Obesity

Eight‐year trends in obesity‐related complications and health care cost progression in a US population with obesity: A retrospective cohort study

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

ORC rates and health care costs increase over time, and are greater in higher obesity classes. This could be mitigated by approaches that limit obesity progression.

Study context

Population
Adults with obesity (index BMI 30 to <70 kg/m², 1 January 2007–31 March 2012) with ≥8-year continuous enrolment post-index, USeligible
Participants
28,583 adults
Exposure
Obesity class II and class III vs class I
  • Class I obesityn = 17,892reference
  • Class II obesityn = 6,550
  • Class III obesityn = 4,141
Outcome
Obesity-related complications (ORCs) (five specific) and direct health care costs, by obesity class
Follow-up
8 years
Methodological detailslinked US medical records and administrative claims databases, stratified by obesity class
  • Linked US medical records and administrative claims databases
  • Stratified by obesity class

Main finding

As reported in the abstract

baseline to year 8

Higher costs

26.8%

year 1; higher with class III

Higher costs

40.7%

year 8; higher with class III

Observational data: associations, not effects.

Original publication

Eight‐year trends in obesity‐related complications and health care cost progression in a US population with obesity: A retrospective cohort study. Diabetes Obes Metab. Published 7 November 2022. doi:10.1111/dom.14897

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