Obesity

Burden of obesity in local health systems: A comparative analysis across three integrated care boards in England with a focus on type 2 diabetes

Diabet MedPublished Economic modelling study

Authors' conclusion

This study demonstrates the significant and variable local economic burden of obesity. Disparities in per-patient costs, sex and complication profiles highlight the need for stratified, data-driven commissioning. Targeted prevention in high-burden areas can help ICBs reduce system pressures and guide effective local strategies.

Study context

Population
Adults living with obesity in three Integrated Care Boards in Englandadults with obesity
Participants
599,248 adults
Comparison
Leicester, Leicestershire and Rutland vs Bedfordshire, Luton and Milton Keynes vs Northamptonshire
Outcome
Economic burden of obesity (health care, social care, productivity and economic and quality of life associated costs), with focus on T2D and related complications
Methodological detailsadapted burden of obesity model, comparative analysis across three integrated care boards
  • Adapted burden of obesity model
  • Comparative analysis across three integrated care boards

Main finding

As reported in the abstract

Economic burden of obesity

Informal care share of social care expenditure

96%

Further findings

Obesity-related complications

T2D and hypertension among the most prevalent and costly complications; stroke and coronary heart disease had the highest per-patient costs
Coexisting coronary heart disease with T2D significantly increased treatment costs

Age and sex

Obesity more prevalent among working-age adults; males incurred higher per-patient complication costs across all conditions and ICBs

Original publication

Burden of obesity in local health systems: A comparative analysis across three integrated care boards in England with a focus on type 2 diabetes. Diabet Med. Published 31 January 2026. doi:10.1111/dme.70241

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