TY - JOUR
T1 - Metabolically healthy and unhealthy weight statuses, health issues and related costs
T2 - Findings from the 2013–2015 European Health Examination Survey in Luxembourg
AU - Samouda, H.
AU - Ruiz-Castell, M.
AU - Karimi, M.
AU - Bocquet, V.
AU - Kuemmerle, A.
AU - Chioti, A.
AU - Dadoun, F.
AU - Stranges, S.
N1 - Funding Information:
The authors wish to acknowledge the funding institutions: Luxembourg Institute of Health, Luxembourg; Ministry of Culture, Higher Education and Research, Luxembourg; and Ministry of Health, Luxembourg.
Funding Information:
The authors would like to thank the participants who agreed to take part to the European Health Examination Survey in Luxembourg, 2013?2015. We also thank the EHES-LUX2013?2015 team members who were involved in the design and performance of the survey: Couffignal S. Barre J. Dincau M. Mormont D. Gantenbein M. Lieunard C. Columeau A. Kiemen M. Weis J. Ambrozet G. Billy A. Larcelet M. Marcic D. and Gauthier C. The authors wish to acknowledge the funding institutions: Luxembourg Institute of Health, Luxembourg; Ministry of Culture, Higher Education and Research, Luxembourg; and Ministry of Health, Luxembourg.
Publisher Copyright:
© 2017 Elsevier Masson SAS
PY - 2019/4
Y1 - 2019/4
N2 - Aim: To investigate the relationship between metabolically healthy and unhealthy weight statuses and a wide range of related health issues, and healthcare and loss-of-productivity costs. Methods: A total of 693 men and 729 women, aged 25–64 years, took part in the European Health Examination Survey conducted in Luxembourg between 2013 and 2015. Metabolically unhealthy normal-weight profiles were defined as having two or more cardiometabolic abnormalities (high blood pressure, high fasting glucose or triglycerides, low HDL cholesterol and/or previously diagnosed hypertension or diabetes) in people with normal weight. Metabolically healthy overweight/obesity was defined as having fewer than two of the above-mentioned abnormalities in people with overweight or obesity. For the present report, the participants’ anthropometric, clinical, biological, sociodemographic, lifestyle and health-related data were analyzed. Results: Of the participants with normal weight, 20% had a metabolically unhealthy profile, whereas 60% with overweight and 30% with obesity had a metabolically healthy profile. Comparisons between metabolically healthy and unhealthy normal weight, overweight and/or obesity status revealed that participants presented with a metabolically unhealthy profile independently of weight status (P < 0.0001). People with a metabolically healthy profile were more likely to perceive their health as good (66%; P < 0.0001), and to report no physical pain (64%; P = 0.03), no limitations in daily activities (66%; P = 0.0008), no difficulties getting in or out of a bed or chair (63%; P = 0.02) or dressing and undressing (63%; P = 0.003), going shopping (63%; P = 0.053) or doing occasional heavy housework (64%; P = 0.007); they also displayed fewer gastrointestinal (63%; P = 0.02), arthrosis (64%; P = 0.001) and sleep apnoea issues (63%; P = 0.002) compared with those with a metabolically unhealthy profile. Healthcare- and loss-of-productivity-related costs were higher with a metabolically unhealthy profile, with differences of up to € 3000 (P = 0.02). Conclusion: The present work has highlighted that, independently of weight status, people may develop a metabolically unhealthy profile associated with several health issues as well as higher healthcare and loss-of-productivity costs.
AB - Aim: To investigate the relationship between metabolically healthy and unhealthy weight statuses and a wide range of related health issues, and healthcare and loss-of-productivity costs. Methods: A total of 693 men and 729 women, aged 25–64 years, took part in the European Health Examination Survey conducted in Luxembourg between 2013 and 2015. Metabolically unhealthy normal-weight profiles were defined as having two or more cardiometabolic abnormalities (high blood pressure, high fasting glucose or triglycerides, low HDL cholesterol and/or previously diagnosed hypertension or diabetes) in people with normal weight. Metabolically healthy overweight/obesity was defined as having fewer than two of the above-mentioned abnormalities in people with overweight or obesity. For the present report, the participants’ anthropometric, clinical, biological, sociodemographic, lifestyle and health-related data were analyzed. Results: Of the participants with normal weight, 20% had a metabolically unhealthy profile, whereas 60% with overweight and 30% with obesity had a metabolically healthy profile. Comparisons between metabolically healthy and unhealthy normal weight, overweight and/or obesity status revealed that participants presented with a metabolically unhealthy profile independently of weight status (P < 0.0001). People with a metabolically healthy profile were more likely to perceive their health as good (66%; P < 0.0001), and to report no physical pain (64%; P = 0.03), no limitations in daily activities (66%; P = 0.0008), no difficulties getting in or out of a bed or chair (63%; P = 0.02) or dressing and undressing (63%; P = 0.003), going shopping (63%; P = 0.053) or doing occasional heavy housework (64%; P = 0.007); they also displayed fewer gastrointestinal (63%; P = 0.02), arthrosis (64%; P = 0.001) and sleep apnoea issues (63%; P = 0.002) compared with those with a metabolically unhealthy profile. Healthcare- and loss-of-productivity-related costs were higher with a metabolically unhealthy profile, with differences of up to € 3000 (P = 0.02). Conclusion: The present work has highlighted that, independently of weight status, people may develop a metabolically unhealthy profile associated with several health issues as well as higher healthcare and loss-of-productivity costs.
KW - Metabolically unhealthy
KW - Normal weight
KW - Obesity
KW - Overweight
UR - http://www.scopus.com/inward/record.url?scp=85039420768&partnerID=8YFLogxK
UR - https://pubmed.ncbi.nlm.nih.gov/29249613
U2 - 10.1016/j.diabet.2017.11.007
DO - 10.1016/j.diabet.2017.11.007
M3 - Article
C2 - 29249613
AN - SCOPUS:85039420768
SN - 1262-3636
VL - 45
SP - 140
EP - 151
JO - Diabetes and Metabolism
JF - Diabetes and Metabolism
IS - 2
ER -