the burden of obesity in north carolina obesity costs
TRANSCRIPT
The Burden of Obesity in The Burden of Obesity in North CarolinaNorth Carolina
Obesity CostsObesity Costs
U.S. CostsU.S. Costs The direct medical costs of obesity in the U.S.
have been estimated to be greater than $92 billion a year.
Obese people have annual medical costs that are 37% higher than their healthy weight counterparts, representing an additional $732 per obese person per year.
Nearly one half of overweight and obesity attributable medical spending is the responsibility of the public sector (Medicaid and Medicare).
WorkplacesWorkplaces
Correlation of Median Annual Medical Care Expenses^ by Weight Category*, Age 19-75+ (1996-1997)
$2,225 $2,388
$9,736
$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
Healthy Weight Overweight Obese
An
nu
al M
ed
ica
l Ca
re E
xpe
nse
s
^Median medical costs, using Wilcoxon rank sum tests.*Based on the 1998 National Heart, Lung, and Blood Institute guidleines for BMI Source: Edington, D. et al. “The Relationship Betw een National Heart, Lung, and Blood Institute Weight Guidelines and Concurrent Medical Costs in a Manufacturing Population.” American Journal of Health Promotion , Jan/Feb 2003 [Sample of 177,781 employees, retirees, and adult dependents]
U.S. Costs to EmployersU.S. Costs to Employers
Obese workers have 21% higher health Obese workers have 21% higher health care costs compared with those of a care costs compared with those of a healthy weight.healthy weight.
In 1994, the estimated cost of obesity to In 1994, the estimated cost of obesity to U.S. businesses was $12.7 billion, U.S. businesses was $12.7 billion, including $7.7 billion in health care costs including $7.7 billion in health care costs alone.alone.
U.S. Lost WorkdaysU.S. Lost Workdays
Health Care and University Employees' Number of Lost Workdays*, by BMI, Duke Health and Safety
Surveillance System (2007)
1460
376
0
100
200
300
400
Lost Workdays
Nu
mb
er o
f L
ost
Wo
rkd
ays
Healthy Weight
Overweight
Obese
*Per 100 Full-Time Equivalents. Source: Østbye, T. etal. Obesity and Workers’ Compensation: Results From the Duke Health and Safety Surveillance System, Arch Intern Med . 2007;167:766-773.
U.S. Medical Claims & Indemnity U.S. Medical Claims & Indemnity CostsCosts
Health Care and University Employees' Medical Claims and Indemnity Costs, by
BMI, Duke Health and Safety Surveillance System (2007)
$0
$50,000
$100,000
$150,000
Do
llars
Medical Claims Costs* $7,503 $13,338 $94,125
Indemnity ClaimsCosts*
$5,396 $13,569 $117,104
Healthy Weight Overweight Obese
*Per 100 Full-Time Equivalents. Source: Østbye, T. etal. Obesity and Workers’ Compensation: Results From the Duke Health and Safety Surveillance System, Arch Intern Med . 2007;167:766-773.
North Carolina CostsNorth Carolina Costs
In N.C., overweight and obesity accounted In N.C., overweight and obesity accounted for $83 million in medical costs in 2003 for for $83 million in medical costs in 2003 for those with Blue Cross Blue Shield (BCBS) those with Blue Cross Blue Shield (BCBS) coverage. coverage.
The N.C. BCBS customers who were The N.C. BCBS customers who were obese had costs 32% higher than those obese had costs 32% higher than those with healthy weights. with healthy weights.
North Carolina CostsNorth Carolina CostsThe Cost of Unhealthy Lifestyles in North Carolina
Total= $57.36 billion
Excess Weight, $15.57
Physical Inactivity, $11.90
Tobacco Use, $4.27
Diabetes, $3.71
Low Fruit/Vegetable
Intake, $3.07
Depression, $3.93
Hypertension, $4.58
High Cholesterol, $10.33
Excess Weight
Physical Inactivity
High Cholesterol
Hypertension
Tobacco Use
Depression
Diabetes
Low Fruit/VegetableIntake
Source: Tipping the Scales: How Obesity and Unhealthy Lifestyles have become a Weighty Problem for the North Carolina Economy. Be Active North Carolina. Available at: w w w .beactive.org
Estimated Adult Obesity-Attributable Medical Expenditures
(2003 dollars in millions)
Finkelstein EA., Fiebelkorn IC, Wang G. State-level estimates of annual medical expenditures attributable to obesity. Obes Res. 2004; 12: 18-24.
N.C. is 10N.C. is 10thth Highest for Obesity- Highest for Obesity-Attributable CostsAttributable Costs
Estimated Annual Obesity-Attributable Medical Expenditures for Adults
The 10 Most Expensive States
$0$1,000$2,000$3,000$4,000$5,000$6,000$7,000$8,000
CA NY TX PA FL IL OH MI NJ NC
Do
llar
s, i
n m
illi
on
s
Total Population Medicare Medicaid
Finkelstein EA., Fiebelkorn IC, Wang G. State-level estimates of annual medical expenditures attributable to obesity. Obes Res. 2004; 12: 18-24.
Obesity-Attributable Medical CostsObesity-Attributable Medical CostsSoutheastern StatesSoutheastern States
Estimated Annual Obesity-Attributable Medical Expenditures for Adults
$448
$242$320
$405
$662
$285
$374 $385
$0
$100
$200
$300
$400
$500
$600
$700
NorthCarolina
SouthCarolina
Virginia Georgia
Mil
lio
ns
of
Do
llar
s
Medicare
Medicaid
Finkelstein EA., Fiebelkorn IC, Wang G. State-level estimates of annual medical expenditures attributable to obesity. Obes Res. 2004; 12: 18-24.
U.S. Costs: Children and YouthU.S. Costs: Children and Youth
Among children 6-17 years old, obesity-Among children 6-17 years old, obesity-associated annual hospital costs increased from associated annual hospital costs increased from $35 million during 1979-1981 to $127 million $35 million during 1979-1981 to $127 million during 1997-1999.during 1997-1999.
North Carolina Costs: Children North Carolina Costs: Children and Youthand Youth
Direct and indirect Direct and indirect costs of obesity in costs of obesity in N.C. youth were N.C. youth were nearly 16 million nearly 16 million dollars per year.dollars per year.