| Economic burden of obesity in youths aged 6 to 17 years: 1979-1999. | |
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MedLine Citation:
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PMID: 11986487 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To examine the trend of obesity-associated diseases in youths and related economic costs. METHODS: Using a multiyear data file of the National Hospital Discharge Survey, 1979-1999, we analyzed the changes in obesity-associated diseases and economic costs in youths (6-17 years of age) over time. Diabetes, obesity, sleep apnea, and gallbladder disease were examined to explore the trend of the disease burden. Other obesity-associated diseases for which obesity was listed as a secondary diagnosis were also analyzed. Obesity-associated hospital costs were estimated from the discharges with obesity listed as a principal or secondary diagnosis. RESULTS: From 1979-1981 to 1997-1999, the percentage of discharges with obesity-associated diseases increased. The discharges of diabetes nearly doubled (from 1.43% to 2.36%), obesity and gallbladder diseases tripled (0.36% to 1.07% and 0.18% to 0.59%, respectively), and sleep apnea increased fivefold (0.14% to 0.75%). Ninety-six percent of discharges with a diagnosis of obesity listed obesity as a secondary diagnosis. Asthma and some mental disorders were the most common principal diagnoses when obesity was listed as a secondary diagnosis. Obesity-associated annual hospital costs (based on 2001 constant US dollar value) increased more than threefold; from $35 million (0.43% of total hospital costs) during 1979-1981 to $127 million (1.70% of total hospital costs) during 1997-1999. CONCLUSIONS: Among all hospital discharges, the proportion of discharges with obesity-associated diseases has increased dramatically in the past 20 years. This increase has led to a significant growth in economic costs. These findings may reflect the impact of increasing prevalence and severity of obesity. Diet and physical activity interventions should be developed for weight loss and prevention of weight gain in youths. |
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Authors:
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Guijing Wang; William H Dietz |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Pediatrics Volume: 109 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2002 May |
Date Detail:
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Created Date: 2002-05-02 Completed Date: 2002-05-22 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: E81-1 Citation Subset: AIM; IM |
Affiliation:
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Division of Nutrition and Physical Activity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. gbw9@cdc.gov |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Age Factors Child Cholelithiasis / economics, epidemiology Comorbidity Diabetes Mellitus / economics, epidemiology Diabetes Mellitus, Type 2 / economics, epidemiology Female Health Care Costs* / statistics & numerical data, trends Health Surveys Hospital Costs / statistics & numerical data, trends Hospital Records / statistics & numerical data Humans Male National Center for Health Statistics (U.S.) Obesity / economics*, epidemiology* Patient Discharge / statistics & numerical data Prevalence Severity of Illness Index Sleep Apnea Syndromes / economics, epidemiology United States / epidemiology |
| Comments/Corrections | |
Erratum In:
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Pediatrics 2002 Jun;109(6):1195 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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