Evidence map›Paper›PMID 42891656›Full record

SynthesisJournal of obesity2026

Quality of Life in Adults With Severe Obesity: A Systematic Review and Meta-Analysis of Cross-Sectional Studies.

Tatiane Salgado Galvão de Macedo, Marina Magno do Nascimento Pereira, Thamíris do Amaral Roxo Pereira, Ana Clara Rodrigues de Assumpção, Flávia Dos Santos Barbosa Brito, Cintia Chaves Curioni

Abstract readSystematic ReviewMeta-AnalysisReview
In one paragraph

Synthesis in Journal of obesity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Tatiane Salgado Galvão de MacedoPostgraduate Program in Food, Nutrition and Health, Institute of Nutrition, State University of Rio de Janeiro, São Francisco Xavier Street, 524, Rio de Janeiro, Rio de Janeiro, Brazil, uerj.br.ORCID https://orcid.org/0000-0002-6291-9149
Marina Magno do Nascimento PereiraPostgraduate Program in Food, Nutrition and Health, Institute of Nutrition, State University of Rio de Janeiro, São Francisco Xavier Street, 524, Rio de Janeiro, Rio de Janeiro, Brazil, uerj.br.ORCID https://orcid.org/0000-0002-8044-1281
Thamíris do Amaral Roxo PereiraPostgraduate Program in Food, Nutrition and Health, Institute of Nutrition, State University of Rio de Janeiro, São Francisco Xavier Street, 524, Rio de Janeiro, Rio de Janeiro, Brazil, uerj.br.ORCID https://orcid.org/0009-0005-3723-4155
Ana Clara Rodrigues de AssumpçãoPostgraduate Program in Food, Nutrition and Health, Institute of Nutrition, State University of Rio de Janeiro, São Francisco Xavier Street, 524, Rio de Janeiro, Rio de Janeiro, Brazil, uerj.br.ORCID https://orcid.org/0009-0005-8801-606X
Flávia Dos Santos Barbosa BritoDepartment of Social Nutrition, Institute of Nutrition, State University of Rio de Janeiro, São Francisco Xavier Street, 524, Rio de Janeiro, Rio de Janeiro, Brazil, uerj.br.ORCID https://orcid.org/0000-0001-8476-8567
Cintia Chaves CurioniDepartment of Social Nutrition, Institute of Nutrition, State University of Rio de Janeiro, São Francisco Xavier Street, 524, Rio de Janeiro, Rio de Janeiro, Brazil, uerj.br.ORCID https://orcid.org/0000-0002-5160-9567

Funding

Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro E-26/201.516/2021 (266023)
6 · The paper itself

Abstract

purposeThis systematic review aimed to synthesize evidence on the association between severe obesity (body mass index [BMI] ≥ 40 kg/m

methodsCohort and cross-sectional studies published up to March 2024 were eligible. The review protocol was registered in PROSPERO (CRD42023374612). PubMed, Embase, Scopus, Web of Science, SciELO, CINAHL, and LILACS were searched. Two independent reviewers selected studies, extracted data, and assessed methodological quality using the National Heart, Lung, and Blood Institute tool. Findings were synthesized narratively and through an exploratory random-effects meta-analysis of absolute SF-36 mean scores.

resultsTwenty cross-sectional studies were included. The SF-36 and its variations were the most frequently used instruments. Across studies with BMI comparison groups, higher BMI categories were generally associated with lower QoL scores. The lowest scores were most consistently observed for physical functioning, role due to physical health, bodily pain, and general health. Among the mental health-related domains, vitality showed the most consistently reduced scores. Between-study heterogeneity was high for most pooled estimates.

conclusionAcross the available cross-sectional evidence, adults with severe obesity generally had lower QoL, particularly in physical domains. However, substantial heterogeneity and the absence of longitudinal evidence limit certainty and preclude causal interpretation. Longitudinal studies using standardized QoL measures are needed.

Indexed as

Obesity, MorbidQuality of LifeAdultBody Mass IndexCross-Sectional StudiesHumansphysical and mental healthquality of lifesevere obesitysystematic review

Identifiers

PMID42891656
PMCPMC13676160

What OpenQuestion holds

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Registered trials

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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.