Association of healthcare costs with per unit body mass index increase
Association of healthcare costs with per unit body mass index increase
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DOI：
10.1097/01.jom.0000225045.77734.f4
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发表时间：
2006-07-01
影响因子：
3.2
通讯作者：
Edington, Dee W.
中科院分区：
文献类型：
--
作者：
Wang, Feifei;McDonald, Tim;Edington, Dee W.
目的：本研究的目的是量化身体质量指数（BMI）每单位增加的医疗成本。研究方法：这项横断面研究包括一家制造公司的35,932名雇员和配偶，他们在2001年和2002年期间参加了一项赔偿/PPO计划和一项健康风险评估。结果如下：在BMI为25至45 kg/m2的范围内，医疗费用和药品费用分别增加了119.7美元（4%）和82.6美元（7%）/BMI单位，经年龄和性别调整。与糖尿病和心脏病相关的调整后医疗费用每BMI单位分别增加了62美元和20.3美元。糖尿病每BMI单位的医疗索赔可能性增加11.6%，心脏病增加5.2%。结论：BMI每增加一个单位，就会增加医疗费用，增加大多数主要诊断代码以及糖尿病和心脏病的索赔可能性。
Objective: The objective of this study was to quantify the healthcare costs per unit increase in body mass index (BMI). Methods: This cross-sectional study included 35,932 employees and spouses in a manufacturing company who participated in an indemnity/PPO plan and one health risk appraisal during 2001 and 2002. Results: Within the BMI range of 25 to 45 kg/m(2), medical costs and pharmaceutical costs increased $119.7 (4%) and $82.6 (7%) per BMI unit, respectively, adjusted for age and gender. The adjusted medical costs related to diabetes and heart disease increased by $62 and $20.3 per BMI unit. The likelihood of having any medical claim increased 11.6% per BMI unit for diabetes and 5.2% for heart disease. Conclusions: Each unit increase in BMI is associated with higher healthcare costs and increased likelihood of having claims for most major diagnostic codes and for diabetes and heart diseases.