Obesity morbidity and health care costs in France: an analysis of the 1991-1992 Medical Care Household Survey

OBJECTIVE: To estimate the direct medical costs associated with obesity in France. DESIGN: Analysis of the French 1991-1992 National Household Survey database comprising a representative sample of 14,670 individuals aged 18 y and over. A subgroup of subjects with a body mass index (BMI) greater than...

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Published inInternational Journal of Obesity Vol. 24; no. 2; pp. 151 - 155
Main Authors Detournay, B, Fagnani, F, Phillippo, M, Pribil, C, Charles, M.A, Sermet, C, Basdevant, A, Eschwege, E
Format Journal Article
LanguageEnglish
Published Basingstoke Nature Publishing 01.02.2000
Nature Publishing Group
Subjects
Adolescent
Adult
Biological and medical sciences
Body Mass Index
Case-Control Studies
Cost of Illness
educational status
Female
France - epidemiology
gender
Health care
health care costs
Health care expenditures
Health Surveys
household surveys
Households
Humans
Male
Medical sciences
Metabolic diseases
Middle Aged
Morbidity
Obesity
Obesity - economics
Obesity - epidemiology
Prevalence
Risk Factors
France
Europe
Human
Obesity
Prevalence
Health economy
Nutrition disorder
Risk factor
Cost analysis
Epidemiology
Nutritional status
Public health
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Summary:OBJECTIVE: To estimate the direct medical costs associated with obesity in France. DESIGN: Analysis of the French 1991-1992 National Household Survey database comprising a representative sample of 14,670 individuals aged 18 y and over. A subgroup of subjects with a body mass index (BMI) greater than or equal to 30 kg/m2 was compared with a control group of normal-weight individuals (BMI 18.5-25 kg/m2) matched on age, gender and education level. MEASUREMENTS: Self-reported weight and height used to calculate individual body mass index and health expenditures in a 3 month period, and morbidity as declared by respondents to the national household survey and verified on medical records. RESULTS: The direct cost attributable to obesity (BMI greater than or equal to 30 kg/m2) was estimated to be in the range 4.2-8.7 billion French Francs (FF) in 1992 value, that is between 0.7 and 1.5% of total health expenditures. CONCLUSION: These results were of the same order of magnitude as similar estimates obtained by a top-down approach for the same year and setting.
ISSN:0307-0565
1476-5497
DOI:10.1038/sj.ijo.0801099