Association of body mass index with health care expenditures in the United States by age and sex
Estimates of health care costs associated with excess weight are needed to inform the development of cost-effective obesity prevention efforts. However, commonly used cost estimates are not sensitive to changes in weight across the entire body mass index (BMI) distribution as they are often based on...
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| Vydané v: | PloS one Ročník 16; číslo 3; s. e0247307 |
|---|---|
| Hlavní autori: | , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
Public Library of Science
24.03.2021
Public Library of Science (PLoS) |
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| ISSN: | 1932-6203, 1932-6203 |
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| Abstract | Estimates of health care costs associated with excess weight are needed to inform the development of cost-effective obesity prevention efforts. However, commonly used cost estimates are not sensitive to changes in weight across the entire body mass index (BMI) distribution as they are often based on discrete BMI categories.
We estimated continuous BMI-related health care expenditures using data from the Medical Expenditure Panel Survey (MEPS) 2011-2016 for 175,726 respondents. We adjusted BMI for self-report bias using data from the National Health and Nutrition Examination Survey (NHANES) 2011-2016, and controlled for potential confounding between BMI and medical expenditures using a two-part model. Costs are reported in $US 2019.
We found a J-shaped curve of medical expenditures by BMI, with higher costs for females and the lowest expenditures occurring at a BMI of 20.5 for adult females and 23.5 for adult males. Over 30 units of BMI, each one-unit BMI increase was associated with an additional cost of $253 (95% CI $167-$347) per person. Among adults, obesity was associated with $1,861 (95% CI $1,656-$2,053) excess annual medical costs per person, accounting for $172.74 billion (95% CI $153.70-$190.61) of annual expenditures. Severe obesity was associated with excess costs of $3,097 (95% CI $2,777-$3,413) per adult. Among children, obesity was associated with $116 (95% CI $14-$201) excess costs per person and $1.32 billion (95% CI $0.16-$2.29) of medical spending, with severe obesity associated with $310 (95% CI $124-$474) excess costs per child.
Higher health care costs are associated with excess body weight across a broad range of ages and BMI levels, and are especially high for people with severe obesity. These findings highlight the importance of promoting a healthy weight for the entire population while also targeting efforts to prevent extreme weight gain over the life course. |
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| AbstractList | BackgroundEstimates of health care costs associated with excess weight are needed to inform the development of cost-effective obesity prevention efforts. However, commonly used cost estimates are not sensitive to changes in weight across the entire body mass index (BMI) distribution as they are often based on discrete BMI categories.MethodsWe estimated continuous BMI-related health care expenditures using data from the Medical Expenditure Panel Survey (MEPS) 2011-2016 for 175,726 respondents. We adjusted BMI for self-report bias using data from the National Health and Nutrition Examination Survey (NHANES) 2011-2016, and controlled for potential confounding between BMI and medical expenditures using a two-part model. Costs are reported in $US 2019.ResultsWe found a J-shaped curve of medical expenditures by BMI, with higher costs for females and the lowest expenditures occurring at a BMI of 20.5 for adult females and 23.5 for adult males. Over 30 units of BMI, each one-unit BMI increase was associated with an additional cost of $253 (95% CI $167-$347) per person. Among adults, obesity was associated with $1,861 (95% CI $1,656-$2,053) excess annual medical costs per person, accounting for $172.74 billion (95% CI $153.70-$190.61) of annual expenditures. Severe obesity was associated with excess costs of $3,097 (95% CI $2,777-$3,413) per adult. Among children, obesity was associated with $116 (95% CI $14-$201) excess costs per person and $1.32 billion (95% CI $0.16-$2.29) of medical spending, with severe obesity associated with $310 (95% CI $124-$474) excess costs per child.ConclusionsHigher health care costs are associated with excess body weight across a broad range of ages and BMI levels, and are especially high for people with severe obesity. These findings highlight the importance of promoting a healthy weight for the entire population while also targeting efforts to prevent extreme weight gain over the life course. Estimates of health care costs associated with excess weight are needed to inform the development of cost-effective obesity prevention efforts. However, commonly used cost estimates are not sensitive to changes in weight across the entire body mass index (BMI) distribution as they are often based on discrete BMI categories. We estimated continuous BMI-related health care expenditures using data from the Medical Expenditure Panel Survey (MEPS) 2011-2016 for 175,726 respondents. We adjusted BMI for self-report bias using data from the National Health and Nutrition Examination Survey (NHANES) 2011-2016, and controlled for potential confounding between BMI and medical expenditures using a two-part model. Costs are reported in$US 2019. We found a J-shaped curve of medical expenditures by BMI, with higher costs for females and the lowest expenditures occurring at a BMI of 20.5 for adult females and 23.5 for adult males. Over 30 units of BMI, each one-unit BMI increase was associated with an additional cost of $ 253 (95% CI$167-$ 347) per person. Among adults, obesity was associated with$1,861 (95% CI $ 1,656- $2,053) excess annual medical costs per person, accounting for $ 172.74 billion (95% CI$153.70-$ 190.61) of annual expenditures. Severe obesity was associated with excess costs of$3,097 (95% CI $ 2,777- $3,413) per adult. Among children, obesity was associated with $ 116 (95% CI$14-$ 201) excess costs per person and$1.32 billion (95% CI $ 0.16- $2.29) of medical spending, with severe obesity associated with $ 310 (95% CI$124-$ 474) excess costs per child. Higher health care costs are associated with excess body weight across a broad range of ages and BMI levels, and are especially high for people with severe obesity. These findings highlight the importance of promoting a healthy weight for the entire population while also targeting efforts to prevent extreme weight gain over the life course. Background Estimates of health care costs associated with excess weight are needed to inform the development of cost-effective obesity prevention efforts. However, commonly used cost estimates are not sensitive to changes in weight across the entire body mass index (BMI) distribution as they are often based on discrete BMI categories. Methods We estimated continuous BMI-related health care expenditures using data from the Medical Expenditure Panel Survey (MEPS) 2011-2016 for 175,726 respondents. We adjusted BMI for self-report bias using data from the National Health and Nutrition Examination Survey (NHANES) 2011-2016, and controlled for potential confounding between BMI and medical expenditures using a two-part model. Costs are reported in $US 2019. Results We found a J-shaped curve of medical expenditures by BMI, with higher costs for females and the lowest expenditures occurring at a BMI of 20.5 for adult females and 23.5 for adult males. Over 30 units of BMI, each one-unit BMI increase was associated with an additional cost of $253 (95% CI $167-$347) per person. Among adults, obesity was associated with $1,861 (95% CI $1,656-$2,053) excess annual medical costs per person, accounting for $172.74 billion (95% CI $153.70-$190.61) of annual expenditures. Severe obesity was associated with excess costs of $3,097 (95% CI $2,777-$3,413) per adult. Among children, obesity was associated with $116 (95% CI $14-$201) excess costs per person and $1.32 billion (95% CI $0.16-$2.29) of medical spending, with severe obesity associated with $310 (95% CI $124-$474) excess costs per child. Conclusions Higher health care costs are associated with excess body weight across a broad range of ages and BMI levels, and are especially high for people with severe obesity. These findings highlight the importance of promoting a healthy weight for the entire population while also targeting efforts to prevent extreme weight gain over the life course. Estimates of health care costs associated with excess weight are needed to inform the development of cost-effective obesity prevention efforts. However, commonly used cost estimates are not sensitive to changes in weight across the entire body mass index (BMI) distribution as they are often based on discrete BMI categories.BACKGROUNDEstimates of health care costs associated with excess weight are needed to inform the development of cost-effective obesity prevention efforts. However, commonly used cost estimates are not sensitive to changes in weight across the entire body mass index (BMI) distribution as they are often based on discrete BMI categories.We estimated continuous BMI-related health care expenditures using data from the Medical Expenditure Panel Survey (MEPS) 2011-2016 for 175,726 respondents. We adjusted BMI for self-report bias using data from the National Health and Nutrition Examination Survey (NHANES) 2011-2016, and controlled for potential confounding between BMI and medical expenditures using a two-part model. Costs are reported in $US 2019.METHODSWe estimated continuous BMI-related health care expenditures using data from the Medical Expenditure Panel Survey (MEPS) 2011-2016 for 175,726 respondents. We adjusted BMI for self-report bias using data from the National Health and Nutrition Examination Survey (NHANES) 2011-2016, and controlled for potential confounding between BMI and medical expenditures using a two-part model. Costs are reported in $US 2019.We found a J-shaped curve of medical expenditures by BMI, with higher costs for females and the lowest expenditures occurring at a BMI of 20.5 for adult females and 23.5 for adult males. Over 30 units of BMI, each one-unit BMI increase was associated with an additional cost of $253 (95% CI $167-$347) per person. Among adults, obesity was associated with $1,861 (95% CI $1,656-$2,053) excess annual medical costs per person, accounting for $172.74 billion (95% CI $153.70-$190.61) of annual expenditures. Severe obesity was associated with excess costs of $3,097 (95% CI $2,777-$3,413) per adult. Among children, obesity was associated with $116 (95% CI $14-$201) excess costs per person and $1.32 billion (95% CI $0.16-$2.29) of medical spending, with severe obesity associated with $310 (95% CI $124-$474) excess costs per child.RESULTSWe found a J-shaped curve of medical expenditures by BMI, with higher costs for females and the lowest expenditures occurring at a BMI of 20.5 for adult females and 23.5 for adult males. Over 30 units of BMI, each one-unit BMI increase was associated with an additional cost of $253 (95% CI $167-$347) per person. Among adults, obesity was associated with $1,861 (95% CI $1,656-$2,053) excess annual medical costs per person, accounting for $172.74 billion (95% CI $153.70-$190.61) of annual expenditures. Severe obesity was associated with excess costs of $3,097 (95% CI $2,777-$3,413) per adult. Among children, obesity was associated with $116 (95% CI $14-$201) excess costs per person and $1.32 billion (95% CI $0.16-$2.29) of medical spending, with severe obesity associated with $310 (95% CI $124-$474) excess costs per child.Higher health care costs are associated with excess body weight across a broad range of ages and BMI levels, and are especially high for people with severe obesity. These findings highlight the importance of promoting a healthy weight for the entire population while also targeting efforts to prevent extreme weight gain over the life course.CONCLUSIONSHigher health care costs are associated with excess body weight across a broad range of ages and BMI levels, and are especially high for people with severe obesity. These findings highlight the importance of promoting a healthy weight for the entire population while also targeting efforts to prevent extreme weight gain over the life course. Estimates of health care costs associated with excess weight are needed to inform the development of cost-effective obesity prevention efforts. However, commonly used cost estimates are not sensitive to changes in weight across the entire body mass index (BMI) distribution as they are often based on discrete BMI categories. We estimated continuous BMI-related health care expenditures using data from the Medical Expenditure Panel Survey (MEPS) 2011-2016 for 175,726 respondents. We adjusted BMI for self-report bias using data from the National Health and Nutrition Examination Survey (NHANES) 2011-2016, and controlled for potential confounding between BMI and medical expenditures using a two-part model. Costs are reported in $US 2019. We found a J-shaped curve of medical expenditures by BMI, with higher costs for females and the lowest expenditures occurring at a BMI of 20.5 for adult females and 23.5 for adult males. Over 30 units of BMI, each one-unit BMI increase was associated with an additional cost of $253 (95% CI $167-$347) per person. Among adults, obesity was associated with $1,861 (95% CI $1,656-$2,053) excess annual medical costs per person, accounting for $172.74 billion (95% CI $153.70-$190.61) of annual expenditures. Severe obesity was associated with excess costs of $3,097 (95% CI $2,777-$3,413) per adult. Among children, obesity was associated with $116 (95% CI $14-$201) excess costs per person and $1.32 billion (95% CI $0.16-$2.29) of medical spending, with severe obesity associated with $310 (95% CI $124-$474) excess costs per child. Higher health care costs are associated with excess body weight across a broad range of ages and BMI levels, and are especially high for people with severe obesity. These findings highlight the importance of promoting a healthy weight for the entire population while also targeting efforts to prevent extreme weight gain over the life course. |
| Audience | Academic |
| Author | Gortmaker, Steven L. Bleich, Sara N. Ward, Zachary J. Long, Michael W. |
| AuthorAffiliation | Cincinnati Children’s, UNITED STATES 2 Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston, MA, United States of America 3 Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, United States of America 4 Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA, United States of America 1 Center for Health Decision Science, Harvard T. H. Chan School of Public Health, Boston, MA, United States of America |
| AuthorAffiliation_xml | – name: 3 Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, United States of America – name: 2 Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston, MA, United States of America – name: 4 Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA, United States of America – name: 1 Center for Health Decision Science, Harvard T. H. Chan School of Public Health, Boston, MA, United States of America – name: Cincinnati Children’s, UNITED STATES |
| Author_xml | – sequence: 1 givenname: Zachary J. orcidid: 0000-0002-4007-2207 surname: Ward fullname: Ward, Zachary J. – sequence: 2 givenname: Sara N. orcidid: 0000-0003-3098-3119 surname: Bleich fullname: Bleich, Sara N. – sequence: 3 givenname: Michael W. surname: Long fullname: Long, Michael W. – sequence: 4 givenname: Steven L. surname: Gortmaker fullname: Gortmaker, Steven L. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33760880$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1377/hlthaff.28.4.w751 10.1111/obr.12560 10.1377/hlthaff.2015.0631 10.1371/journal.pone.0150735 10.1038/oby.2011.169 10.1016/j.jhealeco.2011.10.003 10.1016/S0140-6736(15)00128-2 10.1111/j.1541-0420.2006.00574.x 10.1016/j.ypmed.2016.10.017 10.2307/2347628 10.1111/j.1467-789X.2007.00347.x 10.1080/00401706.1970.10488634 10.1377/hlthaff.2015.0633 10.1056/NEJMsa1909301 10.1016/j.jval.2016.02.008 10.1111/j.1467-789X.2009.00708.x 10.1016/j.pop.2015.08.013 10.1056/NEJMoa1703860 10.1080/00031305.1994.10476059 10.1377/hlthaff.2013.1224 |
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| References | J Bring (pone.0247307.ref019) 1994; 48 ZJ Ward (pone.0247307.ref003) 2019; 381 ZJ Ward (pone.0247307.ref004) 2017; 377 CY Wang (pone.0247307.ref011) 2015; 34 AE Hoerl (pone.0247307.ref020) 1970; 12 JG Trogdon (pone.0247307.ref009) 2012; 20 pone.0247307.ref022 pone.0247307.ref001 GBD 2013 Risk Factors Collaborators (pone.0247307.ref026) 2015; 386 ZJ Ward (pone.0247307.ref018) 2016; 11 EA Spieker (pone.0247307.ref028) 2016; 43 Global BMI Mortality Collaboration (pone.0247307.ref005) 2016 pone.0247307.ref002 SL Gortmaker (pone.0247307.ref014) 2015; 34 pone.0247307.ref025 AG Tsai (pone.0247307.ref008) 2011; 12 S Cessie (pone.0247307.ref021) 1992; 41 TJ Hastie (pone.0247307.ref023) 1990 DD Kim (pone.0247307.ref012) 2016; 19 S Connor Gorber (pone.0247307.ref017) 2007; 8 J Cawley (pone.0247307.ref010) 2012; 31 EA Finkelstein (pone.0247307.ref006) 2006; 67 L Trasande (pone.0247307.ref007) 2009; 28 AL Cradock (pone.0247307.ref015) 2017; 95 pone.0247307.ref016 D Lassman (pone.0247307.ref027) 2014; 33 S Kent (pone.0247307.ref013) 2017; 18 SN Wood (pone.0247307.ref024) 2006; 62 |
| References_xml | – volume: 28 start-page: w751 issue: 4 year: 2009 ident: pone.0247307.ref007 article-title: Effects of childhood obesity on hospital care and costs, 1999–2005 publication-title: Health Aff (Millwood) doi: 10.1377/hlthaff.28.4.w751 – volume: 18 start-page: 869 issue: 8 year: 2017 ident: pone.0247307.ref013 article-title: Body mass index and healthcare costs: a systematic literature review of individual participant data studies publication-title: Obes Rev doi: 10.1111/obr.12560 – volume-title: Generalized Additive Models year: 1990 ident: pone.0247307.ref023 – volume: 34 start-page: 1932 issue: 11 year: 2015 ident: pone.0247307.ref014 article-title: Three Interventions That Reduce Childhood Obesity Are Projected To Save More Than They Cost To Implement publication-title: Health Aff (Millwood) doi: 10.1377/hlthaff.2015.0631 – volume: 67 start-page: 310 year: 2006 ident: pone.0247307.ref006 article-title: Why does the private sector underinvest in obesity prevention and treatment? publication-title: N C Med J – volume: 11 start-page: e0150735 issue: 3 year: 2016 ident: pone.0247307.ref018 article-title: Redrawing the US Obesity Landscape: Bias-Corrected Estimates of State-Specific Adult Obesity Prevalence publication-title: PLoS One doi: 10.1371/journal.pone.0150735 – volume: 20 start-page: 214 issue: 1 year: 2012 ident: pone.0247307.ref009 article-title: State- and payer-specific estimates of annual medical expenditures attributable to obesity publication-title: Obesity (Silver Spring) doi: 10.1038/oby.2011.169 – volume: 31 start-page: 219 year: 2012 ident: pone.0247307.ref010 article-title: The medical care costs of obesity: An instrumental variables approach publication-title: J Health Econ doi: 10.1016/j.jhealeco.2011.10.003 – volume: 386 start-page: 2287 issue: 10010 year: 2015 ident: pone.0247307.ref026 article-title: Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013 publication-title: Lancet doi: 10.1016/S0140-6736(15)00128-2 – volume: 62 start-page: 1025 issue: 4 year: 2006 ident: pone.0247307.ref024 article-title: Low rank scale invariant tensor product smooths for generalized additive mixed models publication-title: Biometrics doi: 10.1111/j.1541-0420.2006.00574.x – ident: pone.0247307.ref025 – ident: pone.0247307.ref002 – volume: 95 start-page: S17 issue: Suppl year: 2017 ident: pone.0247307.ref015 article-title: Using cost-effectiveness analysis to prioritize policy and programmatic approaches to physical activity promotion and obesity prevention in childhood publication-title: Prev Med doi: 10.1016/j.ypmed.2016.10.017 – volume: 41 start-page: 191 issue: 1 year: 1992 ident: pone.0247307.ref021 article-title: Ridge estimators in logistic regression publication-title: Appl Stat doi: 10.2307/2347628 – volume: 8 start-page: 307 issue: 4 year: 2007 ident: pone.0247307.ref017 article-title: A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review publication-title: Obes Rev doi: 10.1111/j.1467-789X.2007.00347.x – ident: pone.0247307.ref016 – volume: 12 start-page: 55 issue: 1 year: 1970 ident: pone.0247307.ref020 article-title: Ridge regression: biased estimation for nonorthogonal problems publication-title: Technometrics doi: 10.1080/00401706.1970.10488634 – volume: 34 start-page: 1923 issue: 11 year: 2015 ident: pone.0247307.ref011 article-title: Severe Obesity In Adults Cost State Medicaid Programs Nearly $8 Billion In 2013 publication-title: Health Aff (Milwood). doi: 10.1377/hlthaff.2015.0633 – ident: pone.0247307.ref022 – volume: 381 start-page: 2440 issue: 25 year: 2019 ident: pone.0247307.ref003 article-title: Projected US State-Level Prevalence of Adult Obesity and Severe Obesity publication-title: N Engl J Med doi: 10.1056/NEJMsa1909301 – volume: 19 start-page: 602 issue: 5 year: 2016 ident: pone.0247307.ref012 article-title: Estimating the Medical Care Costs of Obesity in the United States: Systematic Review, Meta-Analysis, and Empirical Analysis publication-title: Value Health doi: 10.1016/j.jval.2016.02.008 – volume: 12 start-page: 50 issue: 1 year: 2011 ident: pone.0247307.ref008 article-title: Direct medical cost of overweight and obesity in the USA: a quantitative systematic review publication-title: Obes Rev doi: 10.1111/j.1467-789X.2009.00708.x – volume: 43 start-page: 83 issue: 1 year: 2016 ident: pone.0247307.ref028 article-title: Economic Impact of Obesity. publication-title: Prim Care doi: 10.1016/j.pop.2015.08.013 – year: 2016 ident: pone.0247307.ref005 article-title: Body-mass index and all-cause mortality: individual-participant-data meta-analysis of 239 prospective studies in four continents publication-title: Lancet – ident: pone.0247307.ref001 – volume: 377 start-page: 2145 issue: 22 year: 2017 ident: pone.0247307.ref004 article-title: Simulation of Growth Trajectories of Childhood Obesity into Adulthood publication-title: N Engl J Med doi: 10.1056/NEJMoa1703860 – volume: 48 start-page: 209 issue: 3 year: 1994 ident: pone.0247307.ref019 article-title: How to Standardize Regression Coefficients publication-title: Am Stat doi: 10.1080/00031305.1994.10476059 – volume: 33 start-page: 815 issue: 5 year: 2014 ident: pone.0247307.ref027 article-title: US Health Spending Trends by Age and Gender: Selected Years 2002–10 publication-title: Health Aff (Millwood) doi: 10.1377/hlthaff.2013.1224 |
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| Title | Association of body mass index with health care expenditures in the United States by age and sex |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/33760880 https://www.proquest.com/docview/2504775410 https://www.proquest.com/docview/2505368214 https://pubmed.ncbi.nlm.nih.gov/PMC7990296 https://doaj.org/article/c4d9a003a8134e0f8bb70456ac09c51c http://dx.doi.org/10.1371/journal.pone.0247307 |
| Volume | 16 |
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