Obesity, confidant support and functional health: cross-sectional evidence from the EPIC-Norfolk cohort

被引:49
作者
Surtees, PG
Wainwright, NWJ
Khaw, KT
机构
[1] Strangeways Res Lab, Cambridge CB1 8RN, England
[2] Univ Cambridge, Inst Publ Hlth, Dept Publ Hlth & Primary Care, Cambridge CB2 1TN, England
[3] Univ Cambridge, Addenbrookes Hosp, Sch Clin Med, Clin Gerontol Unit, Cambridge CB2 2QQ, England
基金
英国惠康基金; 英国医学研究理事会;
关键词
functional health; body mass index; social support; chronic illness; healthy ageing;
D O I
10.1038/sj.ijo.0802636
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To investigate the association between body mass index (BMI) and functional health according to age and the support available from a close confidant. Design: A cross-sectional population- based study. Participants: A total of 20921 participants in the European Prospective Investigation into Cancer and Nutrition, aged 41-80 y resident in Norfolk, England. Measurements: Standardised clinic-based assessment of BMI, self-reported functional health status assessment (according to the anglicised Short Form 36 (SF-36) Health Survey questionnaire) and the availability (and quality) of a close confiding relationship. Results: Self-reported physical functioning declined steadily with increasing age. Obesity (BMIgreater than or equal to30) was strongly associated with self-reported physical functional health, equivalent to being 11 y older for men and 16 y older for women (after adjustment that included prevalent chronic physical conditions and cigarette smoking). This adverse effect of obesity on physical functional health was found to increase with age for both men and women. Perceived inadequacy of a confiding relationship was associated with reduced physical functional capacity, equivalent to being 4 y older for men and 5 y older for women. For those with markedly inadequate confidant relationships, the impact of obesity on physical functional capacity was approximately constant by age. For those not critical of the adequacy of their confiding relationships, the impact of obesity was least for those younger but rose to equivalent levels as those with markedly inadequate confidant relationships among older participants. Conclusions: The availability of a close confidant relationship (perceived as uncritical and characterised by the absence of shared negative interactions) may delay the impact of obesity in reducing physical functional capacity.
引用
收藏
页码:748 / 758
页数:11
相关论文
共 60 条
[1]  
[Anonymous], 2003, DIET NUTR PREV CHRON
[2]  
[Anonymous], 1995, OPCS Surveys of Psychiatric Morbidity, Report
[3]  
Berkman L., 2000, Social Epidemiology, P137, DOI DOI 10.1016/S0277-9536(00)00065-4
[4]   Short Form 36 (SF-36) Health Survey questionnaire: which normative data should be used? Comparisons between the norms provided by the omnibus survey in Britain, the Health Survey for England and the Oxford Healthy Life Survey [J].
Bowling, A ;
Bond, M ;
Jenkinson, C ;
Lamping, DL .
JOURNAL OF PUBLIC HEALTH MEDICINE, 1999, 21 (03) :255-270
[5]   VALIDATING THE SF-36 HEALTH SURVEY QUESTIONNAIRE - NEW OUTCOME MEASURE FOR PRIMARY CARE [J].
BRAZIER, JE ;
HARPER, R ;
JONES, NMB ;
OCATHAIN, A ;
THOMAS, KJ ;
USHERWOOD, T ;
WESTLAKE, L .
BMJ-BRITISH MEDICAL JOURNAL, 1992, 305 (6846) :160-164
[6]   SOCIAL RELATIONSHIPS AND HEALTH-RELATED BEHAVIOR [J].
BROMAN, CL .
JOURNAL OF BEHAVIORAL MEDICINE, 1993, 16 (04) :335-350
[7]   What is a healthy weight for middle aged women? [J].
Brown, WJ ;
Dobson, AJ ;
Mishra, G .
INTERNATIONAL JOURNAL OF OBESITY, 1998, 22 (06) :520-528
[8]  
Day N, 1999, BRIT J CANCER, V80, P95
[9]   Obesity and physical and emotional well-being: Associations between body mass index, chronic illness, and the physical and mental components of the SF-36 questionnaire [J].
Doll, HA ;
Petersen, SEK ;
Stewart-Brown, SL .
OBESITY RESEARCH, 2000, 8 (02) :160-170
[10]  
ELIAS P, 1993, CASOC COMPTUER ASSIS