原创力文档waist circumference and body mass index as predictors of health care costs腰围和体重指数作为医疗成本的预测.pdfVIP
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waist circumference and body mass index as predictors of health care costs腰围和体重指数作为医疗成本的预测
Waist Circumference and Body Mass Index as Predictors
of Health Care Costs
1,2 1,2 1 1 3
Betina Højgaard *, Dorte Gyrd-Hansen , Kim Rose Olsen , Jes Søgaard , Thorkild I. A. Sørensen
1 Danish Institute for Health Services Research, Copenhagen, Denmark, 2 Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark, 3 Institute of
Preventive Medicine, Copenhagen University Hospital, Centre for Health and Society, Copenhagen, Denmark
Abstract
Background: In the present study we analyze the relationship between body mass index (BMI) and waist circumference
(WC) and future health care costs. On the basis of the relation between these anthropometric measures and mortality, we
hypothesized that for all levels of BMI increased WC implies added future health care costs (Hypothesis 1) and for given
levels of WC increased BMI entails reduced future health care costs (Hypothesis 2). We furthermore assessed whether a
combination of the two measures predicts health care costs better than either individual measure.
Research Methodology/Principal Findings: Data were obtained from the Danish prospective cohort study Diet, Cancer and
Health. The population includes 15,334 men and 16,506 women 50 to 64 years old recruited in 1996 to 1997. The
relationship between future health care costs and BMI and WC in combination was analyzed by use of categorized and
continuous analyses. The analysis confirms Hypothesis 1, reflecting that an increased level of abdominal fat for a given BMI
gives higher health care costs. Hypothesis 2, that BMI had a protective effect for a given WC, was only confirmed in the
continuous analysis and for a subgroup of women (BMI,30 kg/m2
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