ArticleRisk management and healthcare policy2021
Stay Slim or Get Fat?: An Examination of the "Jolly Fat" Effect in Chinese Older Adults.
Article in Risk management and healthcare policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 5 citations in OpenAlex.
- Article
- Does the relationship between body mass index and health-related quality of life vary depending on early, middle and later adulthood?Family medicine and community health · 2026Article
- Identifying early screening factors for depression in middle-aged and older adults: A cohort study.Open medicine (Warsaw, Poland) · 2025Article
- Longitudinal Relationship between Cognitive Function and Health-Related Quality of Life among Middle-Aged and Older Patients with Diabetes in China: Digital Usage Behavior Differences.International journal of environmental research and public health · 2022Article
- Differences in Health-Related Quality of Life and Its Associated Factors Among Older Adults in Urban and Rural Areas.Risk management and healthcare policy · 2022Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe association between body mass index (BMI) and health-related quality of life (HRQOL) has not been verified neither in China nor in any other Asian country. This study aimed to examine the association between BMI and HRQOL in the Chinese older adults population.
methodsA total of 5018 older adults from the China's Health-Related Quality of Life Survey for Older Adults 2018 was included in this study. The HRQOL was measured by the Chinese version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD). Multiple linear regression analysis was used to explore the associations between BMI and HRQOL among the older adults in rural, urban, and total samples.
resultsAfter adjusting all the confounders, compared with normal weight group, underweight was negatively correlated with the total scores of HRQOL among the older adults in rural (B= -2.310, p < 0.01), urban (B= -1.019, p < 0.001), and total samples (B= -2.351, p < 0.001), whereas overweight was positively associated with the total scores of HRQOL among the older adults in rural samples (B= 0.888, p < 0.05). The results showed that obesity was not associated with the total scores of HRQOL among the older adults in rural (B= -1.214, p > 0.05), urban (B= -0.074, p > 0.05), and total samples (B= -1.461, p > 0.05).
conclusionThis study suggests that obese Chinese older adults did not show a better quality of life than those of normal weight. But this result does not deny the "jolly fat" hypothesis entirely, as the overweight older adults from rural areas showed better HRQOL. Moreover, underweight older people show a poorer HRQOL. The relationship between BMI and HRQOL in the older adults needs to be differentiated according to different characteristics of the population.
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