Department of Administrative Sciences, Federal University of Santa Maria, Roraima Ave., n. 1000, Zip Code: 97105-900, Santa Maria, RS, Brazil.
Public Health. 2024 Dec;237:184-192. doi: 10.1016/j.puhe.2024.10.006. Epub 2024 Oct 18.
This study analyses the prevalence of overweight/obesity in Brazil, and its costs regarding hospital admissions (HA), disability retirement benefits (DRB), and statutory sick pay (SSP) associated with obesity-related non-communicable diseases (NCDs).
Time-series study.
This study analyses data from the VIGITEL system (2010-2019) to calculate the body-mass index (BMI) of adult residents in Brazil's state capitals. Data on HA, DRB, and SSP were obtained from Brazil's SIH/SUS and AEPS Infologo systems. Pearson's correlation and linear regression models were applied. The study selected 23 diseases of the International Classification of Disease (ICDs) belonging to chapters C; E; I; and K. Cost values in BRL were deflated using IPCA.
The results showed a significant increase in overweight and obesity rates in Brazil, with BMI rising by 0.09 kg/m annually. Regression analysis revealed that each 1-point increase in the average BMI of the population is associated with an increase of 81,772 (BRL 237.51 million/year) new HA per year, 5541 (BRL 18.8 million/year) new DRB granted per year, and 42,360 (BRL 131 million/year) new SSP per year. Also, every 1 % increase in the share of the Brazilian population with obesity is associated with an increase of 16,973 (BRL 48.8 million/year) new HA per year, 1202 (BRL 3.97 million/year) new DRB granted per year, and 8686 (BRL 26.8 million/year) new SSP per year. Regressions for deflated values showed lower significance, suggesting a strong impact of inflation on health costs in Brazil.
Obesity prevalence in Brazil implies high direct and indirect costs for the Brazilian government, especially considering circulatory system diseases.
本研究分析了巴西超重/肥胖的流行情况，以及与肥胖相关的非传染性疾病（NCDs）导致的医院就诊（HA）、残疾退休福利（DRB）和法定病假工资（SSP）相关的成本。
时间序列研究。
本研究分析了 VIGITEL 系统（2010-2019 年）的数据，以计算巴西州首府成年居民的体重指数（BMI）。HA、DRB 和 SSP 数据来自巴西的 SIH/SUS 和 AEPS Infologo 系统。应用了 Pearson 相关系数和线性回归模型。本研究选择了国际疾病分类（ICD）第 C、E、I 和 K 章的 23 种疾病。使用 IPCA 对 BRL 中的成本值进行了通货紧缩。
结果表明，巴西超重和肥胖率显著上升，BMI 每年增长 0.09kg/m。回归分析显示，人口平均 BMI 每增加 1 点，每年新增 HA 为 81772 人（BRL 2375.1 万/年），每年新增 DRB 为 5541 人（BRL 1880 万/年），每年新增 SSP 为 42360 人（BRL 1.31 亿/年）。此外，巴西肥胖人口比例每增加 1%，每年新增 HA 为 16973 人（BRL 4880 万/年），每年新增 DRB 为 1202 人（BRL 397 万/年），每年新增 SSP 为 8686 人（BRL 2680 万/年）。通缩后的值的回归显示出较低的显著性，表明通货膨胀对巴西卫生保健成本有很大影响。
巴西肥胖症的流行对巴西政府造成了高直接和间接成本，特别是考虑到循环系统疾病。
