| Titre : | The Impact of Long-Term Body Mass Index Patterns on Health-Related Quality of Life : The Doetinchem Cohort Study (2013) |
| Auteurs : | Ellen-L DE HOLLANDER ; Centre for Nutrition. Prevention. And Health Services, National Institute for Public Health and the Environment (Bilthoven, Pays-bas) ; Hsusan-J PICAVET ; Department of Human Nutrition, Wageningen University (Wageningen, Pays-bas) ; Ivon-E MILDER ; Wmmonique VERSCHUREN ; Wanda-Je BEMELMANS ; Lisette-Cpgm DE GROOT |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 178, n° 5, 2013) |
| Pagination : | 804-812 |
| Langues: | Anglais |
| Mots-clés : | Long terme ; Adulte ; Epidémiologie ; Homme |
| Résumé : | [BDSP. Notice produite par INIST-CNRS pHl9R0xk. Diffusion soumise à autorisation]. Overweight is associated with a reduced health-related quality of life (QOL), but less is known about the impact of long-term body mass index (BMI, calculated as weight (kg)/height (m) 2) patterns on QOL in adults. In the Dutch Doetinchem Cohort Study (1989-2009) that included 1,677 men and 1,731 women aged 20-66 years, 6 BMI patterns were defined by using 4 measurements over a 15-year period : 1) persistent healthy weight (18.5-24.9, reference pattern) ; 2) persistent overweight (25.0-29.9) ; 3) persistent obesity (>=30.0) ; 4) developing overweight ; 5) developing obesity ; and 6) switching between BMI categories. For each BMI pattern, adjusted QOL (measured on a 0-100 scale) was estimated at the end of this period. The lowest QOL was observed for persistent obesity of all BMI patterns. It was 5.0 points (P=0.02) lower for 1 mental dimension in men and 6.2-11.6 points (P<0.05) lower for 5 (mainly physical) dimensions in women. Developing overweight or obesity scored 1.8-6.3 points (P<0.05) lower on 2-5 (mainly physical) dimensions. Persistent overweight hardly differed from a persistent healthy weight. In women, switching between BMI categories resulted in a lower QOL on the mental dimensions. Studying long-term BMI patterns over a 15-year period showed that persistent obesity, developing overweight, and developing obesity resulted in a lower QOL-particularly on the physical dimensions-compared with a persistent healthy weight. |
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