TY - JOUR
T1 - The Additional Costs and Health Effects of a Patient Having Overweight or Obesity
T2 - A Computational Model
AU - Fallah-Fini, Saeideh
AU - Adam, Atif
AU - Cheskin, Lawrence J.
AU - Bartsch, Sarah M.
AU - Lee, Bruce Y.
N1 - Funding Information:
Funding agencies: This work was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the Office of Behavioral and Social Sciences Research, and the Global Obesity Prevention Center (U01 HD086861, R01 HD08601301, and U54HD070725); the Agency for Healthcare Research and Quality (R01HS023317); and a pilot grant awarded by the Mid-Atlantic Nutrition Obesity Research Center and funded by the National Institute of Diabetes and Digestive and Kidney Diseases. The funders had no role in the design and conduct of the study; the collection, management, analysis, and interpretation of the data; or the preparation, review, and approval of the manuscript. Disclosure: The authors declared no conflict of interest. Additional Supporting Information may be found in the online version of this article. Received: 14 March 2017; Accepted: 19 July 2017; Published online 26 September 2017. doi:10.1002/oby.21965
Publisher Copyright:
© 2017 The Obesity Society
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2017/10
Y1 - 2017/10
N2 - Objective: This paper estimates specific additional disease outcomes and costs that could be prevented by helping a patient go from an obesity or overweight category to a normal weight category at different ages. This information could help physicians, other health care workers, patients, and third-party payers determine how to prioritize weight reduction. Methods: A computational Markov model was developed that represented the BMI status, chronic health states, health outcomes, and associated costs (from various perspectives) for an adult at different age points throughout his or her lifetime. Results: Incremental costs were calculated for adult patients with obesity or overweight (vs. normal weight) at different starting ages. For example, for a metabolically healthy 20-year-old, having obesity (vs. normal weight) added lifetime third-party payer costs averaging $14,059 (95% range: $13,956-$14,163), productivity losses of $14,141 ($13,969-$14,312), and total societal costs of $28,020 ($27,751-$28,289); having overweight vs. normal weight added $5,055 ($4,967-$5,144), $5,358 ($5,199-$5,518), and $10,365 ($10,140-$10,590). For a metabolically healthy 50-year-old, having obesity added $15,925 ($15,831-$16,020), $20,120 ($19,887-$20,352), and $36,278 ($35,977-$36,579); having overweight added $5,866 ($5,779-$5,953), $10,205 ($9,980-$10,429), and $16,169 ($15,899-$16,438). Conclusions: Incremental lifetime costs of a patient with obesity or overweight (vs. normal weight) increased with the patient's age, peaked at age 50, and decreased with older ages. However, weight reduction even in older adults still yielded incremental cost savings.
AB - Objective: This paper estimates specific additional disease outcomes and costs that could be prevented by helping a patient go from an obesity or overweight category to a normal weight category at different ages. This information could help physicians, other health care workers, patients, and third-party payers determine how to prioritize weight reduction. Methods: A computational Markov model was developed that represented the BMI status, chronic health states, health outcomes, and associated costs (from various perspectives) for an adult at different age points throughout his or her lifetime. Results: Incremental costs were calculated for adult patients with obesity or overweight (vs. normal weight) at different starting ages. For example, for a metabolically healthy 20-year-old, having obesity (vs. normal weight) added lifetime third-party payer costs averaging $14,059 (95% range: $13,956-$14,163), productivity losses of $14,141 ($13,969-$14,312), and total societal costs of $28,020 ($27,751-$28,289); having overweight vs. normal weight added $5,055 ($4,967-$5,144), $5,358 ($5,199-$5,518), and $10,365 ($10,140-$10,590). For a metabolically healthy 50-year-old, having obesity added $15,925 ($15,831-$16,020), $20,120 ($19,887-$20,352), and $36,278 ($35,977-$36,579); having overweight added $5,866 ($5,779-$5,953), $10,205 ($9,980-$10,429), and $16,169 ($15,899-$16,438). Conclusions: Incremental lifetime costs of a patient with obesity or overweight (vs. normal weight) increased with the patient's age, peaked at age 50, and decreased with older ages. However, weight reduction even in older adults still yielded incremental cost savings.
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U2 - 10.1002/oby.21965
DO - 10.1002/oby.21965
M3 - Article
C2 - 28948718
AN - SCOPUS:85029933042
VL - 25
SP - 1809
EP - 1815
JO - Obesity
JF - Obesity
SN - 1930-7381
IS - 10
ER -