Tarride Jean-Eric, Haq Mahbubul, Taylor Valerie H, Sharma Arya M, Nakhai-Pour Hamid Reza, O'Reilly Daria, Xie Feng, Dolovich Lisa, Goeree Ron
Programs for Assessment of Technology in Health (PATH) Research Institute, St Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada.
Clinicoecon Outcomes Res. 2012;4:21-30. doi: 10.2147/CEOR.S24192. Epub 2012 Jan 24.
Obesity is today's principal neglected public health problem, as a rising proportion of adults will succumb to the medical complications of obesity. However, little is known about the burden of obesity in adults living in Ontario.
To present an overview of the human and economic burden associated with BMI categories in Ontario, Canada, in terms of socio-demographics, comorbidities, health-related quality of life (HRQoL) and costs associated with hospitalization, same day procedures and physician visits.
The records of all Ontarians who participated in the Canadian Community Health Survey (CCHS), cycle 1.1 and provided consent to data linkage were linked to three administrative databases. Socio-demographic variables, medical characteristics, HRQoL, one year hospitalization, day procedure and physician costs were described per BMI category. Regression analyses were conducted to identify predictors of medical characteristics, HRQoL and costs.
More than 50% of adult participants were either overweight or obese in 2000/2001. Obese adults, and to a lesser extent overweight adults, were more likely to report physician-diagnosed comorbid conditions, to use medications, and to have a lower HRQoL. After covariate adjustment, the hospitalization and physician costs were respectively 40% and 22% higher among obese and overweight adults than among normal-weight adults. No statistical cost differences were observed between normal and underweight individuals or between normal and overweight individuals. HRQoL was significantly lower in underweight and obese adults when compared to normal-weight individuals.
Due to the large human and economic burden associated with under- or excess-weight, policies promoting healthy weight should remain a priority for governments and employers.
肥胖是当今主要被忽视的公共卫生问题，因为越来越多的成年人将死于肥胖的医学并发症。然而，对于安大略省成年人的肥胖负担知之甚少。
从社会人口统计学、合并症、健康相关生活质量（HRQoL）以及与住院、当日手术和医生诊疗相关的费用方面，概述加拿大安大略省与体重指数（BMI）类别相关的人力和经济负担。
将所有参与加拿大社区健康调查（CCHS）第1.1轮并同意进行数据链接的安大略省居民的记录与三个行政数据库进行链接。按BMI类别描述社会人口统计学变量、医学特征、HRQoL、一年的住院情况、当日手术和医生费用。进行回归分析以确定医学特征、HRQoL和费用的预测因素。
在2000/2001年，超过50%的成年参与者超重或肥胖。肥胖成年人以及程度较轻的超重成年人更有可能报告医生诊断的合并症、使用药物，并且HRQoL较低。在进行协变量调整后，肥胖和超重成年人的住院费用和医生费用分别比正常体重成年人高40%和22%。正常体重与体重过轻个体之间或正常体重与超重个体之间未观察到统计学上的费用差异。与正常体重个体相比，体重过轻和肥胖成年人的HRQoL显著较低。
由于体重过轻或超重带来巨大的人力和经济负担，促进健康体重的政策应仍然是政府和雇主的优先事项。
