Obesity in the Workplace

Yarborough, Charles M.; Brethauer, Stacy A.; Burton, Wayne N.; Fabius, Raymond; Hymel, Pamela A.; Kothari, Shanu N.; Kushner, Robert F.; Morton, John M.; Mueller, Kathryn; Pronk, Nicolaas P.; Roslin, Mitchell; Sarwer, David B.; Svazas, Brian; Harris, Jeffrey S.; Ash, Garrett I.; Stark, J.; Dreger, Marianne; Ording, Julie

doi:10.1097/jom.0000000000001220

Cited by 37 publications

(27 citation statements)

References 109 publications

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“…Interestingly, the company decided to introduce the program since it was ―the right thing to do.‖ 40 A business case for providing bariatric surgery coverage for employees could be further argued, since an association has been shown between bariatric surgery and a decrease in lost workdays. 41…”

Section: Attempts To Promote High-value Care and Its Application To Bmentioning

confidence: 99%

Reasons for underutilization of bariatric surgery: The role of insurance benefit design

Gasoyan

Tajeu

Halpern

et al. 2019

Surgery for Obesity and Related Diseases

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108

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Despite the effectiveness of bariatric surgery, both with respect to weight loss and improvements in obesity-related comorbidities, it remains underutilized. Only 1% of the currently eligible population undergoes surgical treatment for obesity, with roughly 228,000 individuals receiving bariatric surgery in the United States each year. Several barriers to bariatric surgery have been identified including limited patient and referring physician knowledge as well attitudes regarding the effectiveness and safety of bariatric surgery. However, the role of insurance coverage and benefit design as a barrier to access to care has received less attention to date. Bariatric surgery is cost-effective compared to non-surgical treatments among individuals with extreme obesity and type II diabetes mellitus. While it may not result in cost-savings among all bariatric surgery eligible patients, for certain patient subgroups, bariatric surgery may be cost neutral compared with traditional treatment options. In addition, longer term outcomes of bariatric surgery suggest decreased or stable costs in the long run. The purpose of this review paper is to synthetize the existing knowledge on why bariatric surgery remains largely underutilized in the United States with a focus on health insurance benefits and design. In addition, the review discusses the applicability of value-based insurance design (VBID) to bariatric surgery. VBID has been previously applied to bariatric surgery coverage with a use of incentive-based cost-sharing adjustments. Its application could be further extended, since the postoperative clinical outcomes and costs vary among the different sub-groups of bariatric surgery eligible patients.

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Section: Attempts To Promote High-value Care and Its Application To Bmentioning

confidence: 99%

Reasons for underutilization of bariatric surgery: The role of insurance benefit design

Gasoyan

Tajeu

Halpern

et al. 2019

Surgery for Obesity and Related Diseases

Self Cite

108

View full text Add to dashboard Cite

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“…Bariatric surgery has proven to be an effective long-term treatment in the control of obesity and associated comorbidities [13,30]. Previous studies [11,16,19,31] have reported improved work performance and employability of patients undergoing bariatric surgery, demonstrating a positive correlation between weight loss and improved work productivity regardless of the professional field, as well as a reduction in direct and indirect costs for the companies [4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…Some companies have made efforts to implement programs that encourage their workers to take better care of themselves and their weight. This translates into improved efficiency and workplace integration [11].…”

Section: Introductionmentioning

confidence: 99%

Implications of Professional Occupation Related to Obesity in Patients Undergoing Bariatric Surgery

Jiménez

Garcia²,

Carbajo³

et al. 2020

IJERPH

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Obesity is an epidemic with severe consequences on the professional development of patients. Bariatric surgery has proven to be a safe treatment with effective results in weight control. The aim of this study is to assess the implications of professional occupation in relation to the development of obesity and weight changes after bariatric surgery. We analyzed 500 obese patients (77.8% women, 22.2% men) who underwent one anastomosis gastric bypass surgery at the Centre of Excellence for the Study and Treatment of Obesity and Diabetes (2014–2019), assessing the influence of professional occupation on body composition and evolution of weight loss up to two years after surgery. Preoperative obesity type III and IV was higher in men than in women (45.9–19.8% vs. 43.7–9.5%; respectively). Prevalent clinical history in women was depression (46.7%), varicose veins (35.6%), and thyroid disease (9.7%), while in men it was respiratory failure (98.2%), high blood pressure (56.8%), hepatic steatosis (82%). Postoperative weight loss was effective in every professional field, reaching normal weight values from 12 months after surgery.

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“…Obesity adversely affects workplace productivity [31]. Persons with obesity were more likely to be absent from their workplace and less productive while at work due to health-related conditions associated with obesity [32, 33].…”

Section: Discussionmentioning

confidence: 99%

“…Participation in a lifestyle intervention which included increased physical activity was reported to enhance workplace productivity by improving physical and mental health in the obese [34]. With these health benefits, absenteeism due to sickness decreases and enhances the ability to work better [31].…”

Section: Discussionmentioning

confidence: 99%

Quality of Life in Yoga Experienced and Yoga Naïve Asian Indian Adults with Obesity

et al. 2019

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Background. Obesity adversely affects quality of life which then acts as a barrier to weight loss and weight loss maintenance. Hence, those interventions which positively influence the quality of life along with weight reduction are considered useful for sustained weight loss in persons with obesity. An earlier study showed better quality of life in obese adults who had experience of yoga compared to yoga naïve obese adults. However, the main limitation of the study was the small sample size (n=20 in each group). Objective. The present study aimed to determine whether with larger sample sizes the quality of life would differ in yoga experienced compared to yoga naïve adults with obesity. Methods. There were 596 Asian Indian obese adults (age range 20 to 59 years; group mean age ± SD; 43.9 ± 9.9 years): of whom (i) 298 were yoga experienced (154 females; group mean age ± SD; 44.0 ± 9.8 years) with a minimum of 1 month of experience in yoga practice and (ii) 298 were yoga naïve (154 females; group mean age ± SD; 43.8 ± 10.0 years). All the participants were assessed for quality of life using the Moorehead–Ardelt quality of life questionnaire II. Data were drawn from a larger nationwide trial which assessed the effects of yoga compared to nutritional advice on obesity over a one-year follow-up period (CTRI/2018/05/014077). Results. There were higher participant-reported outcomes for four out of six aspects of quality of life in the yoga experienced compared to the yoga naïve (p<0.008, based on t values of the least squares linear regression analyses, Bonferroni adjusted, and adjusted for age, gender, and BMI as covariates). These were enjoyment in physical activities, ability to work, self-esteem, and social satisfaction. Conclusion. Obese adults with yoga experience appear to have better quality of life in specific aspects, compared to yoga naïve persons with a comparable degree of obesity.

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Obesity in the Workplace

Cited by 37 publications

References 109 publications

Reasons for underutilization of bariatric surgery: The role of insurance benefit design

Reasons for underutilization of bariatric surgery: The role of insurance benefit design

Implications of Professional Occupation Related to Obesity in Patients Undergoing Bariatric Surgery

Quality of Life in Yoga Experienced and Yoga Naïve Asian Indian Adults with Obesity

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