Longitudinal relation between weight change and quality of life in a community-based population

A prospective cohort study

Saskia P J Verkleij, Marcel C Adriaanse, Gerrie C W Wendel-Vos, A.J. Schuit

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background:

Previous cross-sectional studies revealed that obesity is associated with lower health-related quality of life (HRQOL). This study aimed to investigate the longitudinal association between 5-year weight change and HRQOL.

Methods:

Data from 2414 Dutch men and women was collected. HRQOL was measured with the RAND-36. Weight change was calculated as change in weight between 1998 and 2003. Using generalized estimation equations, we primarily analyzed the influence of weight change on HRQOL for the total population and additionally, by change groups (weight losers, weight maintainers and weight gainers) using regression analysis. All analyses were stratified for gender.

Results:

After 5 years, 598 men (50%) and 646 women (54%) maintained their weight, 177 men (15%) and 163 women (14%) lost >2.5 kg and 410 men (35%) and 379 women (32%) gained >2.5 kg. Longitudinal associations of 5-year weight change and HRQOL were found for mental component score (MCS) in women (β = 0.13; 95% CI: 0.02-0.24), and physical component score (PCS) in men (β = -0.09; 95% CI: -0.17 to -0.00) and women (β = -0.10; 95% CI: -0.19 to -0.01). Categorizing for 5-year weight change showed that weight gainers and weight losers did not significantly differ from weight maintainers on both MCS and PCS for both men and women.

Conclusion: Weight change over 5 years leaded to a slight, though significant reduction on the PCS in both genders. In women, we found a positive association between weight change and MCS.

Original languageEnglish
Pages (from-to)285-290
JournalEuropean Journal of Public Health
Volume23
Issue number2
DOIs
Publication statusPublished - Apr 2013
Externally publishedYes

Fingerprint

Weights and Measures
Cross-Sectional Studies

Keywords

  • Adult
  • Aged, 80 and over
  • Body Mass Index
  • Cross-Sectional Studies
  • Female
  • Health Status
  • Humans
  • Male
  • Obesity
  • Population Surveillance
  • Prospective Studies
  • Quality of Life
  • Regression Analysis
  • Sex Factors
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Journal Article

Cite this

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title = "Longitudinal relation between weight change and quality of life in a community-based population: A prospective cohort study",
abstract = "Background: Previous cross-sectional studies revealed that obesity is associated with lower health-related quality of life (HRQOL). This study aimed to investigate the longitudinal association between 5-year weight change and HRQOL.Methods: Data from 2414 Dutch men and women was collected. HRQOL was measured with the RAND-36. Weight change was calculated as change in weight between 1998 and 2003. Using generalized estimation equations, we primarily analyzed the influence of weight change on HRQOL for the total population and additionally, by change groups (weight losers, weight maintainers and weight gainers) using regression analysis. All analyses were stratified for gender.Results: After 5 years, 598 men (50{\%}) and 646 women (54{\%}) maintained their weight, 177 men (15{\%}) and 163 women (14{\%}) lost >2.5 kg and 410 men (35{\%}) and 379 women (32{\%}) gained >2.5 kg. Longitudinal associations of 5-year weight change and HRQOL were found for mental component score (MCS) in women (β = 0.13; 95{\%} CI: 0.02-0.24), and physical component score (PCS) in men (β = -0.09; 95{\%} CI: -0.17 to -0.00) and women (β = -0.10; 95{\%} CI: -0.19 to -0.01). Categorizing for 5-year weight change showed that weight gainers and weight losers did not significantly differ from weight maintainers on both MCS and PCS for both men and women.Conclusion: Weight change over 5 years leaded to a slight, though significant reduction on the PCS in both genders. In women, we found a positive association between weight change and MCS.",
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Longitudinal relation between weight change and quality of life in a community-based population : A prospective cohort study. / Verkleij, Saskia P J; Adriaanse, Marcel C; Wendel-Vos, Gerrie C W; Schuit, A.J.

In: European Journal of Public Health, Vol. 23, No. 2, 04.2013, p. 285-290.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Longitudinal relation between weight change and quality of life in a community-based population

T2 - A prospective cohort study

AU - Verkleij, Saskia P J

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AU - Schuit, A.J.

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N2 - Background: Previous cross-sectional studies revealed that obesity is associated with lower health-related quality of life (HRQOL). This study aimed to investigate the longitudinal association between 5-year weight change and HRQOL.Methods: Data from 2414 Dutch men and women was collected. HRQOL was measured with the RAND-36. Weight change was calculated as change in weight between 1998 and 2003. Using generalized estimation equations, we primarily analyzed the influence of weight change on HRQOL for the total population and additionally, by change groups (weight losers, weight maintainers and weight gainers) using regression analysis. All analyses were stratified for gender.Results: After 5 years, 598 men (50%) and 646 women (54%) maintained their weight, 177 men (15%) and 163 women (14%) lost >2.5 kg and 410 men (35%) and 379 women (32%) gained >2.5 kg. Longitudinal associations of 5-year weight change and HRQOL were found for mental component score (MCS) in women (β = 0.13; 95% CI: 0.02-0.24), and physical component score (PCS) in men (β = -0.09; 95% CI: -0.17 to -0.00) and women (β = -0.10; 95% CI: -0.19 to -0.01). Categorizing for 5-year weight change showed that weight gainers and weight losers did not significantly differ from weight maintainers on both MCS and PCS for both men and women.Conclusion: Weight change over 5 years leaded to a slight, though significant reduction on the PCS in both genders. In women, we found a positive association between weight change and MCS.

AB - Background: Previous cross-sectional studies revealed that obesity is associated with lower health-related quality of life (HRQOL). This study aimed to investigate the longitudinal association between 5-year weight change and HRQOL.Methods: Data from 2414 Dutch men and women was collected. HRQOL was measured with the RAND-36. Weight change was calculated as change in weight between 1998 and 2003. Using generalized estimation equations, we primarily analyzed the influence of weight change on HRQOL for the total population and additionally, by change groups (weight losers, weight maintainers and weight gainers) using regression analysis. All analyses were stratified for gender.Results: After 5 years, 598 men (50%) and 646 women (54%) maintained their weight, 177 men (15%) and 163 women (14%) lost >2.5 kg and 410 men (35%) and 379 women (32%) gained >2.5 kg. Longitudinal associations of 5-year weight change and HRQOL were found for mental component score (MCS) in women (β = 0.13; 95% CI: 0.02-0.24), and physical component score (PCS) in men (β = -0.09; 95% CI: -0.17 to -0.00) and women (β = -0.10; 95% CI: -0.19 to -0.01). Categorizing for 5-year weight change showed that weight gainers and weight losers did not significantly differ from weight maintainers on both MCS and PCS for both men and women.Conclusion: Weight change over 5 years leaded to a slight, though significant reduction on the PCS in both genders. In women, we found a positive association between weight change and MCS.

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KW - Health Status

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KW - Male

KW - Obesity

KW - Population Surveillance

KW - Prospective Studies

KW - Quality of Life

KW - Regression Analysis

KW - Sex Factors

KW - Socioeconomic Factors

KW - Surveys and Questionnaires

KW - Journal Article

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