Influencia de la obesidad en los costos en salud y en el ausentismo laboral de causa médica en una cohorte de trabajadores

Background: The health associated costs of obesity can represent between 2% and 9% of the total health costs of a given country. Aim: To assess the impact of obesity on health care costs and absenteeism in a cohort of mine workers. Patients and wethods: Prospective study of 4.673 men, employees of a...

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Autores principales:	Zarate,Aldo, Crestto,Marco, Maiz,Alberto, Ravest,Gonzalo, Pino,María Inés, Valdivia,Gonzalo, Moreno,Manuel, Villarroel,Luis
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2009
Materias:	Comorbidity Health expenditures Obesity
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000300003
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spelling	oai:scielo:S0034-988720090003000032009-06-15Influencia de la obesidad en los costos en salud y en el ausentismo laboral de causa médica en una cohorte de trabajadoresZarate,AldoCrestto,MarcoMaiz,AlbertoRavest,GonzaloPino,María InésValdivia,GonzaloMoreno,ManuelVillarroel,Luis Comorbidity Health expenditures Obesity Background: The health associated costs of obesity can represent between 2% and 9% of the total health costs of a given country. Aim: To assess the impact of obesity on health care costs and absenteeism in a cohort of mine workers. Patients and wethods: Prospective study of 4.673 men, employees of a mining company, aged 49 ± 7 years that were followed for 24 ± 11 months. Total health care cost and days of sick leave were recordedfor each individual. The association between obesity and these variables was analyzed by logistic regression adjusting for co-morbidities, age and other variables. Results: Mean annual health care costs for obese workers were 17% higher (p <0.001) compared to workers with normal weight and 58% higher (p <0.001) for workers with severe and morbid obesity. Mean annual days of sick leave increased by 25%o in the obese (p =0.002) and by 57%o in subjects with severe and morbid obesity (p <0.001). For health care costs the most significant predictors were: presence of diabetes mellitus (Odds ratio (OR) 6.21, 95%o confidence intervals (95% CI) 4.9 to 7.9), hypertension (OR 3-99; 95% CI3-4 to 4.6) and severe and morbid obesity (OR 2.55, 95%o CI 1.9 to 3-4). For absenteeism the most significant predictors were: presence of diabetes mellitus (OR 1.58, 95%> CI 1.2 to 2.0), hypertension (OR 1,34, 95%> CI 1.2 to 1.6) and severe and morbid obesity (OR 1.50, 95%o CI 1.1 to 2.1). Conclusions: Obesity increases significantly health care costs and absenteeism.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.137 n.3 20092009-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000300003es10.4067/S0034-98872009000300003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Comorbidity Health expenditures Obesity
spellingShingle	Comorbidity Health expenditures Obesity Zarate,Aldo Crestto,Marco Maiz,Alberto Ravest,Gonzalo Pino,María Inés Valdivia,Gonzalo Moreno,Manuel Villarroel,Luis Influencia de la obesidad en los costos en salud y en el ausentismo laboral de causa médica en una cohorte de trabajadores
description	Background: The health associated costs of obesity can represent between 2% and 9% of the total health costs of a given country. Aim: To assess the impact of obesity on health care costs and absenteeism in a cohort of mine workers. Patients and wethods: Prospective study of 4.673 men, employees of a mining company, aged 49 ± 7 years that were followed for 24 ± 11 months. Total health care cost and days of sick leave were recordedfor each individual. The association between obesity and these variables was analyzed by logistic regression adjusting for co-morbidities, age and other variables. Results: Mean annual health care costs for obese workers were 17% higher (p <0.001) compared to workers with normal weight and 58% higher (p <0.001) for workers with severe and morbid obesity. Mean annual days of sick leave increased by 25%o in the obese (p =0.002) and by 57%o in subjects with severe and morbid obesity (p <0.001). For health care costs the most significant predictors were: presence of diabetes mellitus (Odds ratio (OR) 6.21, 95%o confidence intervals (95% CI) 4.9 to 7.9), hypertension (OR 3-99; 95% CI3-4 to 4.6) and severe and morbid obesity (OR 2.55, 95%o CI 1.9 to 3-4). For absenteeism the most significant predictors were: presence of diabetes mellitus (OR 1.58, 95%> CI 1.2 to 2.0), hypertension (OR 1,34, 95%> CI 1.2 to 1.6) and severe and morbid obesity (OR 1.50, 95%o CI 1.1 to 2.1). Conclusions: Obesity increases significantly health care costs and absenteeism.
author	Zarate,Aldo Crestto,Marco Maiz,Alberto Ravest,Gonzalo Pino,María Inés Valdivia,Gonzalo Moreno,Manuel Villarroel,Luis
author_facet	Zarate,Aldo Crestto,Marco Maiz,Alberto Ravest,Gonzalo Pino,María Inés Valdivia,Gonzalo Moreno,Manuel Villarroel,Luis
author_sort	Zarate,Aldo
title	Influencia de la obesidad en los costos en salud y en el ausentismo laboral de causa médica en una cohorte de trabajadores
title_short	Influencia de la obesidad en los costos en salud y en el ausentismo laboral de causa médica en una cohorte de trabajadores
title_full	Influencia de la obesidad en los costos en salud y en el ausentismo laboral de causa médica en una cohorte de trabajadores
title_fullStr	Influencia de la obesidad en los costos en salud y en el ausentismo laboral de causa médica en una cohorte de trabajadores
title_full_unstemmed	Influencia de la obesidad en los costos en salud y en el ausentismo laboral de causa médica en una cohorte de trabajadores
title_sort	influencia de la obesidad en los costos en salud y en el ausentismo laboral de causa médica en una cohorte de trabajadores
publisher	Sociedad Médica de Santiago
publishDate	2009
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000300003
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Influencia de la obesidad en los costos en salud y en el ausentismo laboral de causa médica en una cohorte de trabajadores

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