Evidence map›Paper›PMID 31366336›Full record

ArticleBMC public health2019

Gender differences in the association between body mass index and health-related quality of life among adults:a cross-sectional study in Shandong, China.

Jiao Zhang, Lingzhong Xu, Jiajia Li, Long Sun, Wenzhe Qin, Gan Ding, Qian Wang, Jing Zhu, Zihang Yu, Su Xie and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
8.9field-weighted citation impact, top 2% of its field
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

36 citing papers in PubMed, 81 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Mapping IWQOL-Lite onto EQ-5D-5L and SF-6Dv2 among overweight and obese population in China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Jiao ZhangSchool of Public Health, Shandong University, Jinan, 250012, China.
Lingzhong XuSchool of Public Health, Shandong University, Jinan, 250012, China. lzxu@sdu.edu.cn.ORCID http://orcid.org/0000-0002-5068-4012
Jiajia LiSchool of Public Health, Shandong University, Jinan, 250012, China.
Long SunSchool of Public Health, Shandong University, Jinan, 250012, China.
Wenzhe QinSchool of Public Health, Shandong University, Jinan, 250012, China.
Gan DingSchool of Public Health, Shandong University, Jinan, 250012, China.
Qian WangSchool of Public Health, Shandong University, Jinan, 250012, China.
Jing ZhuSchool of Public Health, Shandong University, Jinan, 250012, China.
Zihang YuSchool of Public Health, Shandong University, Jinan, 250012, China.
Su XieSchool of Public Health, Shandong University, Jinan, 250012, China.
Chengchao ZhouSchool of Public Health, Shandong University, Jinan, 250012, China.
Shandong University · CN

Funding

National Natural Science Foundation of China 71673169National Natural Science Foundation of China 71673170
6 · The paper itself

Abstract

backgroundThis study aims to assess the association between body mass index (BMI) and health-related quality of life (HRQOL), and to further explore gender differences in BMI-HRQOL association among adults.

methodsWe used data from the fifth Health Service Survey of Shandong Province, which was part of China's National Health Service Survey (NHSS), a total of 27,257 adults aged 18 and over were interviewed. The HRQOL was measured using the EuroQOL-5 Dimensions (EQ-5D) instrument. One-way ANOVA and Post hoc tests were used to compare EQ-5D utility values and visual analogue scale (VAS) scores between BMI categories. Tobit regression models were used to identify the association between BMI and HRQOL for male and female separately after controlling for influential confounders, and to assess gender differences on the relationship between BMI and HRQOL.

resultsThe prevalence of underweight in men and women were 3.2 and 5.3%, respectively, while the prevalence of overweight/obesity in men and women were 35.7 and 34.6%, respectively. Men had higher EQ-5D utility values and VAS scores than women. The mean EQ-5D utility value and VAS score was highest in obese men and normal-weight women, respectively. After controlling potential confounders, being underweight was significantly and negatively associated with lower HRQOL among adults. The relationship between obesity and gender was that in women obesity was negatively and significantly associated with HRQOL, whereas in men this association was positive but not statistically significant. Results of gender by BMI interaction in regression model showed that this difference between men and women in this respect was significant.

conclusionsThe association between BMI and HRQOL differed by gender and the so-called "obesity-HRQOL paradox" phenomenon was verified in male adults. Gender difference should be considered when implementing targeted weight control programs and appropriate interventions to improve HRQOL.

Indexed as

Body Mass IndexQuality of LifeSex FactorsAdultAgedChinaCross-Sectional StudiesFemaleHealth SurveysHumansMaleMiddle AgedObesityOverweightPrevalenceSex DistributionBody mass indexGenderHealth-related quality of lifeObesityUnderweight

Identifiers

PMID31366336
PMCPMC6668122
OpenAlexW2965601732

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.