Impact of waist circumference difference on health-care cost among overweight and obese subjects: the PROCEED cohort

Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Karen PendergastJean-Pierre Despres

Abstract

To estimate the incremental effect of waist circumference (WC) on health-care costs among overweight and obese subjects after adjusting for body mass index (BMI). A prospective study. The subjects were members of Internet panels in the United States (US) and Germany. 10,816 individuals (United States: n = 5410; Germany: n = 5406) aged 30-70 years with BMI scores between 20 and 35 kg/m(2) were recruited and grouped by category: healthy weight (BMI 20-24.9 kg/m(2)), overweight (BMI 25-29.9 kg/m(2)), and obese (BMI 30-35 kg/m(2)). Within the overweight and obese categories, the individuals were stratified by sex and within those subgroups, characterized as above or below the median WC. The subjects self-reported weight, WC, and health-care resource use at baseline, 3 months, and 6 months using online questionnaires. Over 65% of the recruited subjects completed all surveys. Resource utilization was translated into health-care costs by multiplying unit costs from national sources in each country. Annualized health costs were summarized for subjects with low and high WC within the overweight and obese categories. A two-part model generated predicted annual costs because of the WC difference controlling for BMI, demographic, and lifes...Continue Reading

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Apr 22, 2014·Journal of the Academy of Nutrition and Dietetics·Dara W FordGordon L Jensen
May 1, 2013·Cirugía española·Raquel Sánchez-SantosAntonio Torres García
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Feb 23, 2011·Preventive Medicine·Ningqi HouPenny Gordon-Larsen
Jun 13, 2018·International Journal of Environmental Research and Public Health·Gavin R McCormackMelissa L Potestio

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