Evidence map›Paper›PMID 28950839›Full record

ArticleBMC public health2017

Obesity, change of body mass index and subsequent physical and mental health functioning: a 12-year follow-up study among ageing employees.

Anna Svärd, Jouni Lahti, Eira Roos, Ossi Rahkonen, Eero Lahelma, Tea Lallukka, Minna Mänty

Erratum issuedAbstract read
In one paragraph

Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The effect of blended tube feeding compared to conventional formula on clinical outcomes in adults: A systematic review.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026
    Pooled it
  2. Trial
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  5. Observational
  6. Article
  7. Change in Metabolic Markers and the Risk of Skin Cancer: Results from the Lifelines Cohort Study in the Netherlands.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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  8. Physical functioning trajectories over statutory retirement: a finnish occupational cohort study.Archives of public health = Archives belges de sante publique · 2025
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  9. The impact of mild COVID-19 on medium-term respiratory function.African journal of thoracic and critical care medicine · 2024
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  10. Review
  11. Association of body mass index from childhood to mid-adulthood with health-related quality of life in mid-adulthood.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  12. Article
  13. Weight Gain after Hormone Receptor-Positive Breast Cancer.Current oncology (Toronto, Ont.) · 2022
    Article
  14. The association of body mass index with quality of life and working ability: a Finnish population-based study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Anna SvärdDepartment of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland. anna.svard@helsinki.fi.
Jouni LahtiDepartment of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland.
Eira RoosDepartment of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland.
Ossi RahkonenDepartment of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland.
Eero LahelmaDepartment of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland.
Tea LallukkaDepartment of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland.
Minna MäntyDepartment of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies suggest an association between weight change and subsequent poor physical health functioning, whereas the association with mental health functioning is inconsistent. We aimed to examine whether obesity and change of body mass index among normal weight, overweight and obese women and men associate with changes in physical and mental health functioning.

methodsThe Helsinki Health Study cohort includes Finnish municipal employees aged 40 to 60 in 2000-02 (phase 1, response rate 67%). Phase 2 mail survey (response rate 82%) took place in 2007 and phase 3 in 2012 (response rate 76%). This study included 5668 participants (82% women). Seven weight change categories were formed based on body mass index (BMI) (phase 1) and weight change (BMI change ≥5%) (phase 1-2). The Short Form 36 Health Survey (SF-36) measured physical and mental health functioning. The change in health functioning (phase 1-3) score was examined with repeated measures analyses. Covariates were age, sociodemographic factors, health behaviours, and somatic ill-health.

resultsWeight gain was common among women (34%) and men (25%). Weight-gaining normal weight (-1.3 points), overweight (-1.3 points) and obese (-3.6 points) women showed a greater decline in physical component summary scores than weight-maintaining normal weight women. Among weight-maintainers, only obese (-1.8 points) women showed a greater decline than weight-maintaining normal weight women. The associations were similar, but statistically non-significant for obese men. No statistically significant differences in the change in mental health functioning occurred.

conclusionPreventing weight gain likely helps maintaining good physical health functioning and work ability.

Indexed as

Body Mass IndexAdultAgingEmploymentFemaleFinlandFollow-Up StudiesHealth StatusHealth SurveysHumansMaleMental HealthMiddle AgedObesityBody mass indexFollow-upMental health functioningObesityPhysical health functioningSf-36Weight gain

Identifiers

PMID28950839
PMCPMC5615472

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.