Obesity cost-effectiveness of therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Cost-Effectiveness of Therapy

Implications of the present world trend in obesity are:

  • Increased pressure on airline revenues (or increased fares) due to lobbying efforts to increase seating width on commercial airplanes, and due to higher fuel costs: in 2000, extra weight of obese passengers cost airlines and consumers US$275,000,000.[1]
  • Increased litigation by obese persons suing restaurants (for causing obesity)[2] and airlines (over airline seating width)[2] [3]. The Personal Responsibility in Food Consumption Act of 2005 was motivated by a need to reduce litigation from obesity activists.
  • Sizable societal economic costs attributable to obesity, with medical costs attributable to obesity rising to 78.5 billion dollars or 9.1 percent of all medical expenditures in the U.S. as of 1998[3][4]
  • Decreased worker productivity as measured by usage of disability leave and absenteeism at work.[5]
  • A study examining Duke University employees found that those with a BMI>40 filed twice as many workers compensation claims as workers whose BMI was 18.5-24.9, and had more than 12 times as many lost work days. The most common injuries were due to falls and lifting, and affected the lower extremities, wrists or hands, and backs.[6]

References

  1. Dannenberg AL, Burton DC, Jackson RJ (2004). "Economic and environmental costs of obesity: the impact on airlines". American journal of preventive medicine. 27 (3): 264. doi:10.1016/j.amepre.2004.06.004. PMID 15450642.
  2. 109th U.S. Congress (2005-2006) H.R. 554: 109th U.S. Congress (2005-2006) H.R. 554: Personal Responsibility in Food Consumption Act of 2005
  3. Finkelstein EA, Fiebelkorn IA, Wang G (2003). "National medical spending attributable to overweight and obesity: how much, and who's paying". National medical spending attributable to overweight and obesity: how much, and who's paying. Online (May).
  4. "Obesity and Overweight: Economic Consequences". CDC. Retrieved 2007-09-05. Unknown parameter |pubdate= ignored (help)
  5. The Economic Costs of Physical Inactivity, Obesity, and Overweight in California Adults, report by Chenoweth & Associates Inc. for the Cancer Prevention and Nutrition Section, California Center for Physical Activity, California Department of Health Services, Sacramento, CA, 2005.
  6. Ostbye T, Dement JM, Krause KM (2007). "Obesity and workers' compensation: results from the Duke Health and Safety Surveillance System". Arch. Intern. Med. 167 (8): 766–73. doi:10.1001/archinte.167.8.766. PMID 17452538.

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