Obesity

Obesity and self-rated health in middle-aged Danes

Int J Obes (Lond)Published Cross-sectional study

Main finding · Poor self-rated healthResult — go to the resultPrevalence ratio 3.5 95% CI 3.4–3.7

Authors' conclusion

In middle-aged adults, a higher BMI level or increased waist circumference was strongly associated with poorer self-rated health. Obesity may indicate an unmet need for addressing health deficits beyond the effects of comorbid diseases.

Study context

Population
Danish residents aged 50–65 who completed an online questionnaire in 2021
Participants
87,934 residents
Exposure
BMI levels vs normal weight
Outcome
Prevalence of poor self-rated health ("less good" or "bad"); prevalence ratios by Poisson regression adjusted for age, sex and education
Methodological detailspopulation-based
  • Population-based

Main finding

Poor self-rated health

Prevalence ratio

3.5

95% CI 3.4–3.7

By group

Obesity class IIvs Normal weight
prevalence ratio 3.5 (95% CI 3.4–3.7)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Prevalence ratio for poor self-rated health in subgroups with comorbid histories

PR, history of depression
1.4 (95% CI 1.3-1.5)
PR, preexisting stress
1.3 (95% CI 1.2-1.4)
PR, diabetes
1.6 (95% CI 1.5-1.8)
PR, CVD
2.0 (95% CI 1.8-2.2)
  • Prevalence ratio attenuated in these subgroups

Increased waist circumference (>102 cm men, 88 cm women) and poor self-rated health

Increased waist circumference showed similar associations with poor self-rated health

Spline models

Linear increasing prevalence of poor self-rated health at BMI above 23 kg/m² and waist circumference above 90 cm in men and 85 cm in women

Original publication

Obesity and self-rated health in middle-aged Danes. Int J Obes (Lond). Published 18 November 2025. doi:10.1038/s41366-025-01963-7

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