Impact of overweight and obesity on hospitalization: race and gender differences
Impact of overweight and obesity on hospitalization: race and gender differences
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DOI：
10.1038/ijo.2008.193
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发表时间：
2009-02-01
影响因子：
4.9
通讯作者：
Stevens, J.
中科院分区：
文献类型：
--
作者：
Han, E.;Truesdale, K. P.;Stevens, J.
目的：检查体重状况与总体、按种族和性别分类的全因和特定原因住院次数之间的关联。设计：纵向队列研究。受试者：社区动脉粥样硬化风险研究中体重正常的白人和黑人成年人 (n = 15 355)（体重指数：>= 18.5 至 = 25.0 至 = 30.0 kgm(-2)；n =第4258章）在基线上。测量：使用社区和队列监测方法收集住院信息。负二项式模型根据基线的种族、性别、现场中心、年龄、体力活动、教育水平、吸烟状况、酒精饮料消费和健康保险进行了调整。将协变量设置为整个队列中观察到的平均值（对于连续变量）或平均分布（对于分类变量）后，计算调整后的住院人数，并表示为 13 年期间每 1000 名成年人的住院人数。 结果：协变量调整后的平均全因住院人数为每 1000 名正常体重者 1316 人，每 1000 名超重者 1543 人到 2025 年，每 1000 名肥胖者中就有 1 人。正常体重女性的住院次数明显少于正常体重男性（每 1000 人中 1173 例对 1515 例），但女性因肥胖而全因住院的人数增加幅度高于男性（每 1000 人中 791 例对 589 例）。体重正常的白人和黑人的住院人数没有显着差异，超重或肥胖的住院人数增加也没有差异。体重状况对住院的几个主要原因的影响因性别和种族而异。结论：我们的工作表明，预防肥胖可以减少住院治疗，而住院治疗是医疗费用上涨的一个主要组成部分。成功预防肥胖对女性的影响可能比对男性更大，对黑人和白人的影响也相似。
Objective: To examine associations between weight status and number of all-cause and cause-specific hospitalizations overall, and by race and gender.Design: Longitudinal cohort study.Subjects: White and black adults (n = 15 355) from the Atherosclerosis Risk in Communities Study who were normal weight (body mass index: >= 18.5 to = 25.0 to = 30.0 kgm(-2); n = 4258) at baseline. Measurements: Information on hospitalizations was collected using community and cohort surveillance methods. Negative binomial models adjusted for race, gender, field center, age, physical activity, education level, smoking status, alcoholic beverage consumption and health insurance at baseline. Adjusted numbers of hospitalizations were calculated after setting covariates to the mean value (for continuous variables) or to the average distribution (for categorical variables) observed in the entire cohort and are expressed as the number of hospitalizations per 1000 adults followed over a period of 13 years.Results: The covariate-adjusted average number of all-cause hospitalizations was 1316 per 1000 normal weight, 1543 per 1000 overweight and 2025 per 1000 obese. Normal weight women had significantly fewer hospitalizations than normal weight men (1173 versus 1515 per 1000), but the increase associated with being obese on the number of all-cause hospitalizations was larger in women than men (791 versus 589 per 1000). There was no significant difference detected between the number of hospitalizations in normal weight whites and blacks, and the increase in hospitalizations with overweight or obesity was also not different. Effects of weight status on several primary causes of hospitalization differed by gender and race group.Conclusion: Our work suggests that obesity prevention may reduce hospitalizations, a major component of rising healthcare costs. The impact of successful obesity prevention is likely to be larger in women than in men, and similar in blacks and whites.