Estimates of reduction in prevalence of diabetes mellitus and health care costs reduced through the intervention program for obese people in Japan

Nihon eiseigaku zasshi. Japanese journal of hygiene
Yan Gao, Akira Babazono

Abstract

In the structural reform bill of health care, which passed the Diet in fiscal year 2006, the number of patients with lifestyle-related diseases and the number of those who will potentially develop such diseases in 2015 should be reduced by 25% from the number in 2008 through the national intervention program against obesity. We estimated the reduction in prevalence of diabetes mellitus, as a representative lifestyle-related disease, and the health care costs reduced by controlling obesity. Firstly, we estimated the prevalence (95% confidence interval) of obese people by conducting the National Health and Nutrition Examination Survey in 2005. Secondly, we estimated the proportion of obese people that should be reduced in order to reduce diabetes prevalence by 25% using the data from the National Diabetic Patients Survey in 2002. Thirdly, we estimated changes in prevalence of diabetes mellitus when the proportion of obese people was reduced by 20%, 40%, 60%, 80%, and 100%. Finally, we estimated how much health care costs would be reduced if the number of obese people was reduced by 20%. It is extremely difficult to reduce the prevalence of diabetes mellitus by 25% by only reducing the proportion of obese people. From our estimati...Continue Reading

References

Jan 1, 1990·Diabetes Research and Clinical Practice·Y MatsuzawaS Tarui
Aug 5, 1999·American Journal of Public Health·D B AllisonK M Narayan
Feb 24, 2001·BioFactors·Y MatsumuraH Tanaka
Jul 18, 2002·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·S KuriyamaS Hisamichi
Aug 3, 2004·American Journal of Epidemiology·Katherine M FlegalDavid F Williamson
May 20, 2005·Sozial- Und Präventivmedizin·Alexandra SchmidUlrich Keller
Dec 24, 2005·Nihon eiseigaku zasshi. Japanese journal of hygiene·Reiko IshiharaKazuo Nishioka

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