Association of continuous body mass index with health-related quality of life in the United States by age and sex

Ward, Zachary J.; Dupuis, Roxanne; Long, Michael W.; Gortmaker, Steven L.

doi:10.1002/oby.24141

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Association of continuous body mass index with health-related quality of life in the United States by age and sex

11 2024
By Ward, Zachary J. ; Dupuis, Roxanne ; Long, Michael W. ; ...
Source: Obesity (Silver Spring). 32(11):2198-2206

Public Access Version Available on: November 01, 2025, 12:00 AM

Please check back on the date listed above.

English

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Details:

Alternative Title:

Obesity (Silver Spring)
Personal Author:

Ward, Zachary J. ; Dupuis, Roxanne ; Long, Michael W. ; Gortmaker, Steven L.

Ward, Zachary J. ; Dupuis, Roxanne ; Long, Michael W. ; Gortmaker, Steven L. Less -
Description:

Objective:

To estimate health-related quality of life (HRQoL) utilities by continuous BMI by age, sex, and demographic group in the US.

Methods:

We estimated HRQoL (overall and by domain) by continuous BMI using SF-6D data from 182,778 respondents ages 18 and older from the repeated cross-sectional Medical Expenditure Panel Survey (MEPS) 2008-2016. We adjusted for BMI self-report bias for potential confounding between BMI and HRQoL.

Results:

We found an inverse J-shaped curve of HRQoL by BMI, with lower values for females and the highest utilities occurring at a BMI of 20.4 (95% CI 20.32-20.48) for females and 26.5 (95% CI 26.45-26.55) for males. By BMI category, excess weight contributed to HRQoL utility loss of 0.0349 for obesity overall, rising to 0.0724 for Class III obesity. By domain, Pain was the largest cause of HRQoL loss for obesity (26%), followed by Role Limitations (22%).

Conclusions:

Health-related quality of life 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 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.
Subjects:

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Adolescent Adult Aged Age Factors Body Mass Index Cross-Sectional Studies Female Health Status Humans Male Middle Aged Obesity Quality Of Life Sex Factors United States Young Adult
Keywords:

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BMI Health-related Quality Of Life
Source:

Obesity (Silver Spring). 32(11):2198-2206
Pubmed ID:

39370765
Pubmed Central ID:

PMC11537809
Document Type:

Journal Article
Funding:

U48DP006376/CC/CDC HHSUnited States/ ; U48 DP006376/DP/NCCDPHP CDC HHSUnited States/ ; R01 HL146625/HL/NHLBI NIH HHSUnited States/ ; R01HL146625/NH/NIH HHSUnited States/ ; 1085/JPB Foundation/

U48DP006376/CC/CDC HHSUnited States/ ; U48 DP006376/DP/NCCDPHP CDC HHSUnited States/ ; R01 HL146625/HL/NHLBI NIH HHSUnited States/ ; R01HL146625/NH/NIH HHSUnited States/ ; 1085/JPB Foundation/ Less -
Volume:

32
Issue:

11
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha-512:6a1306c9df99b1479cc480344fefbe56a276483c8a9d86c1223220313858c076ca9008342a66594b96365baff541aefba2e41481c47a7e139bf8e4d26855167a
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