Evidence mapPaperPMID 40325914Full record

ArticleJournal of internal medicine2025

Adverse effects of obesity on overall health, quality of life, and related physical health metrics: A cross-sectional and longitudinal study from the All of Us Research Program.

Zhiqi Yao, Beverly G Tchang, Kacey Chae, Michael Albert, Jeanne M Clark, Michael J Blaha

Abstract read
In one paragraph

Article in Journal of internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Zhiqi YaoJohns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, Maryland, USA.ORCID 0009-0007-7803-4357
Beverly G TchangDivision of Endocrinology, Department of Internal Medicine, Weill Cornell Medical College, New York, New York, USA.
Kacey ChaeDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Michael AlbertUniversity of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Jeanne M ClarkDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Michael J BlahaJohns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, Maryland, USA.

Funding

Technology to Empower Changes in Health (TECH) Network Participant Technologies CenterU24OD023176 · OD · SCRIPPS RESEARCH INSTITUTE, THE · PI Eric Jeffrey Topol · 2021 to 2021
$52.3M
Precision Medicine Initiative Cohort Program BiobankU24OD023121 · OD · MAYO CLINIC ROCHESTER · PI Mine Cicek, Travis Henry · 2023 to 2023
$35.4M
Data and Research Support CenterU2COD023196 · OD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DAVID GLAZER, Paul A. Harris · 2022 to 2022
$16.0M
Healthy Americas: All of Us Research ProgramOT2OD025277 · NATIONAL ALLIANCE FOR HISPANIC HEALTH · 2025 to 2025
$3.0M
Health Services and Outcomes Research for Aging PopulationsT32AG066576 · JOHNS HOPKINS UNIVERSITY · 2025 to 2025
$500k
NIA NIH HHS T32 AG066576NIH HHS OT2 OD023205NIH HHS OT2 OD023206NIH HHS OT2 OD025276NIH HHS OT2 OD025277NIH HHS OT2 OD025315NIH HHS OT2 OD025337NIH HHS OT2 OD026548NIH HHS OT2 OD026549NIH HHS OT2 OD026550NIH HHS OT2 OD026551NIH HHS OT2 OD026552NIH HHS OT2 OD026553NIH HHS OT2 OD026554NIH HHS OT2 OD026555NIH HHS OT2 OD026556NIH HHS OT2 OD026557NIH HHS U24 OD023121NIH HHS U24 OD023163NIH HHS U24 OD023176NIH HHS U2C OD023196
6 · The paper itself

Abstract

backgroundPopulation-level adverse effects of obesity beyond commonly considered chronic conditions need to be characterized to understand its overall burden.

objectiveTo assess the cross-sectional associations between obesity and self-reported status of overall health, quality of life, pain, fatigue, ability of physical activity, and the risks of developing chronic pain syndrome, chronic fatigue syndrome, fibromyalgia, and insomnia.

methodsUsing data from the All of Us Research Program (the United States), we included participants with a body mass index (BMI) ≥18.5 kg/m

resultsAmong 323,640 participants (60.3% were female, mean age: 51.3 years), 20.7%, 11.0%, and 9.5% were with Classes I, II, and III obesity, respectively. Higher BMI categories were correlated with worse health metrics, with Class III obesity exhibiting the greatest disparities. Among those with Class III obesity, 9.6% (vs. 3.2% for normal weight) reported poor overall health, 28.3% (vs. 13.2%) reported severe pain, and 11.8% (vs. 8.4%) had prevalent insomnia. Graded associations were observed across high BMI categories, with Class III obesity showing the strongest effects. Compared with normal weight, in Class III obesity, the odds ratio (95% CI) was 3.82 (3.69-3.96) for fair/poor overall health, 3.93 (3.71-4.17) for severe pain, and 3.13 (2.98-3.29) for severely limited physical activity; the hazard ratio (95% CI) was 2.83 (2.36-3.40) for fibromyalgia and 1.53 (1.41-1.65) for insomnia.

conclusionObesity imposes a substantial burden on broad aspects of well-being in the US population.

Indexed as

Health StatusObesityQuality of LifeAdultAgedBody Mass IndexCross-Sectional StudiesExerciseFatigueFemaleFibromyalgiaHumansLongitudinal StudiesMaleMiddle AgedSleep Initiation and Maintenance Disordersfatigueinsomniaobesityoverall healthpainphysical abilityquality of life

Identifiers

PMID40325914
PMCPMC12494178

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.