Effect of combined cardiovascular risk factors on individual and population medical expenditures - A 10-year cohort study of National Health Insurance in a Japanese population
Effect of combined cardiovascular risk factors on individual and population medical expenditures - A 10-year cohort study of National Health Insurance in a Japanese population
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DOI：
10.1253/circj.71.807
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发表时间：
2007-06-01
影响因子：
3.3
通讯作者：
Ueshima, Hirotsugu
中科院分区：
文献类型：
--
作者：
Okamura, Tomonori;Nakamura, Koshi;Ueshima, Hirotsugu
背景虽然肥胖是定义代谢综合征的一些标准所必需的，但其他危险因素的聚集也表明心血管疾病的风险增加。心血管危险因素聚集性和医疗费用与体重指数(BMI)之间的关系是否与体重指数(BMI)不同需要研究，特别是在日本这样肥胖率较低的人群中。方法与结果在1990年至2001年期间，对某社区4478名40~69岁的日本国民健康保险受益人进行了为期10年的队列研究。在超重(BMI&>=25.0)和正常体重(BMI)的参与者中，心血管危险因素的聚集与个人医疗支出呈正相关和分级关系
Background Although obesity is required for some criteria defining metabolic syndrome, clustering of other risk factors also indicates an increased risk of cardiovascular disease. Whether the relationship between cardiovascular risk factor clustering and medical expenditures differs with body mass index (BMI) requires investigation, especially in a population with a low prevalence of obesity such as that in Japan.Methods and Results A 10-year cohort study of 4,478 Japanese National Health Insurance beneficiaries aged 40-69 years in a community between 1990 and 2001 was carried out in the present study. The clustering of cardiovascular risk factors showed a positive and graded relationship to personal medical expenditures in participants who are overweight (BMI >= 25.0) and normal weight (BMI