Weight Related Comorbidities Associated with Increased Health Care Costs

Details

• Personal Author:
  Dement, John M. ; Eisenstein E ; Ostbye T ; Peterson B ; Stroo M
• Description:
  Recent evidence suggests that mortality is not increased among adults in the overweight (BMI 25-29.9) and obese type I (BMI 30-34.9) categories, only in the obese type 2 category (BMI 35-39.9) and above. Objective is to assess the relationship between body mass index (BMI) and morbidity (as measured by health claims) and identify which comorbidities are the main drivers of any increased costs. Using 2001-2011 medical and pharmacy claims data for Duke University and Health System employees who participated in a health risk appraisal, annual health plan paid costs (adjusted to 2011 dollars) were calculated by BMI category. One-part negative binomial models were fit to evaluate the relationship between BMI and costs, controlling for age, gender, race/ethnicity, and calendar year period. The relationship between increasing BMI and increasing health claims costs was gradual and starts in the lower end of the recommended BMI range. The most important obesity related comorbidity, expressed as percent increase in cost per BMI unit, was cardiovascular disease in males (10.53, 95% CI [6.46, 14.77]) and females (4.27, 95% CI [1.25, 7.38). Similarly, for pharmacy costs the most important driver of the relationship was cardiovascular agents (7.23, 95% CI [6.08, 8.39]). Cardiovascular disease was the most important weight related comorbidity driving both medical and pharmacy claims costs. [Description provided by NIOSH]
• Subjects:
  Aging Body Weight Cardiovascular Diseases Cardiovascular System Men Morbidity Mortality Occupational Health Race Factors Risk Assessment Risk Factors Safety Sex Characteristics Women

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• Keywords:
  Age Groups BMI Body Mass Index Body Weight Cardiovascular Disease Gender Factors Health Care Health Effects Humans Models Morbidity Rates Mortality Rates Racial Factors Risk Factors Statistical Analysis Weight Factors

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• ISSN:
  1467-7881
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Abstract or Summary
• Place as Subject:
  North Carolina ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  169-170
• Volume:
  15
• NIOSHTIC Number:
  nn:20050361
• Citation:
  Obes Rev 2014 Mar; 15(Suppl 2):169-170
• Federal Fiscal Year:
  2014
• Performing Organization:
  Duke University, Durham, North Carolina
• Peer Reviewed:
  False
• Start Date:
  20100601
• Source Full Name:
  Obesity Reviews
• Supplement:
  2
• End Date:
  20150531
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:49a422557b097d740c226cd92f3d5906b013fca6623af618a501d637d0eb1b72a30a49395bbb3f50f9dca6b451ff7917e16ef2e18ae1812620601d0ab8526c4f
• Download URL:
  https://stacks.cdc.gov/view/cdc/210740/cdc_210740_DS1.pdf
• File Type:
  [PDF - 123.64 KB ]