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Relationships between body mass index and well-being in young Australian women

Abstract

OBJECTIVE: To explore relationships between body mass index (BMI, kg/m2) and indicators of health and well-being in young Australian women.

DESIGN: Population based cohort study—baseline cross sectional data.

SUBJECTS: 14,779 women aged 18–23 who participated in the baseline survey of the Australian Longitudinal Study on Women's Health in 1996.

MEASUREMENTS: Self-reported height, weight, medical conditions, symptoms and SF-36.

RESULTS: The majority of women (68%) had a BMI in the range 18.5–<25; 12% had a BMI <18.5; 14% had a BMI in the range 25–<30 and 6% had a BMI ≥30. After adjustment for area of residence, age, education, smoking and exercise, women in the highest BMI category (≥30) were more likely to report hypertension, asthma, headaches, back pain, sleeping difficulties, irregular periods, and more visits to their medical practitioner. They were also more likely to have given birth at least once, and less likely to report ‘low iron’. Women with low BMI (<18.5) were more likely to report irregular periods and ‘low iron’. Mean scores on the SF-36 sub-scales for physical functioning, general health and vitality were highest for women with BMI in the range 18.5–25.

CONCLUSION: Acknowledging the limits of the cross-sectional nature of the data, the results show that the deleterious effects of overweight can be seen at a comparatively young age, and that BMI <25 is associated with fewer indicators of morbidity in young women. However, as BMI lt;18.5 is associated with low iron and irregular periods, care should be taken when developing strategies to prevent overweight in young women, not to encourage women with healthy weight to strive for a lower BMI.

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References

  1. Dwyer J . Policy and healthy weight Am J Clin Nutr 1996 63: 415S–418S.

    Article  CAS  Google Scholar 

  2. Metropolitan Life Insurance Company . 1983 height and weight tables Stat Bull Metrop Insur Co 1984 64: 2–9.

    Google Scholar 

  3. Brown WJ, Dobson AJ, Mishra G . What is healthy weight for middle aged women? Int J Obes Relat Metab Disord 1998 22: 520–528.

    Article  CAS  Google Scholar 

  4. Ware JE, Kosinski M, Keller SD . SF 36 Physical and mental health summary scales: a user's manual The Health Institute, New England Medical Center; Boston MA, 1994.

  5. US Department of Agriculture and US Department of Health and Human Services . Nutrition and your health: dietary guidelines for Americans, 3rd ed (Home and garden bulletin no. 232) US Department of Agriculture: Washington DC 1990.

  6. National Health and Medical Research Council . Report of the one hundredth session Australián Government Publishing Service: Canberra 1985.

    Google Scholar 

  7. World Health Organization Expert Committee on Physical Status . Physical status: the use and interpretation of anthropometry World Health Organization: Geneva 1995.

  8. Meisler JG, St Jeor S . Summary and recommendations from the American Health Foundation's expert panel on healthy weight Am J Clin Nutr 1996 63: 474S–477S.

    Article  CAS  Google Scholar 

  9. French SA, Jeffery RW . Consequences of dieting to lose weight: effects on physical and mental health Health Psychol 1994 13: 195–212.

    Article  CAS  Google Scholar 

  10. Kenardy J, Brown WJ, Vogt E . Dieting and health in young Australian women Europ Eating Disorders Review (in press).

  11. Green BB, Weiss NS, Daling JR . Risk of ovulatory infertility in relation to body weight Fertil Steril 1988 50: 721–726.

    Article  CAS  Google Scholar 

  12. Grodstein F, Goldman MB, Cramer DW . Body mass index and ovulatory infertility Epidemiology 1994 5: 247–250.

    Article  CAS  Google Scholar 

  13. Ward A, Brown N, Treasure J . Persistent osteopenia after recovery from anorexia nervosa Int J Eat Disord 1997 22: 71–75.

    Article  CAS  Google Scholar 

  14. Frisch RE . Body fat, menarche, fitness and fertility Hum Reprod 1987 2: 521–533.

    Article  CAS  Google Scholar 

  15. Villena-Heinsen C, Luxner K, Friedrich M, Quijano F, Schmidt W . Schwangerschafts- und Geburtsverlauf bei untergewichtigen Schwangeren Z Geburtshilfe Neonato 1998 202: 115–120.

    CAS  Google Scholar 

  16. Robinovich JT, Rubio EL, Saez JC, Ramirez MI . Influencia del peso corporal en el embarazo y resultado perinatal Rev Chile Obstet Ginecol 1995 6: 151–167.

    Google Scholar 

  17. Maugars Y, Berthelot JM, Lalande S, Charlier C, Prost A . Osteoporotic fractures revealing anorexia nervosa in five females Rev Rhumatisme 1996 63: 201–206.

    CAS  Google Scholar 

  18. Brown WJ, Bryson L, Byles JE, Dobson AJ, Lee C, Mishra G, Schofield M . Women's Health Australia: recruitment for a national longitudinal cohort study Women Health 1998 28: 23–40.

    Article  CAS  Google Scholar 

  19. Ware JE, Snow KK, Kosinski M, Gandek B . SF-36 health survey manual and interpretation guide The Health Institute, New England Medical Center: Boston, MA, 1993.

  20. Cleveland WS . Robust locally weighted regression and smoothing scatterplots JASA 1979 74: 829–836.

    Article  Google Scholar 

  21. Mathsoft . S-PLUS reference manual, Vol 1. Mathsoft: Seattle, WA, 1995.

  22. Department of Primary Industries and Energy and Department of Human Services and Health . Rural, remote and metropolitan areas classification: 1991 Census edition Australian Government Publishing Service: Canberra 1994.

  23. SAS Institute Inc . SAS/STAT Users guide, version 6, 4th edn, Vol 2. SAS Institute Inc., Cary, NC 1989.

  24. Australian Bureau of Statistics . 1996 Census customised matrices Australian Government Publishing Service: Canberra 1996.

  25. Goroll AH, May LA, Mulley AG . Hematology. In Winters R (ed). Primary Care Medicine, 3rd edn. JB Lippincott: Philadelphia, AA 1995, pp 444–445.

    Google Scholar 

  26. Patterson AJ . Iron deficiency in Australian women: development, implications and treatment. PhD thesis University of Newcastle, NSW, Australia 1999.

  27. Lake JK, Power C, Cole TJ . Women's reproductive health: the role of body mass index in early and adult life Int J Obes Relat Metab Disord 1997 21: 432–438.

    Article  CAS  Google Scholar 

  28. Australian Institute of Health and Welfare, University of New South Wales . Australian mothers and babies 1996. Perinatal Statistics Series no. 7. Australian Institute of Health and Welfare: Canberra 1999.

  29. Gortmaker SL, Must A, Perrin JM, Sobol AM, Dietz WH . Social and economic consequences of overweight in adolescence and young adulthood New Engl J Med 1993 329: 1008–1012.

    Article  CAS  Google Scholar 

  30. Stunkard AJ, Sorensen TIA . Obesity and socioeconomic status—a complex relation New Engl J Med 1993 329: 1036–1037.

    Article  CAS  Google Scholar 

  31. Carpenter L, Bartley M . Fat, female and poor Lancet 1994 344: 1715–1716.

    Article  CAS  Google Scholar 

  32. Young AF . General practitioner utilisation among women in Australia. PhD thesis, 1999 University of Newcastle, NSW, Australia.

  33. Australian Institute of Health and Welfare (AIHW) . Australia's health 1998 AIHW: Canberra 1998.

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Acknowledgements

The Women's Health Australia project, which was conceived and developed by groups of inter-disciplinary researchers at the Universities of Newcastle and Queensland, is funded by the Commonwealth Department of Health and Aged Care. The assistance of Joy Goldsworthy with the preparation of this paper is also gratefully acknowledged. Finally, we would like to thank all the participants for their valuable contribution to this project.

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Correspondence to WJ Brown.

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Brown, W., Mishra, G., Kenardy, J. et al. Relationships between body mass index and well-being in young Australian women. Int J Obes 24, 1360–1368 (2000). https://doi.org/10.1038/sj.ijo.0801384

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