Lifetime Medical Costs of Obesity: Prevention No Cure for Increasing Health Expenditure
Publication Date
February 05, 2008
Journal
PLOS Medicine
Authors
Pieter H. M Van Baal, Johan J Polder, G. Ardine De Wit, Rudolf T Hoogenveen, et al
Volume
5
Issue
2
Pages
e29
DOI
http://doi.org/10.1371/journal.pmed.0050029
Publisher URL
http://journals.plos.org/plosmedicine/article?id=10.1371%2Fjournal.pmed.0050029
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/18254654
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2225430
Europe PMC
http://europepmc.org/abstract/MED/18254654
Web of Science
000254928800015
Scopus
39849107514
Mendeley
http://www.mendeley.com/research/lifetime-medical-costs-obesity-prevention-cure-increasing-health-expenditure
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{"title"=>"Lifetime medical costs of obesity: Prevention no cure for increasing health expenditure", "type"=>"journal", "authors"=>[{"first_name"=>"Pieter H M", "last_name"=>"Van Baal", "scopus_author_id"=>"57063929900"}, {"first_name"=>"Johan J.", "last_name"=>"Polder", "scopus_author_id"=>"7003924968"}, {"first_name"=>"G. Ardine", "last_name"=>"De Wit", "scopus_author_id"=>"7004309515"}, {"first_name"=>"Rudolf T.", "last_name"=>"Hoogenveen", "scopus_author_id"=>"6602932220"}, {"first_name"=>"Talitha L.", "last_name"=>"Feenstra", "scopus_author_id"=>"6602871016"}, {"first_name"=>"Hendriek C.", "last_name"=>"Boshuizen", "scopus_author_id"=>"7005542767"}, {"first_name"=>"Peter M.", "last_name"=>"Engelfriet", "scopus_author_id"=>"8985548600"}, {"first_name"=>"Werner B F", "last_name"=>"Brouwer", "scopus_author_id"=>"7006669782"}], "year"=>2008, "source"=>"PLoS Medicine", "identifiers"=>{"isbn"=>"1549-1676 (Electronic)", "scopus"=>"2-s2.0-39849107514", "pmid"=>"18254654", "issn"=>"15491277", "pui"=>"351317655", "doi"=>"10.1371/journal.pmed.0050029", "sgr"=>"39849107514"}, "id"=>"55ca5753-0dc4-33fa-b28e-dd386494dfe0", "abstract"=>"BACKGROUND: Obesity is a major cause of morbidity and mortality and is associated with high medical expenditures. It has been suggested that obesity prevention could result in cost savings. The objective of this study was to estimate the annual and lifetime medical costs attributable to obesity, to compare those to similar costs attributable to smoking, and to discuss the implications for prevention. METHODS AND FINDINGS: With a simulation model, lifetime health-care costs were estimated for a cohort of obese people aged 20 y at baseline. To assess the impact of obesity, comparisons were made with similar cohorts of smokers and \"healthy-living\" persons (defined as nonsmokers with a body mass index between 18.5 and 25). Except for relative risk values, all input parameters of the simulation model were based on data from The Netherlands. In sensitivity analyses the effects of epidemiologic parameters and cost definitions were assessed. Until age 56 y, annual health expenditure was highest for obese people. At older ages, smokers incurred higher costs. Because of differences in life expectancy, however, lifetime health expenditure was highest among healthy-living people and lowest for smokers. Obese individuals held an intermediate position. Alternative values of epidemiologic parameters and cost definitions did not alter these conclusions. CONCLUSIONS: Although effective obesity prevention leads to a decrease in costs of obesity-related diseases, this decrease is offset by cost increases due to diseases unrelated to obesity in life-years gained. Obesity prevention may be an important and cost-effective way of improving public health, but it is not a cure for increasing health expenditures.", "link"=>"http://www.mendeley.com/research/lifetime-medical-costs-obesity-prevention-cure-increasing-health-expenditure", "reader_count"=>213, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>19, "Librarian"=>2, "Student > Doctoral Student"=>11, "Researcher"=>38, "Student > Ph. D. 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Student"=>35, "Student > Postgraduate"=>15, "Student > Master"=>26, "Other"=>25, "Student > Bachelor"=>24, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>4, "Professor"=>12, "Unspecified"=>1}, "reader_count_by_subject_area"=>{"Agricultural and Biological Sciences"=>21, "Arts and Humanities"=>4, "Philosophy"=>2, "Business, Management and Accounting"=>13, "Chemistry"=>1, "Computer Science"=>5, "Economics, Econometrics and Finance"=>19, "Engineering"=>4, "Environmental Science"=>1, "Nursing and Health Professions"=>3, "Biochemistry, Genetics and Molecular Biology"=>4, "Mathematics"=>1, "Medicine and Dentistry"=>81, "Sports and Recreations"=>8, "Psychology"=>17, "Social Sciences"=>26, "Unspecified"=>2, "Neuroscience"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>81}, "Social Sciences"=>{"Social Sciences"=>26}, "Sports and Recreations"=>{"Sports and Recreations"=>8}, "Psychology"=>{"Psychology"=>17}, "Mathematics"=>{"Mathematics"=>1}, "Environmental Science"=>{"Environmental Science"=>1}, "Unspecified"=>{"Unspecified"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>4}, "Engineering"=>{"Engineering"=>4}, "Chemistry"=>{"Chemistry"=>1}, "Neuroscience"=>{"Neuroscience"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>19}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>21}, "Computer Science"=>{"Computer Science"=>5}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>13}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>4}, "Philosophy"=>{"Philosophy"=>2}}, "reader_count_by_country"=>{"Republic of Singapore"=>1, "United States"=>6, "United Kingdom"=>5, "Iceland"=>1, "New Zealand"=>3, "Canada"=>2, "Netherlands"=>4, "Austria"=>1, "Sweden"=>1, "Brazil"=>1, "Australia"=>5, "Chile"=>2, "France"=>1, "Germany"=>2}, "group_count"=>15}

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  • {"files"=>["https://ndownloader.figshare.com/files/937976"], "description"=>"<p>Differences in Aggregated Health-Care Costs over Time if Successful Prevention Converts the Obese and Smoking Cohort into a Healthy-Living Cohort (Undiscounted and with a Discount Rate of 3%)</p>", "links"=>[], "tags"=>["aggregated", "costs", "converts", "obese", "smoking", "cohort", "healthy-living"], "article_id"=>608411, "categories"=>["Infectious Diseases", "Medicine", "Biotechnology"], "users"=>["Pieter H. M van Baal", "Johan J Polder", "G. Ardine de Wit", "Rudolf T Hoogenveen", "Talitha L Feenstra", "Hendriek C Boshuizen", "Peter M Engelfriet", "Werner B. F Brouwer"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0050029.g002", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Differences_in_Aggregated_Health_Care_Costs_over_Time_if_Successful_Prevention_Converts_the_Obese_and_Smoking_Cohort_into_a_Healthy_Living_Cohort_Undiscounted_and_with_a_Discount_Rate_of_3_/608411", "title"=>"Differences in Aggregated Health-Care Costs over Time if Successful Prevention Converts the Obese and Smoking Cohort into a Healthy-Living Cohort (Undiscounted and with a Discount Rate of 3%)", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2008-02-05 02:20:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/937889"], "description"=>"<p>Average Additional Annual per Capita Costs for Smoking and Obese Individuals Compared to “Healthy-Living” Individuals</p>", "links"=>[], "tags"=>["capita", "costs", "smoking", "obese", "individuals", "compared"], "article_id"=>608326, "categories"=>["Infectious Diseases", "Medicine", "Biotechnology"], "users"=>["Pieter H. M van Baal", "Johan J Polder", "G. Ardine de Wit", "Rudolf T Hoogenveen", "Talitha L Feenstra", "Hendriek C Boshuizen", "Peter M Engelfriet", "Werner B. F Brouwer"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0050029.g001", "stats"=>{"downloads"=>3, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Average_Additional_Annual_per_Capita_Costs_for_Smoking_and_Obese_Individuals_Compared_to_8220_Healthy_Living_8221_Individuals_/608326", "title"=>"Average Additional Annual per Capita Costs for Smoking and Obese Individuals Compared to “Healthy-Living” Individuals", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2008-02-05 02:18:46"}
  • {"files"=>["https://ndownloader.figshare.com/files/462249", "https://ndownloader.figshare.com/files/462274", "https://ndownloader.figshare.com/files/462349"], "description"=>"<div><h3>Background</h3><p>Obesity is a major cause of morbidity and mortality and is associated with high medical expenditures. It has been suggested that obesity prevention could result in cost savings. The objective of this study was to estimate the annual and lifetime medical costs attributable to obesity, to compare those to similar costs attributable to smoking, and to discuss the implications for prevention.</p> <h3>Methods and Findings</h3><p>With a simulation model, lifetime health-care costs were estimated for a cohort of obese people aged 20 y at baseline. To assess the impact of obesity, comparisons were made with similar cohorts of smokers and “healthy-living” persons (defined as nonsmokers with a body mass index between 18.5 and 25). Except for relative risk values, all input parameters of the simulation model were based on data from The Netherlands. In sensitivity analyses the effects of epidemiologic parameters and cost definitions were assessed. Until age 56 y, annual health expenditure was highest for obese people. At older ages, smokers incurred higher costs. Because of differences in life expectancy, however, lifetime health expenditure was highest among healthy-living people and lowest for smokers. Obese individuals held an intermediate position. Alternative values of epidemiologic parameters and cost definitions did not alter these conclusions.</p> <h3>Conclusions</h3><p>Although effective obesity prevention leads to a decrease in costs of obesity-related diseases, this decrease is offset by cost increases due to diseases unrelated to obesity in life-years gained. Obesity prevention may be an important and cost-effective way of improving public health, but it is not a cure for increasing health expenditures.</p> </div>", "links"=>[], "tags"=>["costs", "expenditure"], "article_id"=>151095, "categories"=>["Cancer", "Medicine", "Biotechnology"], "users"=>["Pieter H. M van Baal", "Johan J Polder", "G. Ardine de Wit", "Rudolf T Hoogenveen", "Talitha L Feenstra", "Hendriek C Boshuizen", "Peter M Engelfriet", "Werner B. F Brouwer"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.0050029.st001", "https://dx.doi.org/10.1371/journal.pmed.0050029.sd001", "https://dx.doi.org/10.1371/journal.pmed.0050029.sd002"], "stats"=>{"downloads"=>15, "page_views"=>19, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Lifetime_Medical_Costs_of_Obesity_Prevention_No_Cure_for_Increasing_Health_Expenditure/151095", "title"=>"Lifetime Medical Costs of Obesity: Prevention No Cure for Increasing Health Expenditure", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2008-02-05 00:18:15"}

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Relative Metric

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