health and quality of life outcomes · 2020Article
- Nutritional Determinants of Quality of Life in a Mediterranean Cohort: The SUN Study.International journal of environmental research and public health · 2020Article
- The prevalence and correlates of burnout among Chinese preschool teachers.BMC public health · 2020Article
- Health-related quality of life and related factors among pregnant women.Journal of education and health promotion · 2020Article
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Authors and funding
10 authors.
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Abstract
backgroundThere was no consistent recognition of the association between high or low body mass index (BMI) and health related quality of life (HRQL). The aim of this research was to study the association between BMI and HRQL in Chinese adults, and to further explore the stability of that association in the subgroup analysis stratified by status of chronic conditions.
methodsA total of 21,218 adults aged 18 and older were classified as underweight, normal weight, overweight, class I obese, and class II obese based on their BMI. HRQL was measured by the SF-36 Health Survey. The independent impact of each BMI category on HRQL was examined through standard least squares regression by comparing the difference of SF-36 scores and the minimum clinically important differences (MCID), which was defined as 3 points.
resultsCompared to the normal weight, the class I obese was significantly associated with better HRQL scores in the mental component summary (MCS) (75.1 vs. 73.4, P<0.001). The underweight had the lowest score in both the physical components summary (PCS) (75.4 vs. 77.5, P<0.001) and mental components summary (MCS) (71.8 vs. 73.4, P<0.001). For the MCID, the HRQL score was reduced by more than 3 points in the physical functioning for the class II obese (D=-3.43) and the general health for the underweight (D=-3.71). Stratified analyses showed a similar result in the health subjects and chronic conditions, and it was significant in the chronic conditions.
conclusionsThe class I obese showed the best HRQL, especially in the mental domain. The worst HRQL was found in the underweight. The class II obese reduced HRQL in the physical functioning only. "Obesity paradox" was more obvious in the participants with chronic conditions.
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