Email updates

Keep up to date with the latest news and content from BMC Public Health and BioMed Central.

Open Access Research article

Impacts of mobility disability and high and increasing body mass index on health-related quality of life and participation in society: a population-based cohort study from Sweden

Marianne Holmgren1*, Anna Lindgren12, Jeroen de Munter3, Finn Rasmussen3 and Gerd Ahlström1

Author Affiliations

1 The Swedish Institute for Health Sciences, Department of Health Sciences, Lund University, P.O. Box 187, SE-221 00 Lund, Sweden

2 Centre for Mathematical Sciences, Lund University, P.O. Box 118, SE-221 00 Lund, Sweden

3 Department of Public Health Sciences, Karolinska Institutet, P.O. Widerströmska huset, Tomtebodavägen 18A, plan 9, SE-171 77 Stockholm, Sweden

For all author emails, please log on.

BMC Public Health 2014, 14:381  doi:10.1186/1471-2458-14-381

Published: 17 April 2014

Abstract

Background

Increasing obesity in adults with mobility disability has become a considerable health problem, similar to the increasing trend of obesity in the general population. The aims of this study were to investigate the association of mobility disability with overweight status and obesity in a large population-based Swedish cohort of adults, and to investigate whether mobility disability, high body mass index (BMI), and increasing BMI over time are predictors of health-related quality of life and participation in society after 8 years of follow-up.

Methods

The study cohort included 13,549 individuals aged 18–64 years who answered questions about mobility disability, weight, height, health-related quality of life and participation in society in the Stockholm Public Health Survey 2002 and 2010. The cohort was randomly selected from the population of Stockholm County, and divided into six subgroups based on data for mobility disability and overweight status. Multiple binary logistic regression analyses were performed to assess the likelihood for low health-related quality of life and lack of participation.

Results

Respondents with mobility disability had a higher mean BMI than those without mobility disability. Respondents both with and without mobility disability increased in BMI, but with no significant difference in the longitudinal changes (mean difference: 0.078; 95% CI: -0.16 - 0.32). Presence of mobility disability increased the risk of low health-related quality of life and lack of participation in 2010, irrespective of low health-related quality of life and lack of participation in 2002. The risk of pain and low general health (parts of health-related quality of life) increased for every 5 units of higher BMI reported in 2010. In respondents without low general health at baseline, the risk of obtaining low general health increased for every 5 units of higher BMI in 2010 (OR:1.60; CI: 1.47 - 1.74).

Conclusions

The greatest risk of low general health after 8 years was observed for respondents with both mobility disability and high BMI. These results indicate the importance of working preventively with persons with mobility disability and overweight status or obesity based on the risk of further weight gain.

Keywords:
Mobility disability; Overweight; Obesity; Prevalence; Population study; Health-related quality of life (HRQoL); Participation