title: Body mass index and health-related quality of life in apparently healthy individuals.
abstract: OBJECTIVE
  Obesity is known to be associated with a range of chronic medical comorbidities, but little is known about the impact of overweight and obesity on health-related quality of life (HRQoL) in persons without chronic diseases. The aim of this study was to assess HRQoL, body mass index (BMI) and health behavior patterns in a community sample of subjects who had no long-lasting medical comorbidities
  
  
  METHODS
  We assessed HRQoL in 1,187 apparently healthy individuals (mean age 57 ± 7 years), of whom 24 % were classified as normal weight, 49 % as overweight, 20 % as obese and 7 % as very obese. Two different instruments of HRQoL were used: the generic Short-Form Health Survey (SF-36) questionnaire and the preference-based instrument EuroQol (EQ-5D).
  
  
  RESULTS
  All physical components of the SF-36 decreased linearly according to BMI categories in women. In men, only poorer physical functioning scale showed linearity with rising BMI. Scores on the mental components of the SF-36 did not differ by BMI categories in either gender. The EQ-5D index and EuroQol visual analogue scale scores decreased linearly with rising BMI only in women.
  
  
  CONCLUSIONS
  In apparently healthy middle-aged subjects, physical HRQoL decreases with increasing level of BMI and more so in women than in men. Mental components of HRQoL do not differ between the categories of BMI in either gender.
authors.affiliation: Satakunta Hospital District, Pori, Finland, paivi.e.korhonen@fimnet.fi.
authors.forename: Päivi E
authors.initials: PE
authors.lastname: Korhonen
authors.forename: Tellervo
authors.initials: T
authors.lastname: Seppälä
authors.forename: Salme
authors.initials: S
authors.lastname: Järvenpää
authors.forename: Hannu
authors.initials: H
authors.lastname: Kautiainen
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D002908:Chronic Disease / Q000453:epidemiology; D015897:Comorbidity; D015444:Exercise / Q000523:psychology; D005260:Female; D005387:Finland / Q000453:epidemiology; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D007899:Leisure Activities / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology / Q000523:psychology; D050177:Overweight / Q000453:epidemiology / Q000523:psychology*; D011159:Population Surveillance; D011788:Quality of Life; D018570:Risk Assessment; D012307:Risk Factors; D011795:Surveys and Questionnaires; D064232:Visual Analog Scale