Ohmori-Matsuda Kaori, Kuriyama Shinichi, Hozawa Atsushi, Nakaya Naoki, Shimazu Taichi, Tsuji Ichiro
Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan.
Prev Med. 2007 Apr;44(4):349-55. doi: 10.1016/j.ypmed.2006.11.020. Epub 2007 Feb 7.
The joint impact of obesity, hypertension, and hyperglycemia upon medical costs is not well known. Our objective was to evaluate the joint impact of these cardiovascular risk factors upon medical costs in the rural Japanese population.
The data were derived from a 6-year prospective observation of National Health Insurance beneficiaries in rural Japan. Data on blood chemistry tests, blood pressure, weight, and height were obtained from an annual health check-up provided by the local municipalities in 1995. We prospectively collected data on medical costs over a 6-year period for 12,340 subjects (5306 men and 7034 women) without prior histories of cardiovascular disease or cancer.
Mean medical costs for individuals being overweight/obese, hypertensive, and hyperglycemic were 91.0% higher than those for individuals without any of these three cardiovascular risk factors. In this cohort, 17.2% of total medical costs were attributable to these three risk factors.
Overweight/obesity, hypertension, and hyperglycemia could have a large impact on health care resources in rural Japan.
肥胖、高血压和高血糖对医疗费用的联合影响尚不明确。我们的目的是评估这些心血管危险因素对日本农村人口医疗费用的联合影响。
数据来自对日本农村地区国民健康保险受益人的6年前瞻性观察。血液化学检测、血压、体重和身高数据来自1995年当地市政府提供的年度健康检查。我们前瞻性地收集了12340名无心血管疾病或癌症病史的受试者（5306名男性和7034名女性）6年期间的医疗费用数据。
超重/肥胖、高血压和高血糖个体的平均医疗费用比无这三种心血管危险因素的个体高91.0%。在该队列中，17.2%的总医疗费用可归因于这三种危险因素。
超重/肥胖、高血压和高血糖可能对日本农村地区的医疗资源产生重大影响。
