Achara Kosisochi E, Iyayi Inelefo R, Erinne Okechukwu C, Odutola Oluwadamilola D, Ogbebor Uvieroghene P, Utulor Stephen N, Abiodun Rejoice F, Perera Gamamedaliyanage S, Okoh Pedro, Okobi Okelue E
Public Health, Emory University, Georgia, USA.
Cardiology, WellSpan Cardiology, York, USA.
Cureus. 2024 Sep 1;16(9):e68376. doi: 10.7759/cureus.68376. eCollection 2024 Sep.
Obesity is a significant public health issue in the United States, contributing to a range of chronic conditions and premature mortality. This study analyzes patterns in obesity-related deaths from 2010 to 2020 using the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) database to identify trends and demographic disparities. A retrospective analysis was conducted using the CDC WONDER Database, focusing on mortality data associated with specific International Classification of Diseases, Tenth Revision (ICD-10) codes for obesity (E66.0, E66.1, E66.2, E66.8, and E66.9). Data were extracted for the period from January 1, 2010, to December 31, 2020. Mortality rates per 100,000 population were calculated and analyzed across different demographic groups, including age, gender, and race/ethnicity. The analysis revealed an overall increase in obesity-related mortality rates, rising from 1.8 per 100,000 in 2010 to 3.1 per 100,000 in 2020. Age-specific mortality rates showed a significant increase in older age groups, with the highest rates observed in individuals aged 55-64 years (6.4 per 100,000) and 65-74 years (7.2 per 100,000). Gender disparities were evident, with higher mortality rates in males (3.4 per 100,000) compared to females (2.8 per 100,000) by the end of the study period. Racial disparities were also noted, with Black or African American individuals experiencing the highest mortality rates (4.3 per 100,000). The study highlights a concerning upward trend in obesity-related mortality in the United States over the past decade, with notable disparities based on age, gender, and race. These findings underscore the need for targeted public health interventions and policies aimed at reducing obesity prevalence and its associated mortality. Further research should explore the underlying causes and contributing factors to these trends to develop effective strategies for obesity management and prevention. Among the notable strengths of this study include the observation that it leveraged a comprehensive and decade-long countrywide database with detailed and up-to-date ICD-10 codes and demographic data to offer in-depth insights into obesity-related disparities and mortality trends in the United States. Nevertheless, the findings of this study have been limited by its increased focus on the United States' data, depending only on mortality records devoid of consideration of morbidity, alongside the lack of detailed data on lifestyle factors and comorbid conditions.
肥胖是美国一个重大的公共卫生问题,它导致了一系列慢性疾病和过早死亡。本研究利用美国疾病控制与预防中心的广泛在线流行病学研究数据(CDC WONDER)数据库,分析了2010年至2020年与肥胖相关的死亡模式,以确定趋势和人口统计学差异。使用CDC WONDER数据库进行了一项回顾性分析,重点关注与肥胖相关的特定国际疾病分类第十版(ICD-10)编码(E66.0、E66.1、E66.2、E66.8和E66.9)相关的死亡率数据。提取了2010年1月1日至2020年12月31日期间的数据。计算并分析了不同人口群体(包括年龄、性别和种族/族裔)每10万人的死亡率。分析显示,与肥胖相关的死亡率总体呈上升趋势,从2010年的每10万人1.8例上升到2020年的每10万人3.1例。特定年龄组的死亡率在老年人群体中显著上升,在55-64岁(每10万人6.4例)和65-74岁(每10万人7.2例)的个体中观察到最高死亡率。性别差异明显,到研究期结束时,男性的死亡率(每10万人3.4例)高于女性(每10万人2.8例)。种族差异也很明显,黑人或非裔美国人的死亡率最高(每10万人4.3例)。该研究突出了过去十年美国与肥胖相关的死亡率令人担忧的上升趋势,以及基于年龄、性别和种族的显著差异。这些发现强调了需要有针对性的公共卫生干预措施和政策,以降低肥胖率及其相关死亡率。进一步的研究应探索这些趋势的潜在原因和促成因素,以制定有效的肥胖管理和预防策略。这项研究的显著优势包括,它利用了一个全面的、长达十年的全国性数据库,该数据库具有详细和最新的ICD-10编码及人口统计数据,能够深入洞察美国与肥胖相关的差异和死亡率趋势。然而,这项研究的结果受到了一定限制,因为它更加关注美国的数据,仅依赖死亡率记录而未考虑发病率,同时缺乏关于生活方式因素和合并症的详细数据。