Do Metabolically Healthy People with Obesity Have a Lower Health-Related Quality of Life? A Prospective Cohort Study in Taiwan
The association between metabolically healthy obesity (MHO) and health-related quality of life (HRQOL) has not been thoroughly evaluated. This study enrolled 906 adult participants aged 35–55 years between 2009 and 2010 in Northern Taiwan; 427 participants were followed up after eight years. Normal...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/21/5117 |
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| author | Yi-Hsuan Lin Hsiao-Ting Chang Yen-Han Tseng Harn-Shen Chen Shu-Chiung Chiang Tzeng-Ji Chen Shinn-Jang Hwang |
| author_facet | Yi-Hsuan Lin Hsiao-Ting Chang Yen-Han Tseng Harn-Shen Chen Shu-Chiung Chiang Tzeng-Ji Chen Shinn-Jang Hwang |
| author_sort | Yi-Hsuan Lin |
| collection | DOAJ |
| description | The association between metabolically healthy obesity (MHO) and health-related quality of life (HRQOL) has not been thoroughly evaluated. This study enrolled 906 adult participants aged 35–55 years between 2009 and 2010 in Northern Taiwan; 427 participants were followed up after eight years. Normal weight, overweight, and obesity were evaluated via body mass index. Metabolic health was defined as the absence of cardiometabolic diseases and having ≤1 metabolic risk factor. HRQOL was evaluated using the 36-Item Short Form Health Survey (SF-36), Taiwan version. Generalized linear mixed-effects models were used to analyze the repeated, measured data with adjustment for important covariates. Compared with metabolically healthy normal weight individuals, participants with metabolically unhealthy normal weight and obesity had a significantly poorer physical component summary score (β (95% CI) = −2.17 (−3.38–−0.97) and −2.29 (−3.70–−0.87), respectively). There were no significant differences in physical and mental component summary scores among participants with metabolically healthy normal weight, overweight, and obesity. This study showed that metabolically healthy individuals with obesity and normal weight had similar HRQOL in physical and mental component summary scores. Maintaining metabolic health is an ongoing goal for people with obesity. |
| first_indexed | 2024-03-10T05:59:11Z |
| format | Article |
| id | doaj.art-de23214eff144fba880e53c3c6266c07 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T05:59:11Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-de23214eff144fba880e53c3c6266c072023-11-22T21:07:34ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011021511710.3390/jcm10215117Do Metabolically Healthy People with Obesity Have a Lower Health-Related Quality of Life? A Prospective Cohort Study in TaiwanYi-Hsuan Lin0Hsiao-Ting Chang1Yen-Han Tseng2Harn-Shen Chen3Shu-Chiung Chiang4Tzeng-Ji Chen5Shinn-Jang Hwang6Department of Family Medicine, Cheng Hsin General Hospital, Taipei City 112401, TaiwanFaculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei City 112304, TaiwanFaculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei City 112304, TaiwanFaculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei City 112304, TaiwanInstitute of Hospital and Health Care Administration, School of Medicine, National Yang Ming Chiao Tung University, Taipei City 112304, TaiwanFaculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei City 112304, TaiwanFaculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei City 112304, TaiwanThe association between metabolically healthy obesity (MHO) and health-related quality of life (HRQOL) has not been thoroughly evaluated. This study enrolled 906 adult participants aged 35–55 years between 2009 and 2010 in Northern Taiwan; 427 participants were followed up after eight years. Normal weight, overweight, and obesity were evaluated via body mass index. Metabolic health was defined as the absence of cardiometabolic diseases and having ≤1 metabolic risk factor. HRQOL was evaluated using the 36-Item Short Form Health Survey (SF-36), Taiwan version. Generalized linear mixed-effects models were used to analyze the repeated, measured data with adjustment for important covariates. Compared with metabolically healthy normal weight individuals, participants with metabolically unhealthy normal weight and obesity had a significantly poorer physical component summary score (β (95% CI) = −2.17 (−3.38–−0.97) and −2.29 (−3.70–−0.87), respectively). There were no significant differences in physical and mental component summary scores among participants with metabolically healthy normal weight, overweight, and obesity. This study showed that metabolically healthy individuals with obesity and normal weight had similar HRQOL in physical and mental component summary scores. Maintaining metabolic health is an ongoing goal for people with obesity.https://www.mdpi.com/2077-0383/10/21/5117obesitymetabolic healthmetabolically healthy obesityquality of life |
| spellingShingle | Yi-Hsuan Lin Hsiao-Ting Chang Yen-Han Tseng Harn-Shen Chen Shu-Chiung Chiang Tzeng-Ji Chen Shinn-Jang Hwang Do Metabolically Healthy People with Obesity Have a Lower Health-Related Quality of Life? A Prospective Cohort Study in Taiwan Journal of Clinical Medicine obesity metabolic health metabolically healthy obesity quality of life |
| title | Do Metabolically Healthy People with Obesity Have a Lower Health-Related Quality of Life? A Prospective Cohort Study in Taiwan |
| title_full | Do Metabolically Healthy People with Obesity Have a Lower Health-Related Quality of Life? A Prospective Cohort Study in Taiwan |
| title_fullStr | Do Metabolically Healthy People with Obesity Have a Lower Health-Related Quality of Life? A Prospective Cohort Study in Taiwan |
| title_full_unstemmed | Do Metabolically Healthy People with Obesity Have a Lower Health-Related Quality of Life? A Prospective Cohort Study in Taiwan |
| title_short | Do Metabolically Healthy People with Obesity Have a Lower Health-Related Quality of Life? A Prospective Cohort Study in Taiwan |
| title_sort | do metabolically healthy people with obesity have a lower health related quality of life a prospective cohort study in taiwan |
| topic | obesity metabolic health metabolically healthy obesity quality of life |
| url | https://www.mdpi.com/2077-0383/10/21/5117 |
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