Association between Weight Changes over a 4-Year Period and Health-Related Quality of Life in Middle-Aged and Older Adults in Korea: The Korean Genome and Epidemiology Study Cohort.

IF 1.4 Q4 PRIMARY HEALTH CARE Korean Journal of Family Medicine Pub Date : 2024-06-14 DOI:10.4082/kjfm.23.0152
Sinyoung Cho, Mun Young Yoo, Na Hyun Kim, Sooah Paik, Doyeon Won, Jong Soo Han, Hyejin Lee, Woo Kyung Bae
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Abstract

Background: The relationship between weight change and quality of life remains controversial. This study aimed to investigate whether changes in body weight among participants in different baseline body mass index categories are associated with physical and mental health functioning.

Methods: We conducted an analysis involving 5,106 adults who participated in the Korean Genome and Epidemiology Study, a cohort comprising Korean adults aged 40 to 69 years. We categorized participants into three groups based on body weight change, and physical and mental health were assessed using the 12-Item Short-Form Health Survey in year 4. We employed logistic regression analysis to assess the association between body weight change and poor functioning at year 4. We also utilized a generalized estimating equation to determine the relationship between weight changes and mental component summary (MCS) scores over the study period for each weight group.

Results: Weight gain in both the normal weight (odds ratio [OR], 1.88; 95% confidence interval [CI], 1.13-3.11; P=0.01) and overweight groups (OR, 1.75; 95% CI, 1.05-2.91; P=0.03) was associated with poor MCS. Normal weight weight-losers were associated with a greater increase (2.69 points; 95% CI, 0.50-4.88) in MCS compared to weightmaintainers. Significant differences in mean MCS were observed for overweight weight-losers, obese weight-gainers, and underweight weight-gainers when compared to weight maintainers in each respective weight group.

Conclusion: Different patterns of relationships between weight change and mental health-related quality of life were observed. Hence, it is crucial to focus on the mental health of middle-aged and older adults when assessing body weight changes.

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韩国中老年人 4 年间体重变化与健康相关生活质量之间的关系:韩国基因组与流行病学研究队列。
背景:体重变化与生活质量之间的关系仍存在争议。本研究旨在调查不同基线体重指数类别的参与者的体重变化是否与身心健康功能有关:我们对参加韩国基因组与流行病学研究的 5106 名成年人进行了分析。我们根据体重变化将参与者分为三组,并在第 4 年使用 12 项短式健康调查对参与者的身体和精神健康状况进行了评估。我们采用逻辑回归分析来评估体重变化与第 4 年功能低下之间的关系。我们还利用广义估计方程确定了各体重组在研究期间的体重变化与心理成分总分(MCS)之间的关系:结果:正常体重组(几率比[OR],1.88;95% 置信区间[CI],1.13-3.11;P=0.01)和超重组(OR,1.75;95% 置信区间[CI],1.05-2.91;P=0.03)的体重增加均与精神健康状况不良有关。与体重维持者相比,体重正常者的 MCS 增加幅度更大(2.69 分;95% CI,0.50-4.88)。在每个体重组中,超重者、肥胖增重者和体重不足增重者的平均 MCS 与体重维持者相比有显著差异:结论:观察到体重变化与心理健康相关生活质量之间存在不同的关系模式。因此,在评估体重变化时,关注中老年人的心理健康至关重要。
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来源期刊
Korean Journal of Family Medicine
Korean Journal of Family Medicine PRIMARY HEALTH CARE-
CiteScore
4.00
自引率
4.30%
发文量
51
审稿时长
53 weeks
期刊最新文献
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