Lifetime medical costs of obesity: prevention no cure for increasing health expenditure.

<h4>Background</h4>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 attributa...

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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2008
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/949f53c14ec548869e8dbf3772a5f4f4
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spelling	oai:doaj.org-article:949f53c14ec548869e8dbf3772a5f4f42021-11-25T05:37:06ZLifetime medical costs of obesity: prevention no cure for increasing health expenditure.1549-12771549-167610.1371/journal.pmed.0050029https://doaj.org/article/949f53c14ec548869e8dbf3772a5f4f42008-02-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/18254654/?tool=EBIhttps://doaj.org/toc/1549-1277https://doaj.org/toc/1549-1676<h4>Background</h4>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.<h4>Methods and findings</h4>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.<h4>Conclusions</h4>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.Pieter H M van BaalJohan J PolderG Ardine de WitRudolf T HoogenveenTalitha L FeenstraHendriek C BoshuizenPeter M EngelfrietWerner B F BrouwerPublic Library of Science (PLoS)articleMedicineRENPLoS Medicine, Vol 5, Iss 2, p e29 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R 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 Lifetime medical costs of obesity: prevention no cure for increasing health expenditure.
description	<h4>Background</h4>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.<h4>Methods and findings</h4>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.<h4>Conclusions</h4>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.
format	article
author	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
author_facet	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
author_sort	Pieter H M van Baal
title	Lifetime medical costs of obesity: prevention no cure for increasing health expenditure.
title_short	Lifetime medical costs of obesity: prevention no cure for increasing health expenditure.
title_full	Lifetime medical costs of obesity: prevention no cure for increasing health expenditure.
title_fullStr	Lifetime medical costs of obesity: prevention no cure for increasing health expenditure.
title_full_unstemmed	Lifetime medical costs of obesity: prevention no cure for increasing health expenditure.
title_sort	lifetime medical costs of obesity: prevention no cure for increasing health expenditure.
publisher	Public Library of Science (PLoS)
publishDate	2008
url	https://doaj.org/article/949f53c14ec548869e8dbf3772a5f4f4
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Lifetime medical costs of obesity: prevention no cure for increasing health expenditure.

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