Quality of life and obesity class relationships.

Abstract ▼ The aim of this study was to quantify the impact of obesity class on Health-Related Quality Of Life (HRQOL) and Total daily Energy Expenditure (TEE). 69 obese individuals were self-selected to 1 of 3 groups based upon Body Mass Index (BMI). Anthropometric parameters (height, weight, waist and hip circumference, fat mass, lean body mass), biological parameters (high density lipo-protein, low density lipoprotein, triglycerides, glycaemia, total cholesterol), and resting energy expenditure were assessed for each group. The Short Form Health Survey (SF-36) question-naire and Hospital Anxiety Depression (HAD) scale were used to measure HRQOL, and TEE was estimated by Kurpad ’ s method. Class 3 obes-ity was associated with greater impairment of the physical aspects of the SF-36 (37.2 ± 11.3), greater depression risk (8.2 ± 4.1), and higher TEE (30.0 ± 7.9 Kcal day · − 1 k · g ) than the lower obes- ity classes. No diff erence was observed among the 3 groups in the mental and psychosocial aspects of HRQOL. Impaired physical functioning was correlated with fat mass, age, waist circum-ference, glycaemia control and bodily pain. TEE was positively correlated with BMI, weight, fat mass and lean body mass. The obesity class had a negative impact on the physical health aspect of HRQOL, depression risk and energy expenditure. These impairments were associated with excess fat mass, waist circumference and glycaemia parameters. Downloaded by: Universite Rouen B.U. Sciences. Copyrighted material.