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 |
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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 & 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. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-1c6ecf8a3f85974ccf220b326c06cbaa39a9e0afd3599ee7b989181d4cf64b193</citedby><cites>FETCH-LOGICAL-c563t-1c6ecf8a3f85974ccf220b326c06cbaa39a9e0afd3599ee7b989181d4cf64b193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.annepidem.2013.02.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,778,782,883,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23453383$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Micciolo, Rocco, MD</creatorcontrib><creatorcontrib>Canal, Luisa, MD</creatorcontrib><creatorcontrib>Minniti, Alessia, MD</creatorcontrib><creatorcontrib>Mazzali, Gloria, MD</creatorcontrib><creatorcontrib>Fantin, Francesco, MD</creatorcontrib><creatorcontrib>Corzato, Francesca, MD</creatorcontrib><creatorcontrib>Antonioli, Angela, MD</creatorcontrib><creatorcontrib>Harris, Tamara B., MD</creatorcontrib><creatorcontrib>Zamboni, Mauro, MD</creatorcontrib><title>The association between excess weight and comorbidity and self-rated health in the Italian population</title><title>Annals of epidemiology</title><addtitle>Ann Epidemiol</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aging</subject><subject>Body Mass Index</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Female</subject><subject>Health Status</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Interviews as Topic</subject><subject>Italy - epidemiology</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Prevalence</subject><subject>Self Report</subject><subject>Self-rated health</subject><subject>Sex Factors</subject><subject>Surveys and Questionnaires</subject><issn>1047-2797</issn><issn>1873-2585</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkktv3CAUhVHVqkmm_Qutl93Y5WEbvIkURX1EitRF0zXC-DpmimEKOOn8--JMMmq7ygoQ5xy497sIvSe4Ipi0H7eVcg52ZoC5opiwCtMKY_YCnRLBWUkb0bzMe1zzkvKOn6CzGLcYYy44fY1OKKsbxgQ7RXAzQaFi9NqoZLwrekj3AK6A3xpiLO7B3E6pUG4otJ996M1g0v7hHMGOZVAJhmICZdNUGFekHHeVlDXKFTu_W-xD6hv0alQ2wtvHdYN-fP50c_m1vP725ery4rrUTctSSXQLehSKjaLpeK31SCnuGW01bnWvFOtUB1iNA2u6DoD3neiIIEOtx7buScc26PyQu1v6GQYNLgVl5S6YWYW99MrIf2-cmeStv5M1IZTmzm3Qh8eA4H8tEJOcTdRgrXLglygJo6IhuOHPkRLRdpjUq5QfpDr4GAOMxx8RLFeeciuPPOXKU2IqM8_sfPd3QUffE8AsuDgIILf1zkCQURtwGgYTQCc5ePOMR87_y9DWOKOV_Ql7iFu_BJepSSJjNsjv61itU0VYnqhcJfsDPETNFA</recordid><startdate>20130401</startdate><enddate>20130401</enddate><creator>Micciolo, Rocco, MD</creator><creator>Canal, Luisa, MD</creator><creator>Minniti, Alessia, MD</creator><creator>Mazzali, Gloria, MD</creator><creator>Fantin, Francesco, MD</creator><creator>Corzato, Francesca, MD</creator><creator>Antonioli, Angela, MD</creator><creator>Harris, Tamara B., MD</creator><creator>Zamboni, Mauro, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>5PM</scope></search><sort><creationdate>20130401</creationdate><title>The association between excess weight and comorbidity and self-rated health in the Italian population</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-1c6ecf8a3f85974ccf220b326c06cbaa39a9e0afd3599ee7b989181d4cf64b193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aging</topic><topic>Body Mass Index</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Female</topic><topic>Health Status</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Interviews as Topic</topic><topic>Italy - epidemiology</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Prevalence</topic><topic>Self Report</topic><topic>Self-rated health</topic><topic>Sex Factors</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Micciolo, Rocco, MD</creatorcontrib><creatorcontrib>Canal, Luisa, MD</creatorcontrib><creatorcontrib>Minniti, Alessia, MD</creatorcontrib><creatorcontrib>Mazzali, Gloria, MD</creatorcontrib><creatorcontrib>Fantin, Francesco, MD</creatorcontrib><creatorcontrib>Corzato, Francesca, MD</creatorcontrib><creatorcontrib>Antonioli, Angela, MD</creatorcontrib><creatorcontrib>Harris, Tamara B., MD</creatorcontrib><creatorcontrib>Zamboni, Mauro, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Micciolo, Rocco, MD</au><au>Canal, Luisa, MD</au><au>Minniti, Alessia, MD</au><au>Mazzali, Gloria, MD</au><au>Fantin, Francesco, MD</au><au>Corzato, Francesca, MD</au><au>Antonioli, Angela, MD</au><au>Harris, Tamara B., MD</au><au>Zamboni, Mauro, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association between excess weight and comorbidity and self-rated health in the Italian population</atitle><jtitle>Annals of epidemiology</jtitle><addtitle>Ann Epidemiol</addtitle><date>2013-04-01</date><risdate>2013</risdate><volume>23</volume><issue>4</issue><spage>172</spage><epage>178</epage><pages>172-178</pages><issn>1047-2797</issn><eissn>1873-2585</eissn><abstract>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.</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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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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