Health Care Expenditures Associated With Overweight and Obesity Among US Adults: Importance of Age and Race

Wee, Christina C.; Phillips, Russell S.; Legedza, Anna; Davis, Roger B.; Soukup, Jane; Colditz, Graham A.; Hamel, Mary Beth

doi:10.2105/ajph.2003.027946

Cited by 128 publications

(111 citation statements)

References 24 publications

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“…24 Health-care expenditures associated with obesity are substantial and increasing. [25][26][27][28] Expenditures related to higher body mass index (BMI) rose dramatically with age. 26,27 Canada has a universal health-care system characterized as equality of access, universality and public provision.…”

Section: Introductionmentioning

confidence: 99%

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Hospital admissions associated with body mass index in Canadian adults

2007

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Objective: To examine the associations between excess weight and health-care utilization in general Canadian population. Design: A national survey with a multistage stratified sampling design. Subjects: A total of 113 603 adults 20 years of age or more in 2003. Measurements: Self-reported overnight stay as an in-patient during the past 12 months, length of stay, height and weight.Results: The 12-month cumulative incidence of being an in-patient was 6.6% for men and 10.4% for women, with the length of stay in median of 3 nights for the patients. The adjusted odds ratio for obesity associated with being an in-patient was 1.24 (95% confidence interval: 1.109, 1.40) for men and 1.25 (1.14, 1.37) for women. The association between obesity and being an in-patient was significant or marginally significant in all categories of length of stay with an exception of the '1 night' category for men. Underweight men and women had an increased risk of approximately 30%. Underweight was only significantly associated with being an in-patient with a stay of '47 nights' in both sexes, and only small proportion of participants were underweight. Obesity contributed slightly more than 4% of being an in-patient in the Canadian adults. The population attributable fraction was very small for underweight because of low proportion of cases in that category. Conclusion: Obesity burdens the universal health-care system in Canada.

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Section: Introductionmentioning

confidence: 99%

“…[25][26][27][28] Expenditures related to higher body mass index (BMI) rose dramatically with age. 26,27 Canada has a universal health-care system characterized as equality of access, universality and public provision. A major challenge is how to meet increasing health-care expenditures in the presence of overwhelming fiscal pressures.…”

Section: Introductionmentioning

confidence: 99%

Hospital admissions associated with body mass index in Canadian adults

2007

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“…Ainda em relação aos norte-americanos, os gastos em saúde cresceram com o aumento do IMC. Adultos obesos apresentaram maiores gastos com medicamentos e com consultas 32 . No Canadá, os dispêndios com internação e com consultas médicas foram, respectivamente, 40% e 22% maiores entre os adultos obesos em relação àqueles com peso adequado 33 .…”

Section: Discussionunclassified

Influência do excesso de peso e da obesidade nos gastos em saúde nos domicílios brasileiros

2015

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“…dużo wyższe koszty opieki szpitalnej, jak i ambulatoryjnej [30][31][32]. Badania wykazują ścisłą zależność między BMI a zwiększonymi nakładami na opiekę zdrowotną [33,34]. Czteroletnie obserwacje prowadzone w Stanach Zjednoczonych pozwoliły określić, o ile droższa jest hospitalizacja pacjenta otyłego.…”

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“…Często pozostaje niejasne, czy wynika ono z nieprawidłowo-ści w zakresie układu krążenia, oddychania, czy też wspomnianego zwiększonego wydatku energetycznego, który Thus, obesity increases the costs of hospital and outpatient care [30][31][32]. Research reveals that there is a close correlation between BMI and increased expenditure on healthcare [33,34]. Thanks to four years of observation conducted in the United States, researchers were able to determine the costs of hospitalisation of an obese patient.…”

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confidence: 99%

The significance of post-operative rehabilitation in obese and overweight patients

Sutkowska¹,

Konieczny²,

Wrzosek³

et al. 2014

Physiotherapy

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StreszczenieOtyłość jest samodzielnym czynnikiem ryzyka wielu chorób. Nieprawidłowa masa ciała utrudnia rehabilitację pacjentów po zabiegach. W okresie pooperacyjnym często dochodzi do ujawnienia wielu nieprawidłowości, wcześniej ignorowanych przez chorego. Z tego powodu okres rekonwalescencji przedłuża się i nie zawsze w pełni satysfakcjonuje pacjenta i lekarza. Odpowiednie przygotowanie pacjentów otyłych do zabiegu oraz świadomość wystąpienia trudności w czasie ich rehabilitacji po operacji jest warunkiem dobrej współpracy z chorym i bezpiecznego przebiegu rekonwalescencji. W artykule omówiono najczęstsze problemy, które mogą pojawić się po rozpoczęciu rehabilitacji u pacjentów otyłych.Słowa kluczowe: rehabilitacja, otyłość, powikłania AbstractObesity is an independent risk factor for a number of diseases. Inadequate weight makes post-operative rehabilitation more difficult. It is not uncommon that at the post-operative stage many abnormalities, often ignored by the patient, are discovered. For this reason, the recovery takes longer and its results are not always satisfactory for patients and physicians. Adequate preparation of obese patients for the procedure and awareness of potential difficulties that may arise during post-operative rehabilitation are essential requisites for effective cooperation with the patient and safe recovery. The paper describes the most frequent problems experienced by obese patients during rehabilitation. Keywords: rehabilitation, obesity, complicationsOd wielu lat obserwowana jest epidemia otyłości w krajach cywilizowanych, także w Polsce [1]. Staje się to dużym wyzwaniem dla medycyny nie tylko ze względu na powikłania internistyczne otyłości, ale również dlatego, że osoby otyłe poddawane są zabiegom operacyjnym co najmniej tak samo czę-sto jak normostenicy. Przewiduje się, że ogólna liczba operacji do 2020 roku wzrośnie o ok. 25% [2]. Skoro zwiększa się liczba otyłych pacjentów, należy się zastanowić, czy ta grupa chorych może powodować dodatkowe problemy podczas opieki okołooperacyjnej i rehabilitacji po zabiegach. Z europejskich i amerykańskich badań wynika, że otyłość wiąże się z dużo większą śmiertelnością całkowitą [3][4][5][6][7][8][9]. Ogólna częstość hospitalizacji osób otyłych jest także więk-sza niż w przypadku pozostałej populacji [10][11][12]. Znany jest negatywny wpływ otyłości na śmiertelność i powikłania okołooperacyjne w chirurgii ogólnej [13][14][15][16][17][18] For many years, the obesity epidemic has been observed in advanced countries, Poland included [1]. It is becoming a great challenge for medicine, not only on account of internal complications of obesity, but also in view of the fact the obese people undergo surgery as often as normostenics. It is anticipated that by 2020 the general number of surgeries will grow by around 25% [2]. Since the group of obese patients is growing, one should consider whether this group of patients may pose additional problems in perioperative care and post-operative rehabilitation.European and American research studies suggest...

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Health Care Expenditures Associated With Overweight and Obesity Among US Adults: Importance of Age and Race

Abstract: Health care costs associated with overweight and obesity are substantial and vary according to race and age.

Cited by 128 publications

References 24 publications

Hospital admissions associated with body mass index in Canadian adults

Hospital admissions associated with body mass index in Canadian adults

Influência do excesso de peso e da obesidade nos gastos em saúde nos domicílios brasileiros

The significance of post-operative rehabilitation in obese and overweight patients

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