The 25-year health care costs of women who remain overweight after 40 years of age.

Abstract:

BACKGROUND AND PURPOSE:Previously published reports strongly suggest that being overweight is a risk factor for coronary heart disease, hypertension, diabetes, gallstones, and osteoarthritis in women. Substantial health care and medication costs are associated with these chronic health conditions. We used an incidence-based analysis to estimate the excess costs associated with women maintaining an overweight status during the 25-year period from age 40 to 65 years. METHODS:The health care costs of three hypothetical cohorts of 10,000 40-year-old women were extrapolated to age 65. The non-overweight cohort maintained a body mass index (BMI; weight [kg]/height [m2]) of 21 to 24.9; the moderately overweight cohort maintained a BMI of 25 to 28.9; the severely overweight cohort maintained a BMI of > or = 29. The number of fatal and nonfatal health outcomes in each cohort for heart disease, hypertension, diabetes mellitus, gallstones, and osteoarthritis was calculated with their associated costs. RESULTS:We estimated that when compared with the non-overweight cohort of 10,000 women, the cohort of 10,000 women who had a BMI of > or = 29 incurred excess costs of $53 million over a 25 year period (discounted at 3% per year) and 497 excess deaths. The cohort of 10,000 women who had a BMI of 25-28.9 incurred excess costs of $22 million (discounted at 3% per year) and 212 excess deaths, compared with the non-overweight cohort. CONCLUSIONS:The results of this study indicate that an estimated $16 billion will be spent during the next 25 years treating health outcomes associated with overweight in middle-aged women in the United States. Thus, a substantial health burden is associated with the increasing prevalence of overweight women in the United States. Preventing excess coronary heart disease, gall-stones, osteoarthritis, hypertension, and diabetes through prevention of weight gain, particularly among reproductive-aged women, may be a cost-effective strategy.

journal_name

Am J Prev Med

authors

Gorsky RD,Pamuk E,Williamson DF,Shaffer PA,Koplan JP

subject

Has Abstract

pub_date

1996-09-01 00:00:00

pages

388-94

issue

5

eissn

0749-3797

issn

1873-2607

journal_volume

12

pub_type

杂志文章
  • Adult active transportation: adding habit strength to the theory of planned behavior.

    abstract:BACKGROUND:Many health behaviors have a history of repetition and, as a result, may become habitual. Because including a measure of habit strength may add depth to current theoretical models on health behavior, the present study explored the issue of habit strength within the context of the theory of planned behavior r...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2008.10.019

    authors: de Bruijn GJ,Kremers SP,Singh A,van den Putte B,van Mechelen W

    更新日期:2009-03-01 00:00:00

  • Fifteen-year Weight and Disordered Eating Patterns Among Community-based Adolescents.

    abstract:INTRODUCTION:The current study aims to characterize weight-change trajectories and their concomitant associations with prospectively measured dieting and other disordered eating behaviors among initially nonoverweight adolescents during the transition to adulthood. METHODS:A population-based sample (n=1,091) self-repo...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2017.09.005

    authors: Goldschmidt AB,Wall MM,Choo TJ,Evans EW,Jelalian E,Larson N,Neumark-Sztainer D

    更新日期:2018-01-01 00:00:00

  • Identifying and Tracking Gas Suicides in the U.S. Using the National Violent Death Reporting System, 2005-2012.

    abstract:INTRODUCTION:Identifying the source and specific type of gas used in suicides is difficult using most data systems owing to limitations in ICD-10 coding. The National Violent Death Reporting System (NVDRS), with its rich collection of both coded and free-text variables, has the potential to overcome these limitations. ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2016.08.006

    authors: Azrael D,Mukamal A,Cohen AP,Gunnell D,Barber C,Miller M

    更新日期:2016-11-01 00:00:00

  • Housing Disadvantage and Poor Mental Health: A Systematic Review.

    abstract:CONTEXT:This study reviews collective evidence on the longitudinal impact of housing disadvantage (based on tenure, precarity, and physical characteristics) on mental health. It is focused on temporally ordered studies where exposures preceded outcomes, a key criterion to establishing causal evidence. EVIDENCE ACQUISI...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2019.03.018

    authors: Singh A,Daniel L,Baker E,Bentley R

    更新日期:2019-08-01 00:00:00

  • Academic health centers and public health departments: partnership matters.

    abstract:BACKGROUND:The Institute of Medicine has called for increased population-based training for healthcare professions students, and particularly medical students. For this to be effective, students should receive such training in the locations where population-based approaches to care take place, such as public health dep...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2005.08.044

    authors: Boex JR,Keck CW,Piatt E,Nunthirapikorn TN,Blacklow RS

    更新日期:2006-01-01 00:00:00

  • Problem behavior and urban, low-income youth: a randomized controlled trial of positive action in Chicago.

    abstract:BACKGROUND:Youth problem behaviors remain a public health issue. Youth in low-income, urban areas are particularly at risk for engaging in aggressive, violent, and disruptive behaviors. PURPOSE:To evaluate the effects of a school-based social-emotional learning and health promotion program on problem behaviors and rel...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.amepre.2013.01.030

    authors: Lewis KM,Schure MB,Bavarian N,DuBois DL,Day J,Ji P,Silverthorn N,Acock A,Vuchinich S,Flay BR

    更新日期:2013-06-01 00:00:00

  • Assessing state immunization requirements for healthcare workers and patients.

    abstract:BACKGROUND:Laws requiring vaccination for school entry have resulted in high coverage and reduced disease incidence; however, few data exist on the use of similar laws in other settings. This study reviews laws regulating vaccination of healthcare workers (HCWs) and patients in selected healthcare delivery settings. M...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.amepre.2007.02.009

    authors: Lindley MC,Horlick GA,Shefer AM,Shaw FE,Gorji M

    更新日期:2007-06-01 00:00:00

  • Smoking-Cessation Assistance: Before and After Stage 1 Meaningful Use Implementation.

    abstract:INTRODUCTION:Brief smoking-cessation interventions in primary care settings are effective, but delivery of these services remains low. The Centers for Medicare and Medicaid Services' Meaningful Use (MU) of Electronic Health Record (EHR) Incentive Program could increase rates of smoking assessment and cessation assistan...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2017.02.006

    authors: Bailey SR,Heintzman JD,Marino M,Jacob RL,Puro JE,DeVoe JE,Burdick TE,Hazlehurst BL,Cohen DJ,Fortmann SP

    更新日期:2017-08-01 00:00:00

  • Low Muscle Strength Thresholds for the Detection of Cardiometabolic Risk in Adolescents.

    abstract:INTRODUCTION:There is an association between strength and health among adolescents, yet, what remains to be determined is sex-specific cut points for low strength in the detection of risk in this population. The purpose of this study was to determine thresholds of low grip strength in a large cohort (N=1,326) of adoles...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2015.09.019

    authors: Peterson MD,Zhang P,Saltarelli WA,Visich PS,Gordon PM

    更新日期:2016-05-01 00:00:00

  • Cervical Cancer Screening and Incidence by Age: Unmet Needs Near and After the Stopping Age for Screening.

    abstract:INTRODUCTION:Leading professional organizations recommend cervical cancer screening for average-risk women aged 21-65 years. For average-risk women aged >65 years, routine screening may be discontinued if "adequate" screening with negative results is documented. Screening is recommended after age 65 years for women who...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2017.02.024

    authors: White MC,Shoemaker ML,Benard VB

    更新日期:2017-09-01 00:00:00

  • Patient-physician colorectal cancer screening discussions and screening use.

    abstract:BACKGROUND:Little is known about patient-physician colorectal cancer (CRC) screening discussions or how discussion content affects screening use. Analyses conducted in 2004-2005 of patient-physician CRC screening discussion content and its association with screening use are described. METHODS:A mailed survey and retro...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2006.04.010

    authors: Lafata JE,Divine G,Moon C,Williams LK

    更新日期:2006-09-01 00:00:00

  • REPRINT OF: Current Methods of the U.S. Preventive Services Task Force: A Review of the Process.

    abstract::Editor's Note: This article is a reprint of a previously published article. For citation purposes, please use the original publication details: Harris RP, Helfand M, Woolf SH, et al. Current methods of the U.S. Preventive Services Task Force: a review of the process. Am J Prev Med. 2001;20(3S):21-35. The U.S. Preventi...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2020.01.001

    authors: Harris RP,Helfand M,Woolf SH,Lohr KN,Mulrow CD,Teutsch SM,Atkins D,Methods Work Group, Third U.S. Preventive Services Task Force.

    更新日期:2020-03-01 00:00:00

  • Sexual identity and tobacco use in a venue-based sample of adolescents and young adults.

    abstract:BACKGROUND:Tobacco use has been found to be more prevalent among lesbian, gay, bisexual, and transgender (LGBT) adults than among the general population, but there is little information about LGBT youth. This study examined tobacco use in relation to sexual identity in a community venue-based sample of youth. METHODS:...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2008.09.002

    authors: Remafedi G,Jurek AM,Oakes JM

    更新日期:2008-12-01 00:00:00

  • Sensitivity of self-report mammography use in older women.

    abstract:BACKGROUND:Recent survey evidence indicates a decline in mammography use among older women. PURPOSE:The objective of this study was to detect sensitivity of self-reported mammography use and pose evidence-based suggestions to increase survey accuracy. METHODS:Using the 1991-2006 Medicare Current Beneficiary Survey, 1...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2009.07.007

    authors: Craig BM,Quinn GP,Vadaparampil ST

    更新日期:2009-11-01 00:00:00

  • Balance and mobility challenges in older adults: implications for preserving community mobility.

    abstract::Mobility is a critical component of most activities of daily living. Therefore, maintenance of mobility independence is essential for health and well-being. Balance control is a primary requirement for successful mobility. In this article, we first discuss the challenges to mobility and balance that older adults face ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/s0749-3797(03)00179-x

    authors: Frank JS,Patla AE

    更新日期:2003-10-01 00:00:00

  • Medicaid home visitation and maternal and infant healthcare utilization.

    abstract:BACKGROUND:The Michigan Maternal and Infant Health Program (MIHP) is a population-based home-visitation program providing care coordination, referrals, and visits based on a plan of care. MIHP is available to all Medicaid-eligible pregnant women and infants aged ≤1 year in Michigan. PURPOSE:To assess the effects of MI...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2013.05.005

    authors: Meghea CI,Raffo JE,Zhu Q,Roman L

    更新日期:2013-10-01 00:00:00

  • The Medi-Cal Incentives to Quit Smoking Project: Impact of Statewide Outreach Through Health Channels.

    abstract:INTRODUCTION:Little is known about how incentives may encourage low income smokers to call for quitline services. This study evaluates the impact of outreach through health channels on California Medicaid (Medi-Cal) quitline caller characteristics, trends, and reach. STUDY DESIGN:Longitudinal study. SETTING/PARTICIPA...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2018.07.031

    authors: Tong EK,Stewart SL,Schillinger D,Vijayaraghavan M,Dove MS,Epperson AE,Vela C,Kratochvil S,Anderson CM,Kirby CA,Zhu SH,Safier J,Sloss G,Kohatsu ND

    更新日期:2018-12-01 00:00:00

  • Public health detailing of primary care providers: New York City's experience, 2003-2010.

    abstract:BACKGROUND:Given evidence of widespread underuse of recommended clinical preventive services and chronic disease management, New York City developed the Public Health Detailing Program, a primary care provider outreach initiative to increase uptake of best practices on public health priorities. PURPOSE:The goal of the...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2012.03.014

    authors: Dresser MG,Short L,Wedemeyer L,Bredow VL,Sacks R,Larson K,Levy J,Silver LD

    更新日期:2012-06-01 00:00:00

  • Interventions for Childhood Obesity in the First 1,000 Days A Systematic Review.

    abstract:CONTEXT:The "first 1,000 days"-conception through age 24 months-are critical for the development and prevention of childhood obesity. This study systematically reviews existing and ongoing interventions during this period, identifies gaps in current research, and discusses conceptual frameworks and opportunities for fu...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.amepre.2015.11.010

    authors: Blake-Lamb TL,Locks LM,Perkins ME,Woo Baidal JA,Cheng ER,Taveras EM

    更新日期:2016-06-01 00:00:00

  • Economic evaluation of a comprehensive teenage pregnancy prevention program: pilot program.

    abstract:BACKGROUND:Previous research has suggested that comprehensive teenage pregnancy prevention programs that address sexual education and life skills development and provide academic support are effective in reducing births among enrolled teenagers. However, there have been limited data on the costs and cost effectiveness ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2009.08.014

    authors: Rosenthal MS,Ross JS,Bilodeau R,Richter RS,Palley JE,Bradley EH

    更新日期:2009-12-01 00:00:00

  • Characteristics of Adults Who Switched From Cigarette Smoking to E-cigarettes.

    abstract:INTRODUCTION:Because of the rapidly increasing use of electronic cigarettes (e-cigarettes), this study aimed to investigate the individual characteristics and state-level prevalence of U.S. adults who have switched to e-cigarettes from traditional cigarettes. METHODS:Data from the 2012-2013 and 2013-2014 National Adul...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2017.06.033

    authors: Park SH,Duncan DT,Shahawy OE,Lee L,Shearston JA,Tamura K,Sherman SE,Weitzman M

    更新日期:2017-11-01 00:00:00

  • Sociodemographic Patterns of Chronic Disease: How the Mid-South Region Compares to the Rest of the Country.

    abstract:INTRODUCTION:States in the Mid-South region are among the least healthy in the nation. This descriptive study examines sociodemographic differences in the distribution of chronic diseases and health-related behaviors in the Mid-South versus the rest of the U.S., identifying subgroups at increased risk of chronic diseas...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2016.09.004

    authors: Oates GR,Jackson BE,Partridge EE,Singh KP,Fouad MN,Bae S

    更新日期:2017-01-01 00:00:00

  • Cigarette smoking and risk of clinical relapse in patients with Crohn's disease.

    abstract::Risk of clinical relapse among cigarette smokers and nonsmokers was examined in a cohort of 74 adult Crohn's disease (CD) patients who were identified and followed at monthly intervals for six months. We measured clinical activity by a weighted symptom index used previously. Relapse at any point during the study was d...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:

    authors: Duffy LC,Zielezny MA,Marshall JR,Weiser MM,Byers TE,Phillips JF,Ogra PL,Graham S

    更新日期:1990-05-01 00:00:00

  • Neighborhood walkability: field validation of geographic information system measures.

    abstract:BACKGROUND:Given the health benefits of walking, there is interest in understanding how physical environments favor walking. Although GIS-derived measures of land-use mix, street connectivity, and residential density are commonly combined into indices to assess how conducive neighborhoods are to walking, field validati...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2013.01.033

    authors: Hajna S,Dasgupta K,Halparin M,Ross NA

    更新日期:2013-06-01 00:00:00

  • Changes in the black-white infant mortality gap from 1983 to 1991 in the United States.

    abstract:BACKGROUND:The long-standing difference in infant mortality in the United States between black and white infants has increased in recent years. To help identify the cause, we evaluated changes in birthweight distributions (BDs) and birthweight-specific mortality rates (BSMRs) among black and white infants born in the U...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/s0749-3797(98)00052-x

    authors: Carmichael SL,Iyasu S

    更新日期:1998-10-01 00:00:00

  • Findings from Project HeartBeat! Their importance for CVD prevention.

    abstract::Project HeartBeat! was a longitudinal "growth" study of cardiovascular disease (CVD) risk factors and body composition in childhood and adolescence. Its findings demonstrate patterns of change from ages 8 to 18 years in anthropometric indicators of adiposity, blood lipid components, and blood pressure measurements, as...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2009.04.013

    authors: Labarthe DR,Dai S,Day RS,Fulton JE,Grunbaum JA,Project HeartBeat! Writing Group.

    更新日期:2009-07-01 00:00:00

  • Influenza A (H1N1) 2009 monovalent vaccination among adults with asthma, U.S., 2010.

    abstract:BACKGROUND:The 2009 pandemic influenza A (H1N1) virus (2009 H1N1) was first identified in April 2009 and quickly spread around the world. The first doses of influenza A (H1N1) 2009 monovalent vaccine (2009 H1N1 vaccine) became available in the U.S. in early October 2009. Because people with asthma are at increased risk...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2011.08.004

    authors: Lu PJ,Callahan DB,Ding H,Euler GL

    更新日期:2011-12-01 00:00:00

  • Uptake of pneumococcal conjugate vaccine among children in the 1998-2002 United States birth cohorts.

    abstract:BACKGROUND:Routine childhood immunization with pneumococcal conjugate vaccines (PCV7s) began in 2000 in the United States. Despite vaccine shortages, reductions in invasive pneumococcal disease occurred rapidly during 2000-2002. Age-appropriate PCV7 coverage was estimated and characteristics associated with undervaccin...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2007.09.028

    authors: Nuorti JP,Martin SW,Smith PJ,Moran JS,Schwartz B

    更新日期:2008-01-01 00:00:00

  • Disease outbreak detection system using syndromic data in the greater Washington DC area.

    abstract:BACKGROUND:Many infectious disease outbreaks, including those caused by intentional attacks, may first present insidiously as ill-defined syndromes or unexplained deaths. While there is no substitute for the astute healthcare provider or laboratorian alerting the health department of unusual patient presentations, susp...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/s0749-3797(02)00490-7

    authors: Lewis MD,Pavlin JA,Mansfield JL,O'Brien S,Boomsma LG,Elbert Y,Kelley PW

    更新日期:2002-10-01 00:00:00

  • Developing a Partnership for Change: The National Collaborative on Childhood Obesity Research.

    abstract::Rising obesity rates in the U.S. over the past several decades, particularly among children and adolescents, led to an increased focus on research addressing obesity prevention and public- and private-sector initiatives on healthy eating and physical activity. Groups conducting prevention initiatives recognized that t...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2017.12.001

    authors: Writing Group for the National Collaborative on Childhood Obesity Research (NCCOR).

    更新日期:2018-03-01 00:00:00