Association of obesity with its resultant comorbidities in workers from Hospital Celso Pierro
DOI:
https://doi.org/10.24220/2318-0897v19n1/6a826Keywords:
Comorbidity, Obesity, Health pessonnelAbstract
Objective
The present study attempted to determine the relationship between obesity and its comorbidities in workers from Hospital Celso Pierro in Campinas (SP), Brazil.
Methods
An individual, observational and cross-sectional study of the survey kind analyzed
400 medical records of occupational medicine employees from the Hospital Celso
Pierro. They were randomly chosen from a universe of 2185 employees. The
following indicators were collected: gender, weight, high (for calculating body
mass index) and presence or not of obesity-related comorbidities according to
the literature.
Results
The group aged u16 e30 years presented the highest percentage of individuals
with normal weight (67.4%) while the group aged >50 e66 years presented the highest percentage of individuals with excess weight (64.0%). Coincidently, comorbidities prevailed in this older group. They presented the highest rates of six of the ten studied comorbidities. Regarding the relationship between gender and body mass index, the data showed that there were more overweight and obese (grades I, II and III) females than males. Finally, when the relationship
between body mass index and comorbidities was assessed, comorbidities were significantly more common in individuals with grades I, II and III obesity.
Conclusion
Excess weight is related with an increased rate of comorbidities and affects all age groups and both genders, but preferably females
Downloads
References
Bertakis KD, Azari R. The influence of obesity, alcohol abuse and smoking on utilization of health care services. Health Serv Res. 2006; 38(6):427-34.
van Wier MF, Ariëns GAM, Dekkers JC, Hendriksen IJM, Pronk NP, Tjabe Smid, et al. A randomized controlled trial of a distance counseling lifestyle programme for weight control among an overweight working population. BMC Public Health. 2006; 6(1):140.
Buescher P, Whitmire T, Plescia M. Relationship between body mass index and medical care expenditures for North Carolina adolescents enrolled in Medicaid in 2004. Prev Chronic Dis. 2008; 5(1):1-9.
Wee CC, Phillips RS, Legedza ATR, Davis RB, Soukup JR, Hamel MB. Health care expenditures associated with overweight and obesity among US adults: importance of age and race. Am J Public Health. 2005;
(1):159-65.
Lean MEJ, Han TS, Seidell JC. Impairment of health and quality of life using new US Federal Guidelines for the identification of obesity. Am Med Assoc. 2008; 159:(2)837-43.
Guallar-Castilón P. The relationship of overweight and obesity with subjective health and use of health-care services among Spanish women. Int J Obes. 2002; 26(2):247-52.
Jusot F, Khlat M, Rochereau T, Serme C. Job loss from poor health, smoking and obesity: a national prospective survey in France. J Epidemiol Community Health. 2007; 62(4):332-37.
Sichieri R, Nascimento S, Coutinho W. The burden of hospitalization due to overweight and obesity in Brazil. Cad Saúde Pública. 2007; 23(7):1721-7.
Kouvonen A, Kivimaki M, Cox SJ. Relationship between work stress and body mass index among 45,810 female and male employees. Psychosom Med. 2005; 6(7):577-83.
Overgaard D, Gyntelberg F, Heitmann BL. Psychological workload and body weight: is there association? A review of the literature. Occup Med (Lond). 2004; 54(9):35-41.
Pollack KM, Sorock GS, Slade MD, Cantley L, Sincar K, Taiwo O, et al. Association between body mass index and acute traumatic workplace injury in hourly manufacturing employees. Am J Epidemiol. 2007; 166(2):204-11.
Anderson LH, Martinson BC, Crain Al, Pronk NP, Whitebird RR, O´Connor PJ, et al. Health care charges associated with physical inactivity, overweight, and obesity. Prev Chronic Dis. 2005; 2(4):1-12.
Tucker LA, Friedman GM. Obesity and absenteeism: an epidemiologic study of 10825 employed adults. Am J Health Promot. 1998; 12(3): 202-7.
Tsai SP, Gilstrap EL, Colangelo TA, Menard AK, Ross CE. Obesity and absence in petrochemical workers. AEP. 2007; 18(5):8-14.
Marielle PJ, Swenne GH, Vicent HH, Paulien MB; Overweight and obesity as predictors of absenteeism in the working population of the Netherland. JOEM. 2007; 49(9):75-81.
Ostbye T, Dement JM, Krause K. Obesity and workers’ compensation. Arch Intern Med. 2007; 167(8):766-73.
Schmier J, Jones ML. Cost of obesity in workplace. Scand J Work Environ Health. 2006; 32(1):1-11.
Durden ED, Huse D, Ben-Joseph R, Chu BC. Economic costs of obesity to self-insured employers. J Occup Environ Med. 2008; 50(9):991-7.
Burton WN, Chen CY, Schultz AB, Edington DW. The economic costs associated with body mass index in a workplace. J Occup Environ Med. 1998; 40(9):786-92.
Finkelstein E, Fiebelkorn IC, Wang G. The costs of obesity among full-time employees. Am J Health Promot. 2005; 20(1):45-51.
Trodgon JG, Finkelselstein EA, Hylands T, Dellea PS, Kamal-Bahl SJ. Indirect costs of obesity: a review of the current literature. Obes Rev. 2008; 9(5):489-500.
Cawley J, Rizzo JA, Haas K. Occupation-specific absenteeism costs associated with obesity and morbid obesity. JOEM. 2007; 40(12):1317-24.
Allison DB, Zannolli R, Narayan KMV. The direct health care costs of obesity in the United States. Am J Public Health. 1999; 89(8):1194-9.
van Baal PHM, Polder JJ, Wit GA, Hoogenveen RT, Feenstra TL, Boshuizen HC, et al. Lifetime medical costs of obesity: prevention no cure for increasing health expenditures. Plos medicine. 2008; 25(2):242-9.
Ricci JA, Chee E. Lost productive time associated with excess weight in the U.S. workforce. J Occup Environ Med. 2005; 47(12):1227-34.
Finkelstein E, Fiebelkorn I, Wang G. National medical spending attributable to overweight and obesity: how much, and who´s paying? Health Aff (Mill Wood). 23; Suppl web Exclusive: w3-26.
Quesenberry C, Caan B, Jacobson A. Obesity, health services use, and health care costs among members of a health maintenance organization. Arch Intern Med. 1998; 158:466-72.
Fong RL, Franks P. Body mass index and employmentbased health insurance. BMC Health Serv Res. 2008; 8(101):1-7.
McPherson K. Does preventing obesity lead to reduced health-care costs? PLoS Medicine. 2008; 5(2):183-4.
Colditz GA. Economic costs of obesity. Am Soc Clin Nutr. 2008; (2):503-07.
Raebel MA, Malone DC, Conner DA, Xu S, Porter JA, Lanty FA. Health services use and health care costs of obese and non-obese individuals. Am Med Assoc. 2004; 164(19):2135-40.
Vellinga A, O’Donovan D, de la Harpe D. Length of stay and associated costs of obesity related hospital admissions in Ireland. BMC Health Serv Res. 2008; 8(88):1-7.
