体重增加或减少对强生及其关联公司员工的医疗保健费用的影响。

The impact of weight gain or loss on health care costs for employees at the Johnson & Johnson Family of Companies.

机构信息

Health Outcomes, Thomson Reuters, Washington, DC, USA.

出版信息

J Occup Environ Med. 2011 Jan;53(1):8-16. doi: 10.1097/JOM.0b013e31820451fd.

DOI:10.1097/JOM.0b013e31820451fd

PMID:21187786

Abstract

OBJECTIVE

To quantify the impact of weight gain or weight loss on health care costs.

METHODS

Employees completing at least two health risk assessments during 2002 to 2008 were classified as adding, losing, or staying at high/low risk for each of the nine health risks including overweight and obesity. Models for each risk were used to compare cost trends by controlling for employee characteristics.

RESULTS

Employees who developed high risk for obesity (n = 405) experienced 9.9% points higher annual cost increases (95% confidence interval: 3.0%-16.8%) than those who remained at lower risk (n = 8015). Employees who moved from high to lower risk for obesity (n = 384), experienced annual cost increases that were 2.3% points lower (95% confidence interval: -7.4% to 2.8%) than those who remained high risk (n = 1699).

CONCLUSIONS

Preventing weight gain through effective employee health promotion programs is likely to result in cost savings for employers.

摘要

目的

定量体重增加或减轻对医疗保健成本的影响。

方法

在 2002 年至 2008 年期间至少完成两次健康风险评估的员工，被归类为在超重和肥胖等九种健康风险中，每个风险的高/低风险增加、减少或保持不变。通过控制员工特征，为每个风险模型比较成本趋势。

结果

患有肥胖高风险的员工（n = 405）比保持低风险的员工（n = 8015）每年的成本增加高出 9.9 个百分点（95%置信区间：3.0%-16.8%）。从肥胖高风险转为低风险的员工（n = 384）每年的成本增加比保持高风险的员工（n = 1699）低 2.3 个百分点（95%置信区间：-7.4%至 2.8%）。