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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Autores principales:	Yi-Hsuan Lin, Hsiao-Ting Chang, Yen-Han Tseng, Harn-Shen Chen, Shu-Chiung Chiang, Tzeng-Ji Chen, Shinn-Jang Hwang
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	obesity metabolic health metabolically healthy obesity quality of life Medicine R
Acceso en línea:	https://doaj.org/article/de23214eff144fba880e53c3c6266c07
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spelling	oai:doaj.org-article:de23214eff144fba880e53c3c6266c072021-11-11T17:44:13ZDo Metabolically Healthy People with Obesity Have a Lower Health-Related Quality of Life? A Prospective Cohort Study in Taiwan10.3390/jcm102151172077-0383https://doaj.org/article/de23214eff144fba880e53c3c6266c072021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5117https://doaj.org/toc/2077-0383The 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.Yi-Hsuan LinHsiao-Ting ChangYen-Han TsengHarn-Shen ChenShu-Chiung ChiangTzeng-Ji ChenShinn-Jang HwangMDPI AGarticleobesitymetabolic healthmetabolically healthy obesityquality of lifeMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5117, p 5117 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	obesity metabolic health metabolically healthy obesity quality of life Medicine R
spellingShingle	obesity metabolic health metabolically healthy obesity quality of life Medicine R 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
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.
format	article
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
title	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_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_sort	do metabolically healthy people with obesity have a lower health-related quality of life? a prospective cohort study in taiwan
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/de23214eff144fba880e53c3c6266c07
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Do Metabolically Healthy People with Obesity Have a Lower Health-Related Quality of Life? A Prospective Cohort Study in Taiwan

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