Peter Muennig1, Erica Lubetkin, Haomiao Jia, Peter Franks. 1. Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY 10032, USA. pm124@columbia.edu
Abstract
OBJECTIVES: We estimated the burden of disease in the United States attributable to obesity by gender, with life expectancy, quality-adjusted life expectancy, years of life lost annually, and quality-adjusted life years lost annually as outcome measures. METHODS: We obtained burden of disease estimates for adults falling into the following body-mass index categories: normal weight (23 to <25), overweight (25 to <30), and obese (> or = 30). We analyzed the 2000 Medical Expenditure Panel Survey to obtain health-related quality-of-life scores and the 1990-1992 National Health Interview Survey linked to National Death Index data through the end of 1995 for mortality. RESULTS: Overweight men and women lost 270,000 and 1.8 million quality-adjusted life years, respectively, relative to their normal-weight counterparts. Obese men and women lost 1.9 million and 3.4 million quality-adjusted life years, respectively, per year. Much of the burden of disease among overweight and obese women arose from lower health-related quality of life and late life mortality. CONCLUSIONS: Relative to men, women suffer a disproportionate burden of disease attributable to overweight and obesity, mostly because of differences in health-related quality of life.
OBJECTIVES: We estimated the burden of disease in the United States attributable to obesity by gender, with life expectancy, quality-adjusted life expectancy, years of life lost annually, and quality-adjusted life years lost annually as outcome measures. METHODS: We obtained burden of disease estimates for adults falling into the following body-mass index categories: normal weight (23 to <25), overweight (25 to <30), and obese (> or = 30). We analyzed the 2000 Medical Expenditure Panel Survey to obtain health-related quality-of-life scores and the 1990-1992 National Health Interview Survey linked to National Death Index data through the end of 1995 for mortality. RESULTS: Overweight men and women lost 270,000 and 1.8 million quality-adjusted life years, respectively, relative to their normal-weight counterparts. Obesemen and women lost 1.9 million and 3.4 million quality-adjusted life years, respectively, per year. Much of the burden of disease among overweight and obesewomen arose from lower health-related quality of life and late life mortality. CONCLUSIONS: Relative to men, women suffer a disproportionate burden of disease attributable to overweight and obesity, mostly because of differences in health-related quality of life.
Authors: Molly B Conroy; Kathleen L Sward; Kathleen C Spadaro; Dana Tudorascu; Irina Karpov; Bobby L Jones; Andrea M Kriska; Wishwa N Kapoor Journal: J Gen Intern Med Date: 2014-11-13 Impact factor: 5.128
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