Adult Obesity and Health-Related Quality of Life, Patient Activation, Work Productivity, and Weight Loss Behaviors in the United States

Heather Rozjabek,1 John Fastenau,1 Anne LaPrade,2 Nikoletta Sternbach2 1Janssen Global Services, Raritan, NJ, USA; 2Kantar, New York, NY, USACorrespondence: John FastenauJanssen Global Services, LLC, 700 US-202, Raritan, NJ 08869, USATel +1 908 429 1872Email JFastena@its.jnj.comIntroduction: While i...

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Autores principales:	Rozjabek H, Fastenau J, LaPrade A, Sternbach N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	obesity health-related quality of life hrqol activation productivity behaviors Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/e6551e94cb1b49d6bcc5c06d27b8d0ac
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spelling	oai:doaj.org-article:e6551e94cb1b49d6bcc5c06d27b8d0ac2021-12-02T10:27:07ZAdult Obesity and Health-Related Quality of Life, Patient Activation, Work Productivity, and Weight Loss Behaviors in the United States1178-7007https://doaj.org/article/e6551e94cb1b49d6bcc5c06d27b8d0ac2020-06-01T00:00:00Zhttps://www.dovepress.com/adult-obesity-and-health-related-quality-of-life-patient-activation-wo-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Heather Rozjabek,1 John Fastenau,1 Anne LaPrade,2 Nikoletta Sternbach2 1Janssen Global Services, Raritan, NJ, USA; 2Kantar, New York, NY, USACorrespondence: John FastenauJanssen Global Services, LLC, 700 US-202, Raritan, NJ 08869, USATel +1 908 429 1872Email JFastena@its.jnj.comIntroduction: While it is generally believed that people living with more severe obesity experience greater negative impacts on health-related quality of life (HRQoL), their experience may be impacted by other factors such as age, gender, and type 2 diabetes mellitus (T2DM).Methods: The 36-Item Short Form Health Survey physical component score and mental component score, Work Productivity and Activity Impairment, and Patient Activation Measure® data from the 2018 National Health and Wellness Survey were analyzed in adults by body mass index (BMI) categories (normal weight: ≥ 18.5–< 25kg/m2, overweight: ≥ 25–< 30kg/m2, class 1 obesity: ≥ 30–< 35kg/m2, class 2 obesity: ≥ 35–< 40kg/m2, class 3 obesity: ≥ 40kg/m2, combined class 2/3 obesity: ≥ 35kg/m2). Findings were further stratified across age groups (young: 18– 35y, middle-aged: 36– 64y, older: ≥ 65y), by gender, and by T2DM status.Results: Overall, as BMI increased people had greater negative effects on HRQoL, felt less involved with and in control of their healthcare, and had greater work productivity and activity impairments. The largest declines were generally observed between class 2 and 3 obesity categories. Young adults with obesity were more likely to feel less engaged with their health care than middle-aged/older adults with obesity. The effects of obesity on HRQoL and patient activation were generally consistent by gender. People with T2DM and obesity tended to have greater declines in physical functioning and more work and activity impairments than people with obesity without T2DM. The proportion of people trying to lose weight increased with increasing BMI category, and people with T2DM were less likely to exercise and more likely to diet than those without T2DM.Conclusion: Increasing levels of obesity tended to have a greater negative impact on HRQoL, patient activation, work productivity, and weight loss behaviors, but some differences in effects by age, gender, and T2DM status were observed.Keywords: obesity, health-related quality of life, HRQoL, activation, productivity, behaviorsRozjabek HFastenau JLaPrade ASternbach NDove Medical Pressarticleobesityhealth-related quality of lifehrqolactivationproductivitybehaviorsSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 2049-2055 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	obesity health-related quality of life hrqol activation productivity behaviors Specialties of internal medicine RC581-951
spellingShingle	obesity health-related quality of life hrqol activation productivity behaviors Specialties of internal medicine RC581-951 Rozjabek H Fastenau J LaPrade A Sternbach N Adult Obesity and Health-Related Quality of Life, Patient Activation, Work Productivity, and Weight Loss Behaviors in the United States
description	Heather Rozjabek,1 John Fastenau,1 Anne LaPrade,2 Nikoletta Sternbach2 1Janssen Global Services, Raritan, NJ, USA; 2Kantar, New York, NY, USACorrespondence: John FastenauJanssen Global Services, LLC, 700 US-202, Raritan, NJ 08869, USATel +1 908 429 1872Email JFastena@its.jnj.comIntroduction: While it is generally believed that people living with more severe obesity experience greater negative impacts on health-related quality of life (HRQoL), their experience may be impacted by other factors such as age, gender, and type 2 diabetes mellitus (T2DM).Methods: The 36-Item Short Form Health Survey physical component score and mental component score, Work Productivity and Activity Impairment, and Patient Activation Measure® data from the 2018 National Health and Wellness Survey were analyzed in adults by body mass index (BMI) categories (normal weight: ≥ 18.5–< 25kg/m2, overweight: ≥ 25–< 30kg/m2, class 1 obesity: ≥ 30–< 35kg/m2, class 2 obesity: ≥ 35–< 40kg/m2, class 3 obesity: ≥ 40kg/m2, combined class 2/3 obesity: ≥ 35kg/m2). Findings were further stratified across age groups (young: 18– 35y, middle-aged: 36– 64y, older: ≥ 65y), by gender, and by T2DM status.Results: Overall, as BMI increased people had greater negative effects on HRQoL, felt less involved with and in control of their healthcare, and had greater work productivity and activity impairments. The largest declines were generally observed between class 2 and 3 obesity categories. Young adults with obesity were more likely to feel less engaged with their health care than middle-aged/older adults with obesity. The effects of obesity on HRQoL and patient activation were generally consistent by gender. People with T2DM and obesity tended to have greater declines in physical functioning and more work and activity impairments than people with obesity without T2DM. The proportion of people trying to lose weight increased with increasing BMI category, and people with T2DM were less likely to exercise and more likely to diet than those without T2DM.Conclusion: Increasing levels of obesity tended to have a greater negative impact on HRQoL, patient activation, work productivity, and weight loss behaviors, but some differences in effects by age, gender, and T2DM status were observed.Keywords: obesity, health-related quality of life, HRQoL, activation, productivity, behaviors
format	article
author	Rozjabek H Fastenau J LaPrade A Sternbach N
author_facet	Rozjabek H Fastenau J LaPrade A Sternbach N
author_sort	Rozjabek H
title	Adult Obesity and Health-Related Quality of Life, Patient Activation, Work Productivity, and Weight Loss Behaviors in the United States
title_short	Adult Obesity and Health-Related Quality of Life, Patient Activation, Work Productivity, and Weight Loss Behaviors in the United States
title_full	Adult Obesity and Health-Related Quality of Life, Patient Activation, Work Productivity, and Weight Loss Behaviors in the United States
title_fullStr	Adult Obesity and Health-Related Quality of Life, Patient Activation, Work Productivity, and Weight Loss Behaviors in the United States
title_full_unstemmed	Adult Obesity and Health-Related Quality of Life, Patient Activation, Work Productivity, and Weight Loss Behaviors in the United States
title_sort	adult obesity and health-related quality of life, patient activation, work productivity, and weight loss behaviors in the united states
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/e6551e94cb1b49d6bcc5c06d27b8d0ac
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Adult Obesity and Health-Related Quality of Life, Patient Activation, Work Productivity, and Weight Loss Behaviors in the United States

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