Obesity

Association of continuous BMI with health‐related quality of life in the United States by age and sex

Obesity (Silver Spring)Published Repeated cross-sectional study

Authors' conclusion

HRQoL is lower for people with excess body weight across a broad range of ages and BMI levels, especially at high levels of BMI, with pain being the largest driver of HRQoL loss. These findings highlight the importance of promoting a healthy weight for the entire population while also targeting efforts to prevent extreme weight gain over the life course.

Study context

Population
US respondents aged ≥18 years, Medical Expenditure Panel Survey (MEPS) 2008–2016
Participants
182,778 respondents
Exposure
Female vs Male
Outcome
HRQoL (overall and by domain) by continuous BMI, SF-6D
Methodological detailsadjusted for BMI self-report bias and potential confounding
  • Adjusted for BMI self-report bias and potential confounding

Main finding

As reported in the abstract

BMI with highest health utilities

Observational data: associations, not effects.

Further findings

Health-related quality of life (HRQoL) loss due to excess weight by BMI category

Obesity overall
0.0349
Class III obesity
0.0724

Share of HRQoL loss for obesity by domain

Pain (largest cause)
26%
Role limitations
22%

Original publication

Association of continuous BMI with health‐related quality of life in the United States by age and sex. Obesity (Silver Spring). Published 6 October 2024. doi:10.1002/oby.24141

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