Social Indicators Research

, Volume 79, Issue 1, pp 143–158 | Cite as

Body Mass Index, Perceived Health, and Happiness: Their Determinants and Structural Relationships

  • Judith R. Cornelisse-Vermaat
  • Gerrit AntonidesEmail author
  • Johan A. C. Van Ophem
  • Henriette Maassen Van Den Brink


The structural relationships between body mass index, perceived health and happiness have been studied in a survey of 700 native Dutch citizens. We found an indirect effect of body mass index on happiness, via perceived health. Age had an inverted U-shaped relationship with body mass index, and both education and smoking had a negative effect on body mass index. Being married, doing paid work, owning a house, and doing sports had positive effects on perceived health, suggesting that living a regular life may lead to a better perceived health. Being married positively affected happiness. The other socio-demographic variables either had no effects on happiness or indirect effects via body mass index and perceived health.


body mass index happiness health structural equations 


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  1. M. Argyle, Causes and correlates of happiness. In: D. Kahneman, E. Diener and N. Schwarz (eds.) Well-Being: The Foundations of Hedonic Psychology. New York: Russell Sage Foundation (1999) pp. 353-373Google Scholar
  2. S. Averett and S. Korenman, The economic reality of The Beauty Myth. The Journal of Human Resources 31 (1996) 304-330CrossRefGoogle Scholar
  3. H. Bleichrodt and M. Johannesson, Standard gamble, time trade-off and rating scale: Experimental results on the ranking properties of QALYs. Journal of Health Economics 16 (1997) 155-175CrossRefGoogle Scholar
  4. A. Bowling and J. Windsor, Towards the good life: A population survey of dimensions of quality of life. Journal of Happiness Studies 2 (2001) 55-81CrossRefGoogle Scholar
  5. K. Breedveld, Shifts in active leisure time allocation (in Dutch). In: K. Breedveld and A. Broek van den (eds.) Trends in Time. An Outline of Recent Developments in Time Allocation. The Hague: Social and Cultural Planning Bureau (2001) pp. Google Scholar
  6. V. Burke, L.J. Beilin and D. Dunbar, Family lifestyle and parental body mass index as predictors of body mass index in Australian children: A longitudinal study. International Journal of Obesity 25 (2001) 147-157CrossRefGoogle Scholar
  7. H. Cantril, The Pattern of Human Concerns. New Brunswick NJ: Rutgers University Press (1965).Google Scholar
  8. ‘Six Million People with a Long-Lasting Disorder’. The Hague: CBS (1999).Google Scholar
  9. More People with Overweight, Fewer Smokers. The Hague: Webmagazine (2001a).Google Scholar
  10. CBS (Dutch Central Bureau of Statistics): 2001b, Regional Differences in Health. Poorer Health in Four Big Cities and in South-Limburg (Index No. 9, The Hague)Google Scholar
  11. Dutch are Heavier and Taller. The Hague: Webmagazine CBS (2002a).Google Scholar
  12. Population Heavier. The Hague: Webmagazine CBS (2002b).Google Scholar
  13. Health Statistics Netherlands. The Hague: CBS (2002c).Google Scholar
  14. A.B. Cohen, The importance of spirituality in well-being for Jews and Christians. Journal of Happiness Studies 3 (2002) 287-310CrossRefGoogle Scholar
  15. D.M. Cutler and E. Richardson, The value of health: 1970–1990. American Economic Review 2 (1998) 97-100Google Scholar
  16. D.M. Cutler, E.L. Glaeser and J.M. Shapiro, Why have Americans become more obese ?. Journal of Economic Perspectives 17 (2003) 93-118CrossRefGoogle Scholar
  17. R.J. Delfino, L.D. Jamner and C.K. Whalen, Temporal analysis of the relationship of smoking behavior and urges to mood states in men versus women. Nicotine and Tobacco Research 3 (2001) 235-248CrossRefGoogle Scholar
  18. E. Diener, Subjective well-being. Psychological Bulletin 95 (1984) 542-575CrossRefGoogle Scholar
  19. E. Diener and Diener, Factors predicting the subjective well-being of nations. Journal of Personality and Social Psychology 69 (1995) 851-864CrossRefGoogle Scholar
  20. P. Dolan, The measurements of health-related quality of life for the use in resource allocation decisions in health care. In: A.J. Culyer and J.P. Newhouse (eds.) Handbook of Health Economics. Amsterdam: Elsevier (2000) pp. Google Scholar
  21. H. Doll, S. Petersen and S. Stewart-Brown, Obesity and physical and emotional well-being: Associations between Body Mass Index, Chronic Illness, and Physical and Mental Components of the SF−36 Questionnaire. Obesity Research 8 (2000) 160-170Google Scholar
  22. R.A. Easterlin, Income and happiness: Towards a unified theory. The Economic Journal 111 (2001) 465-484CrossRefGoogle Scholar
  23. R.A. Easterlin, Life cycle welfare: Trends and differences. Journal of Happiness Studies 2 (2001a) 1-12CrossRefGoogle Scholar
  24. K.R. Fontaine, D.T. Redden, C. Wang, A.O. Westfall and D.B. Allison, Years of life lost due to obesity. Journal of American Medical Association 2 (2003) 187-193CrossRefGoogle Scholar
  25. B.S. Frey and A. Stutzer, What can economists learn from happiness research?. Journal of Economic Literature 40 (2002) 402-435CrossRefGoogle Scholar
  26. B.S. Frey and A. Stutzer, ‘Happiness Research: State and Prospects’. Zürich: Institute for Empirical Research in Economics, University of Zürich (2004).Google Scholar
  27. U.G. Gerdtham, M. Johannesson, L. Lundberg and D. Isacson, The demand for health: Results from new measures of health capital. European Journal of Political Economy 15 (1999) 501-521CrossRefGoogle Scholar
  28. U. Gerdtham and M. Johannesson, The relationship between happiness, health, and socio-economic factors: Results based on Swedish microdata. Journal of Socio-Economics 30 (2001) 553-557CrossRefGoogle Scholar
  29. E. Groessl, R. Kaplan, E. Barret-Connor and Th. Ganiats, Body Mass Index and the quality of well-being in a community of older adults. American Journal of Preventive Medicine 26 (2004) 126-129CrossRefGoogle Scholar
  30. Overweight and Obesity (Publication no 2003/07). The Hague: Health Council of the Netherlands (2003).Google Scholar
  31. F. Huysmans and J. Haan de, Media and ICT. Dealing with abundant supply (in Dutch). In: K. Breedveld and A. Broek van den (eds.) Trends in Time. An Outline of Recent Developments in Time Allocation. The Hague: Social and Cultural Planning Bureau (2001) pp. Google Scholar
  32. D.R. Jacobs and S. Gottenborg, Smoking and weight: The Minnesota lipid research clinic. American Journal of Public Health 71 (1981) 391-396CrossRefGoogle Scholar
  33. R.W. Jeffery and S.A. French, Socio-economic status and weight control practices among 20- to 45-year-old women. American Journal of Public Health 86 (1996) 1005-1010Google Scholar
  34. D. Kahneman, New challenges to the rationality assumption. Journal of Institutional and Theoretical Economics 150 (1994) 18-36Google Scholar
  35. D. Kahneman, P.P. Wakker and R. Sarin, Back to Bentham? Explorations of experienced utility. Quarterly Journal of Economics 112 (1997) 375-405CrossRefGoogle Scholar
  36. H.G. Koenig, M.E. McCullough and D.B. Larsson, Handbook of Religion and Health. Oxford: Oxford University Press (2001).Google Scholar
  37. H. Koivumaa-Honkanen, R. Honkanen, M. Koskenvuo and J. Kario, Self-reported happiness in life and suicide in ensuing 20 years. Social Psychiatry and Psychiatric Epidemiology 38 (2003) 244-248CrossRefGoogle Scholar
  38. J.S. Levin and L.M. Chatters, Research on religion and mental health: An overview of empirical findings and theoretical issues. In: H.G. Koenig (ed.) Handbook of Religion and Mental Health. San Diego: Academic Press (1998) pp. Google Scholar
  39. U. Larsson, J. Karlsson and M. Sullivan, Impact of overweight and obesity on health-related quality of life – a Swedish population study. International Journal of Obesity 26 (2002) 417-424CrossRefGoogle Scholar
  40. M. Lindström, S. Isacsson and J. Merlo, Increasing prevalence of overweight, obesity and physical inactivity. European Journal of Public Health 13 (2003) 306-312CrossRefGoogle Scholar
  41. Maddox, G.L. (ed.), R.C. Atchley, L.W. Poon, G.S. Roth, I.C. Siegler, R.M. Steinberg and R.J. Corsini: 1987, The Encyclopedia of Ageing (Springer Publishing Company, New York)Google Scholar
  42. Mathus-Vliegen, E.M.H.: 1998, ‘Overweight II. Determinants of overweight and prevention strategies (in Dutch)’, Nederlands Tijdschrift voor Geneeskunde 142(36), pp. 1989–1995Google Scholar
  43. Mathus-Vliegen, E.M.H.: 1998a, ‘Overweight I. Prevalence and trends (in Dutch)’, Nederlands Tijdschrift voor Geneeskunde 142(36), pp. 1982–1989Google Scholar
  44. J.M. McGrinnis and W.H. Foege, ‘Actual causes of deaths in the United States’. Journal of American Medical Association 270 (1993) 2207-2222CrossRefGoogle Scholar
  45. D.G. Myers and E. Diener, Who is happy?. Psychological Science 6 (1995) 10-19CrossRefGoogle Scholar
  46. C. Onyike, R. Crum, H. Lee, C. Lyketsos and W. Eaton, Is obesity associated with major depression? Results from the Third National Health and Nutrition and Examination Survey. American Journal of Epidemiology 158 (2003) 1139-1147CrossRefGoogle Scholar
  47. W. Ooijendijk, V. Hildebrandt and M. Stiggelhout, Physical activity in the␣Netherlands 2000: First results of monitoring study on exercise and health. In: W. Ooijendijk, V. Hildebrandt and M. Stiggelbout (eds.) Trend Report Exercise and Health 2000/2001. Heerhugowaard: TNO Arbeid, PlantijnCasparie (2002) pp. Google Scholar
  48. A.J. Oswald, Happiness and economic performance. The Economic Journal 107 (1997) 1815-1831CrossRefGoogle Scholar
  49. J.A. Pagán and A. Dávila, Obesity, occupational attainment, and earnings. Social Science Quarterly 78 (1997) 756-769Google Scholar
  50. A. Peeters, J.J. Barendregt, F. Willekens, J.P. Mackenbach, A. Al Mamun and L. Bonneux, Obesity in adulthood and its concequences for life expectancy: A life table analysis. Annals of Internal Medicine 138 (2003) 24-32Google Scholar
  51. T. Philipson, The world-wide growth of obesity: An economic research agenda. Health Economics 10 (2001) 1-7CrossRefGoogle Scholar
  52. T.K. Pinhey, D.H. Rubinstein and R.S. Colfax, Overweight and happiness: The reflected self-appraisal hypothesis reconsidered. Social Science Quarterly 78 (1997) 747-755Google Scholar
  53. E. Plug, ‘Leyden Welfare and Beyond’. Amsterdam: University of Amsterdam (1997).Google Scholar
  54. D. Rabois and D.A.F. Haaga, The influence of cognitive coping and mood on smokers’ self-efficacy and temptation. Addictive Behaviors 28 (2003) 561-573CrossRefGoogle Scholar
  55. C.A. Register and D.R. Williams, The wage effects of obesity in young workers. Social Science Quarterly 71 (1990) 130-141Google Scholar
  56. D.D. Reidpath, D. Crawford, L. Tilgner and C. Gibbons, Relationship between Body Mass Index and the use of healthcare services in Australia. Obesity Research 10 (2002) 526-531Google Scholar
  57. C.E. Ross and C.E. Bird, Sex stratification and health lifestyle: Consequences for men’s and women’s perceived health. Journal of Health and Social Behavior 35 (1994) 161-178CrossRefGoogle Scholar
  58. J. Salmon, N. Owen, A. Bauman, K. Schmitz and M. Booth, Leisure-time, occupational, and household activity among professional, skilled, and less-skilled workers and homemakers. Preventive Medicine 30 (2000) 1991-1999CrossRefGoogle Scholar
  59. S. Sarlio-Lähteenkorva and E. Lahelma, The association of body mass index with social and economic disadvantage in women and men. International Journal of Epidemiology 18 (1999) 445-449CrossRefGoogle Scholar
  60. S. Sarlio-Lähteenkorva and E. Lahelma, Food insecurity is associated with past and present economic disadvantage and body mass index. Journal of Nutrition 131 (2001) 2880-2884Google Scholar
  61. Assessing health status and quality-of-life instruments: Attributes and review criteria. Quality of Life Research 11 (2002) 193-205CrossRefGoogle Scholar
  62. T.P. Schultz, Overview, theory, and measurement. Investment in schooling and health of women and men. Quantities and returns. The Journal of Human Development 28 (1994) 694-733Google Scholar
  63. G.D. Smith, Learning to live with complexity: ethnicity, socio-economic position, and health in Britain and the United States. American Journal of Public Health 90 (2000) 1694-1698Google Scholar
  64. F.J. Lenthe Van, M. Droomers, C.T.M. Schrijvers and J.P. Mackenbach, Socio-demographic variables and 6 year change in body mass index: Longitudinal results from the GLOBE study. International Journal of Obesity 24 (2000) 1077-1084CrossRefGoogle Scholar
  65. B. Praag Van and P. Frijters, The measurement of welfare and well-being: The Leyden Approach. In: D. Kahneman, E. Diener and N. Schwarz (eds.) Well-Being: The Foundations of Hedonic Psychology. New York: Russell Sage Foundation (1999) pp. Google Scholar
  66. B. Praag Van and A. Ferrer-i-Carbonell, Happiness Quantified. A Satisfaction Calculus Approach. New York: Oxford University Press (2004).Google Scholar
  67. B.M.S. Praag Van, P. Frijters and A. Ferrer-i-Carbonell, The anatomy of subjective well-being. Journal of Economic Behavior and Organization 51 (2003) 29-49CrossRefGoogle Scholar
  68. R. Veenhoven, Conditions of Happiness. Dordrecht: Reidel (1984).Google Scholar
  69. R. Veenhoven, Advances in understanding happiness (in French). Revue Québécoise de Psychologie 18 (1997) 29-74Google Scholar
  70. R Veenhoven, The greatest happiness principle. Happiness as an aim in public policy. In: A. Linely and S. Joseph (eds.) Positive psychology in practice. Hoboken, NJ, USA: John Wiley and Sons Inc. (2004) pp. Google Scholar
  71. T.L.S. Visscher, D. Kromhout and J.C. Seidell, Long-term and recent time trends in the prevalence of obesity among Dutch men and women. International Journal of Obesity 26 (2002) 1218-1224CrossRefGoogle Scholar
  72. S.G. Wannamethee and A.G. Shaper, Self-assessment of health status and mortality in middle-aged British men. International Journal of Epidemiology 20 (1991) 239-245CrossRefGoogle Scholar
  73. ‘Obesity: Preventing and Managing the Global Epidemic’. Geneva: WHO (2000).Google Scholar

Copyright information

© Springer 2006

Authors and Affiliations

  • Judith R. Cornelisse-Vermaat
    • 1
    • 2
  • Gerrit Antonides
    • 1
    Email author
  • Johan A. C. Van Ophem
    • 1
  • Henriette Maassen Van Den Brink
    • 2
  1. 1.Department of Social SciencesWageningen UniversityWageningenThe Netherlands
  2. 2.“Scholar” Research Center for Education and Labor MarketUniversity of AmsterdamAmsterdamThe Netherlands

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