Abstract
BackgroundExcess body weight has become a major public health problem worldwide, and the burden of overweight and obesity was calculated in this work from a health economics perspective.ObjectiveTo estimate the burden of disease attributable to overweight and obesity among males and females aged 20 years and older using years of life lost (YLL) and age-standardized YLL rates (ASYLL), and to rank the leading causes of premature death.DesignA cross-sectional study took place (2010–2014) and 6,054 deaths were analyzed. Thirteen basic causes of death associated with overweight or obesity were included. The population attributable fraction (PAF), YLL, and ASYLL were calculated.ResultsThe overall burden attributable to overweight and obesity was 36,087 YLL, and the estimated ASYLL per 10,000 persons was 1,098 and 1,029 in males and females, respectively. Type 2 diabetes mellitus was the main cause of premature death (males, 968 ASYLL; females, 772 ASYLL).ConclusionsOverweight and obesity are major risk factors of chronic diseases that are main causes of premature death in the study population. Strategies for preventing overweight and obesity may decrease the incidence and mortality associated with these non-communicable diseases. ASYLL seems to be an indicator that is particularly well adapted to decision-making in public health.
Highlights
Overweight and obesity (BMI ]30 kg/m2) are public health problems because of the substantial burden they represent for health systems in terms of health care and related costs [1, 2]
Data from 6,054 participants, for which death was attributable to overweight or obesity, were analyzed
In age-stratified analyses, years of life lost (YLL) rate per 10,000 persons was higher in males than in females
Summary
Overweight (body mass index, BMI, 25Á29.9 kg/m2) and obesity (BMI ]30 kg/m2) are public health problems because of the substantial burden they represent for health systems in terms of health care and related costs [1, 2]. Worldwide, according to the Global Burden of Diseases (GBD) study, in 2010 exposure to overweight and obesity was estimated to cause 3.4 million deaths and 4% of overall years of life lost (YLL) [7]. Excess body weight has become a major public health problem worldwide, and the burden of overweight and obesity was calculated in this work from a health economics perspective. Objective: To estimate the burden of disease attributable to overweight and obesity among males and females aged 20 years and older using years of life lost (YLL) and age-standardized YLL rates (ASYLL), and to rank the leading causes of premature death. Conclusions: Overweight and obesity are major risk factors of chronic diseases that are main causes of premature death in the study population. ASYLL seems to be an indicator that is well adapted to decision-making in public health
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