IMPACT OF OBESITY ON AGE-SPECIFIC PREVALENCE OF CHRONIC DISEASES IN THE UNITED STATES
Author(s)
Patel JG, Shah A, Rajan SS, Aparasu RR, Johnson MLUniversity of Houston, Houston, TX, USA
OBJECTIVES: To examine prevalence of chronic comorbid diseases among obese adults in the United States METHODS: Medical Expenditure Panel Survey Data from 2005 – 2007 was used for the analysis. Adults with age ≥ 20 years and BMI ≥ 30, were defined obese. Unadjusted age-specific prevalence of hypertension, diabetes, dyslipidemia, CHD, osteoarthritis and asthma were obtained among obese, non-obese and entire population using descriptive analysis. Adjusted prevalence estimates were obtained using regression analysis after controlling for socio-demographic factors. Age-specific prevalence ratios (relative risk) were obtained by taking ratios of predicted prevalence rates for obese versus non-obese individuals. Bootstrapped 95% confidence intervals were generated for prevalence ratios. RESULTS: Among obese adults the unadjusted prevalence of hypertension was (34.40%), followed by dyslipidemia (21.87%), diabetes (16.34%) and asthma (6.92%). Adjusted prevalence of chronic diseases was always higher among obese as compared to non-obese and the entire population. The prevalence ratio for diabetes was 3.06 (95% C.I: 2.82 – 3.30) at the age of 20 and was 2.20 (95% C.I: 2.09 – 2.31) at 70 years. At any age, obesity increases the likelihood of these conditions by at least 50% as compared to non-obese individuals. CONCLUSIONS: Prevalence ratios indicate that obesity has highest impact on prevalence of diabetes; followed by hypertension, osteoarthritis, dyslipidemia. Study findings suggest that obesity is not only a disease, but may also be a cause for other chronic disorders. There is a need to develop effective interventions to combat obesity and thus minimize its impact on other diseases in United States.
Conference/Value in Health Info
2011-05, ISPOR 2011, Baltimore, MD, USA
Value in Health, Vol. 14, No. 3 (May 2011)
Code
PSY59
Topic
Health Service Delivery & Process of Care
Topic Subcategory
Hospital and Clinical Practices
Disease
Diabetes/Endocrine/Metabolic Disorders