医疗成本与单位体重指数增加之间的关联。
Association of healthcare costs with per unit body mass index increase.
作者信息
Wang Feifei, McDonald Tim, Bender Joel, Reffitt Bonnie, Miller Adam, Edington Dee W
机构信息
Health Management Research Center, University of Michigan, Ann Arbor, Michigan 48104-1688, USA.
出版信息
J Occup Environ Med. 2006 Jul;48(7):668-74. doi: 10.1097/01.jom.0000225045.77734.f4.
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, medical costs and pharmaceutical costs increased dollar 119.7 (4%) and dollar 82.6 (7%) per BMI unit, respectively, adjusted for age and gender. The adjusted medical costs related to diabetes and heart disease increased by dollar 6.2 and dollar 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.
目的
本研究的目的是量化体重指数（BMI）每增加一个单位的医疗保健成本。
方法
这项横断面研究纳入了一家制造公司的35932名员工及其配偶，他们在2001年至2002年期间参加了赔偿/优先提供者组织（PPO）计划和一次健康风险评估。
结果
在BMI范围为25至45kg/m²内，经年龄和性别调整后，医疗成本和药品成本分别每BMI单位增加119.7美元（4%）和82.6美元（7%）。与糖尿病和心脏病相关的调整后医疗成本每BMI单位分别增加6.2美元和20.3美元。糖尿病的任何医疗索赔可能性每BMI单位增加11.6%，心脏病增加5.2%。
结论
BMI每增加一个单位，与更高的医疗保健成本相关，并且对于大多数主要诊断编码以及糖尿病和心脏病，提出索赔的可能性增加。
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