Gil-Rojas Yaneth, Garzón Andrés, Hernández Fabián, Pacheco Bethia, González Daniela, Campos Juan, Mosos Juan David, Barahona Julián, Polania Maria José, Restrepo Paula, Lasalvia Pieralessandro, Castañeda-Cardona Camilo, Rosselli Diego
Department of Economic Studies, NeuroEconomix, Bogotá, Colombia.
Department of Clinical Epidemiology and Biostatistics, Pontificia Universidad Javeriana, Bogotá, Colombia.
Value Health Reg Issues. 2019 Dec;20:66-72. doi: 10.1016/j.vhri.2019.02.001. Epub 2019 Apr 28.
To estimate the burden of disease attributable to obesity and overweight conditions using disability-adjusted life-years (DALYs) in Colombia.
The burden of disease was estimated following an adapted methodology published by the World Health Organization. A selection of diseases was performed in which overweight and obesity are risk factors. DALYs were calculated by obtaining the proportion of cases and deaths of every disease that can be attributable to obesity and overweight conditions. The economic impact of obesity was calculated by multiplying the cost of care per patient for each comorbidity by the number of cases attributable exclusively to obesity.
A total of 997 371 DALYs were estimated, 45% of which corresponded to men; 81% of DALYs corresponded to years lived with disability. Conditions with greater attributable DALYs are, in order, hypertension (31.6% of the total DALYs), type 2 diabetes mellitus (28.0%), cardiac ischemic disease (14.6%), and lower back pain (11.2%). An estimation of 20.5 DALYs per 1000 inhabitants was made. The economic impact of care for comorbidities associated with obesity could amount to $2158 million.
Obesity and overweight conditions are related to higher mortality and disability than previously estimated; effective interventions aimed at prevention and treatment will have a high impact on quality of life.
使用伤残调整生命年（DALYs）评估哥伦比亚肥胖和超重状况所致的疾病负担。
按照世界卫生组织发布的一种改编方法来估计疾病负担。挑选了一系列超重和肥胖为风险因素的疾病。通过获取每种疾病可归因于肥胖和超重状况的病例和死亡比例来计算伤残调整生命年。肥胖的经济影响通过将每种合并症的每位患者护理成本乘以仅归因于肥胖的病例数来计算。
总共估计出997371个伤残调整生命年，其中45% 对应男性；81% 的伤残调整生命年对应带病生存年数。归因伤残调整生命年较多的疾病依次为高血压（占总伤残调整生命年的31.6%）、2型糖尿病（28.0%）、缺血性心脏病（14.6%）和下背痛（11.2%）。估计每1000名居民中有20.5个伤残调整生命年。肥胖相关合并症的护理经济影响可能达21.58亿美元。
肥胖和超重状况与比先前估计更高的死亡率和残疾率相关；旨在预防和治疗的有效干预措施将对生活质量产生重大影响。
