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Health Costs Of Obesity
Exceed Smoking And Drinking
Treating obesity-related disorders costs as much
or more than illnesses caused by aging, smoking
and problem drinking.
It accounts for 2 percent of the national health
expenditure in France and Australia, more than 3
percent in Japan and Portugal and 4 percent in the
Netherlands.
A review of research into the economic causes and
consequences of obesity presented at the 14th European
Congress on Obesity showed that in 2003 up to $96.7
billion was spent on obesity problems in the United
States.
"An increase in the prevalence of obesity increases
the healthcare costs," Anne Wolf of the University
of Virginia School of Medicine said.
"As age increases so do healthcare costs for obesity."
Obesity, which is a risk factor for chronic diseases
like diabetes, is calculated using the body mass
index (BMI) -- dividing weight in kilograms by height
in meters squared.
A BMI of more than 30 is considered obese, more
than 40 is very severe.
The costs of dealing with the consequences of obesity
rise along with the severity of the disorder. Being
overweight or obese increases the odds of suffering
from diabetes, cardiovascular disease and osteoarthritis
which are the major reasons for obesity healthcare
costs.
"Each unit increase in BMI is associated with a
2.3 percent cost increase," said Wolf.
Although most of the cost analysis for obesity
has been done in the United States, where about
30 percent of adults are obese, Wolf said the figures
would be comparable for other western countries
with rising rates of obesity.
An estimated 10-20 percent of men and 10-25 percent
of women in European countries are obese.
Along with hefty health costs, obesity is also
associated with a greater loss of productivity and
increased rates of disability.
Studies in the United States have shown that about
6 percent of people with a healthy weight are unable
to work but the figure rises to 10 percent or more
among the obese.
Much of the healthcare spending on obesity-related
problems is due to prescription drug costs and more
hospital stays.
Obese patients are more likely to require medication
for diabetes, cardiovascular disease, pain relief,
asthma and other illnesses than people with a normal
weight, according to Wolf.
Despite the health and economic consequences of
obesity, which affects more than 300 million people
worldwide including a growing number of children
and adolescents, health experts believe it is one
of the most neglected public health issues.
"It is a very serious problem," said Wolf. "The
excess costs of obesity are present in all ages."