Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
Lancet. 2011 Aug 27;378(9793):815-25. doi: 10.1016/S0140-6736(11)60814-3.
Rising prevalence of obesity is a worldwide health concern because excess weight gain within populations forecasts an increased burden from several diseases, most notably cardiovascular diseases, diabetes, and cancers. In this report, we used a simulation model to project the probable health and economic consequences in the next two decades from a continued rise in obesity in two ageing populations--the USA and the UK. These trends project 65 million more obese adults in the USA and 11 million more obese adults in the UK by 2030, consequently accruing an additional 6-8·5 million cases of diabetes, 5·7-7·3 million cases of heart disease and stroke, 492,000-669,000 additional cases of cancer, and 26-55 million quality-adjusted life years forgone for USA and UK combined. The combined medical costs associated with treatment of these preventable diseases are estimated to increase by $48-66 billion/year in the USA and by £1·9-2 billion/year in the UK by 2030. Hence, effective policies to promote healthier weight also have economic benefits.
肥胖症患病率不断上升是一个全球性的健康问题,因为人群中体重的过度增加预示着几种疾病的负担将增加,尤其是心血管疾病、糖尿病和癌症。在本报告中,我们使用模拟模型预测了未来二十年美国和英国两个老龄化人口中肥胖持续上升可能带来的健康和经济后果。这些趋势预计到 2030 年美国将新增 6500 万肥胖成年人,英国将新增 1100 万肥胖成年人,因此将额外增加 600 万至 850 万例糖尿病、570 万至 730 万例心脏病和中风、49.2 万至 66.9 万例癌症,以及美国和英国合计损失 2600 万至 5500 万健康调整生命年。到 2030 年,与这些可预防疾病治疗相关的联合医疗费用预计将在美国每年增加 480 亿至 660 亿美元,在英国每年增加 19 亿至 20 亿英镑。因此,有效的促进健康体重的政策也具有经济效益。