School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Department of Medicine, School of Clinical Sciences, Monash University, Melbourne, VIC, Australia.
Int J Obes (Lond). 2022 Aug;46(8):1463-1469. doi: 10.1038/s41366-022-01133-z. Epub 2022 May 11.
BACKGROUND/OBJECTIVES: Obesity poses one of the biggest public health challenges globally. In addition to the high costs of obesity to the healthcare system, obesity also impacts work productivity. We aimed to estimate the benefits of preventing obesity in terms of years of life, productivity-adjusted life years (PALYs) and associated costs over 10 years.
SUBJECTS/METHODS: Dynamic life table models were constructed to estimate years of life and PALYs saved if all new cases of obesity were prevented among Australians aged 20-69 years from 2021 to 2030. Life tables were sex specific and the population was classified into normal weight, overweight and obese. The model simulation was first undertaken assuming currently observed age-specific incidences of obesity, and then repeated assuming all new cases of obesity were reduced by 2 and 5%. The differences in outcomes (years of life, PALYs, and costs) between the two modelled outputs reflected the potential benefits that could be achieved through obesity prevention. All outcomes were discounted by 5% per annum.
Over the next 10 years, 132 million years of life and 81 million PALYs would be lived by Australians aged 20-69 years, contributing AU$17.0 trillion to the Australian economy in terms of GDP. A 5% reduction in new cases of obesity led to a gain of 663 years of life and 1229 PALYs, equivalent to AU$262 million in GDP.
Prevention of obesity is projected to result in substantial economic gains due to improved health and productivity. This further emphasises the need for public health prevention strategies to reduce this growing epidemic.
背景/目的:肥胖是全球面临的最大公共卫生挑战之一。除了肥胖给医疗保健系统带来的高成本外,肥胖还会影响工作生产力。我们旨在估算预防肥胖在延长寿命、调整后的生产力寿命年(PALYs)以及 10 年内相关成本方面的收益。
受试者/方法:构建动态生命表模型,以估算如果 2021 年至 2030 年期间所有澳大利亚 20-69 岁人群的新肥胖病例都得到预防,那么可延长的寿命和 PALYs。生命表是性别特异性的,人群分为正常体重、超重和肥胖。首先根据当前观察到的肥胖特定年龄发病率进行模型模拟,然后重复假设所有新肥胖病例减少 2%和 5%的情况。两个模型输出之间结果(寿命、PALYs 和成本)的差异反映了通过肥胖预防可能实现的潜在收益。所有结果均按每年 5%贴现。
在未来 10 年内,澳大利亚 20-69 岁人群将延长 1.32 亿年的寿命和 8100 万 PALYs,为澳大利亚经济贡献 17.0 万亿美元的 GDP。肥胖新病例减少 5%可使寿命延长 663 年,PALYs 增加 1229 年,相当于 GDP 增加 2.62 亿美元。
由于健康和生产力的提高,预防肥胖预计将带来巨大的经济收益。这进一步强调了需要采取公共卫生预防策略来减少这一不断增长的流行疾病。