队列分析评估工作场所肥胖相关的医疗和非医疗成本。

Cohort analysis assessing medical and nonmedical cost associated with obesity in the workplace.

机构信息

From the Human Capital Management Services Group (Dr Kleinman and Ms Andersen), Cheyenne, Wyo; and Eisai Inc (Drs Abouzaid, Wang, and Powers), Woodcliff Lake, NJ.

出版信息

J Occup Environ Med. 2014 Feb;56(2):161-70. doi: 10.1097/JOM.0000000000000099.

DOI:10.1097/JOM.0000000000000099

PMID:24451611

Abstract

OBJECTIVE

Quantify the impact of employee overweight and obesity on costs, absence days, and self-reported productivity.

METHODS

Employees' retrospective body mass index (BMI) values (kg/m(2)) from 2003 to 2011 health appraisal data defined three cohorts: BMI < 27, 27 ≤ BMI < 30, BMI ≥ 30. Medical, pharmacy, sick leave, short-term disability, long-term disability, and workers' compensation costs and absence days, and Health Productivity Questionnaire responses were compared using regression modeling, controlling for demographics, salary, and index year.

RESULTS

Among 39,696 (BMI < 27), 14,281 (27 ≤ BMI < 30), and 18,801 (BMI ≥ 30) eligible employees, per-employee adjusted total annual costs were $4258, $4873, and $6313, respectively. Medical, pharmacy, sick leave, workers' compensation costs and days were higher for higher-BMI cohorts (P < 0.01). Employees with BMI ≥ 30 kg/m(2) had the most short-term disability costs and days and least productivity (P < 0.001).

CONCLUSIONS

Employees with higher BMI levels are associated with significantly more costs and absences and lower self-reported productivity.

摘要

目的

量化员工超重和肥胖对成本、缺勤天数和自我报告生产力的影响。

方法

利用 2003 年至 2011 年健康评估数据中员工回顾性体重指数（BMI）值（kg/m²），将员工分为三组：BMI<27、27≤BMI<30、BMI≥30。使用回归建模比较医疗、药房、病假、短期残疾、长期残疾和工人赔偿成本及缺勤天数，以及健康产品调查问卷的回复，控制人口统计学、工资和指数年。

结果

在 39696 名（BMI<27）、14281 名（27≤BMI<30）和 18801 名（BMI≥30）符合条件的员工中，每名员工调整后的年度总费用分别为 4258 美元、4873 美元和 6313 美元。较高 BMI 组的医疗、药房、病假、工人赔偿成本和天数更高（P<0.01）。BMI≥30 kg/m²的员工短期残疾费用和天数最高，生产力最低（P<0.001）。