Abstract
The obesity epidemic is a significant public health issue with adverse impact on health and costs. Applying a life-course perspective to obesity may advance our understanding of the influence of obesity over time on patterns of healthcare utilization in young and middle-aged United States (US) adults.We identified baseline body mass index (BMI) and BMI trajectories, and assessed their association with outpatient visits, emergency department (ED) visits, and hospitalizations in a well-defined population of young and middle-aged US adults.Using the Rochester Epidemiology Project resources, we conducted a retrospective cohort study of adults (N = 23,254) aged 18 to 44 years, with at least 3 BMI measurements, residing in Olmsted County, MN from January 1, 2005 through December 31, 2012.We observed that 27.5% of the population was obese. Four BMI trajectories were identified. Compared to under/normal weight, obese class III adults had higher risk of outpatient visits (adjusted rate ratio [RR], 1.86; 95% confidence intervals [CIs], 1.67-2,08), ED visits (adjusted RR, 3.02; 95% CI, 2.74-3.34), and hospitalizations (adjusted RR, 1.67; 95% CI, 1.59-1.75). BMI trajectory was positively associated with ED visits after adjustment for age, ...Continue Reading
References
Jan 1, 1987·Journal of Chronic Diseases·M E CharlsonC R MacKenzie
Mar 21, 1998·Archives of Internal Medicine·C P QuesenberryA Jacobson
Apr 2, 1999·Obesity Research·E N ZayatL J Cheskin
May 2, 2001·Preventive Medicine·I S OkosunG E Dever
Mar 20, 2002·Health Affairs·Roland Sturm
Mar 29, 2003·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·T J SheehanZ Fang
Oct 27, 2004·Archives of Internal Medicine·Marsha A RaebelFrances A Lanty
Apr 1, 2005·Obesity Research·Klea D Bertakis, Rahman Azari
Nov 8, 2007·JAMA : the Journal of the American Medical Association·Katherine M FlegalMitchell H Gail
Jan 18, 2008·Journal of Health and Social Behavior·Markus H Schafer, Kenneth F Ferraro
Jan 24, 2009·Obesity·Rebecca M Puhl, Chelsea A Heuer
Mar 21, 2009·Obesity·Leonardo Trasande, Samprit Chatterjee
Jul 9, 2009·Obesity·James M NonnemakerEric A Finkelstein
Jul 9, 2010·American Journal of Epidemiology·Philippa J ClarkeLloyd D Johnston
Sep 8, 2010·International Journal of Epidemiology·Truls OstbyeLawrence R Landerman
Mar 25, 2011·American Journal of Epidemiology·Jennifer L St SauverWalter A Rocca
Jul 21, 2011·Preventive Medicine·Patricia H RosenbergerSally Haskell
Aug 30, 2011·Lancet·Y Claire WangMartin Brown
Oct 5, 2011·Archives of Pediatrics & Adolescent Medicine·Laura E PryorSylvana M Côté
Nov 19, 2011·Journal of Health Economics·John Cawley, Chad Meyerhoefer
Feb 7, 2012·Mayo Clinic Proceedings·Jennifer L St SauverWalter A Rocca
Nov 7, 2012·Computer Methods and Programs in Biomedicine·C GenoliniB Falissard
Nov 20, 2012·International Journal of Epidemiology·Jennifer L St SauverWalter A Rocca
Dec 4, 2012·Mayo Clinic Proceedings·Walter A RoccaL Joseph Melton
Dec 25, 2012·Journal of Aging and Health·Anda Botoseneanu, Jersey Liang
Jan 29, 2013·The Gerontologist·Anna Zajacova, Jennifer Ailshire
Feb 5, 2013·Risk Management and Healthcare Policy·Paul Y TakahashiJon O Ebbert
Feb 14, 2013·Obesity·James A Greenberg
May 15, 2013·Obesity·Kimberly A GudzuneJeanne M Clark
Sep 10, 2013·American Journal of Epidemiology·Hui ZhengZhenchao Qian
Sep 21, 2013·Economics and Human Biology·Ariane BatscheiderUNKNOWN GINIplus and LISAplus Study Groups
Oct 19, 2013·Obesity·Samantha M AttardPenny Gordon-Larsen
Feb 27, 2014·JAMA : the Journal of the American Medical Association·Cynthia L OgdenKatherine M Flegal