The association between excess weight and comorbidity and self-rated health in the Italian population

Abstract Purpose To evaluate the association of obesity with comorbidity and with subjective health perception in a large sample representative of the Italian population and how the association differs by age and gender. Methods Cross-sectional data were obtained from nine waves of the “Multipurpose...

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Veröffentlicht in:Annals of epidemiology 2013-04, Vol.23 (4), p.172-178
Hauptverfasser: Micciolo, Rocco, MD, Canal, Luisa, MD, Minniti, Alessia, MD, Mazzali, Gloria, MD, Fantin, Francesco, MD, Corzato, Francesca, MD, Antonioli, Angela, MD, Harris, Tamara B., MD, Zamboni, Mauro, MD
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container_end_page 178
container_issue 4
container_start_page 172
container_title Annals of epidemiology
container_volume 23
creator Micciolo, Rocco, MD
Canal, Luisa, MD
Minniti, Alessia, MD
Mazzali, Gloria, MD
Fantin, Francesco, MD
Corzato, Francesca, MD
Antonioli, Angela, MD
Harris, Tamara B., MD
Zamboni, Mauro, MD
description Abstract Purpose To evaluate the association of obesity with comorbidity and with subjective health perception in a large sample representative of the Italian population and how the association differs by age and gender. Methods Cross-sectional data were obtained from nine waves of the “Multipurpose Household Survey,” conducted by the Italian National Institute of Statistics. Self-reported height and weight, six weight-associated diseases and self-rated health (SRH) were evaluated on 352,020 subjects aged 20 to 89 years. Comorbidity was defined as the presence of two or more diseases. Results The prevalence of comorbidity was significantly different between obese and normal weight subjects in all age categories. SRH was worse in obese subjects than in those of normal weight; this difference persisted, at least in females, into older ages. Conclusions Obesity is associated with comorbidity and self-rated health; this association varies across ages and genders. The results found for obese subjects of a given age category were similar to (or worse than) those found for older normal weight subjects of the next age class. For comorbidity, this was true both in males and in females of all the considered age categories; for SRH, this was true in particular for females and younger males.
doi_str_mv 10.1016/j.annepidem.2013.02.003
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Methods Cross-sectional data were obtained from nine waves of the “Multipurpose Household Survey,” conducted by the Italian National Institute of Statistics. Self-reported height and weight, six weight-associated diseases and self-rated health (SRH) were evaluated on 352,020 subjects aged 20 to 89 years. Comorbidity was defined as the presence of two or more diseases. Results The prevalence of comorbidity was significantly different between obese and normal weight subjects in all age categories. SRH was worse in obese subjects than in those of normal weight; this difference persisted, at least in females, into older ages. Conclusions Obesity is associated with comorbidity and self-rated health; this association varies across ages and genders. The results found for obese subjects of a given age category were similar to (or worse than) those found for older normal weight subjects of the next age class. For comorbidity, this was true both in males and in females of all the considered age categories; for SRH, this was true in particular for females and younger males.</description><identifier>ISSN: 1047-2797</identifier><identifier>EISSN: 1873-2585</identifier><identifier>DOI: 10.1016/j.annepidem.2013.02.003</identifier><identifier>PMID: 23453383</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aging ; Body Mass Index ; Comorbidity ; Cross-Sectional Studies ; European Continental Ancestry Group - statistics &amp; numerical data ; Female ; Health Status ; Health Status Indicators ; Humans ; Internal Medicine ; Interviews as Topic ; Italy - epidemiology ; Logistic Models ; Male ; Middle Aged ; Obesity ; Obesity - epidemiology ; Prevalence ; Self Report ; Self-rated health ; Sex Factors ; Surveys and Questionnaires</subject><ispartof>Annals of epidemiology, 2013-04, Vol.23 (4), p.172-178</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>Copyright © 2013 Elsevier Inc. 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Methods Cross-sectional data were obtained from nine waves of the “Multipurpose Household Survey,” conducted by the Italian National Institute of Statistics. Self-reported height and weight, six weight-associated diseases and self-rated health (SRH) were evaluated on 352,020 subjects aged 20 to 89 years. Comorbidity was defined as the presence of two or more diseases. Results The prevalence of comorbidity was significantly different between obese and normal weight subjects in all age categories. SRH was worse in obese subjects than in those of normal weight; this difference persisted, at least in females, into older ages. Conclusions Obesity is associated with comorbidity and self-rated health; this association varies across ages and genders. The results found for obese subjects of a given age category were similar to (or worse than) those found for older normal weight subjects of the next age class. 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Methods Cross-sectional data were obtained from nine waves of the “Multipurpose Household Survey,” conducted by the Italian National Institute of Statistics. Self-reported height and weight, six weight-associated diseases and self-rated health (SRH) were evaluated on 352,020 subjects aged 20 to 89 years. Comorbidity was defined as the presence of two or more diseases. Results The prevalence of comorbidity was significantly different between obese and normal weight subjects in all age categories. SRH was worse in obese subjects than in those of normal weight; this difference persisted, at least in females, into older ages. Conclusions Obesity is associated with comorbidity and self-rated health; this association varies across ages and genders. The results found for obese subjects of a given age category were similar to (or worse than) those found for older normal weight subjects of the next age class. For comorbidity, this was true both in males and in females of all the considered age categories; for SRH, this was true in particular for females and younger males.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23453383</pmid><doi>10.1016/j.annepidem.2013.02.003</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE
subjects Adolescent
Adult
Age Factors
Aged
Aging
Body Mass Index
Comorbidity
Cross-Sectional Studies
European Continental Ancestry Group - statistics & numerical data
Female
Health Status
Health Status Indicators
Humans
Internal Medicine
Interviews as Topic
Italy - epidemiology
Logistic Models
Male
Middle Aged
Obesity
Obesity - epidemiology
Prevalence
Self Report
Self-rated health
Sex Factors
Surveys and Questionnaires
title The association between excess weight and comorbidity and self-rated health in the Italian population
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