The relationship between body weight and drug costs: An Italian population-based study

Esposti, Ezio Degli; Sturani, A; Valpiani, Giorgia; Martino, Mirko Di; Ziccardi, Francesco; Cassani, A. R.; Baraccani, Cristina; Gentile, Marco; Puglia, M.; Esposti, Luca Degli

doi:10.1016/j.clinthera.2006.09.016

Cited by 20 publications

(20 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…10,15 For nervous system drugs, previous results have been mixed. A few studies reported no association between nervous system drugs, 9 and the subgroups of psychoanaleptics 11 and antidepressants 10 and BMI. However, positive associations have been reported for analgesics, 12 drugs for psychiatric disorders 13 and drugs for the central nervous system.…”

Section: Comparison With Previous Researchmentioning

confidence: 99%

“…6,7,9,10,12 Also medication data were mostly obtained through self-report, 13,[15][16][17][18][19] although some studies used data of GP records 9,10 or records of drug reimbursements. 11,12,14 For this study, data of the Doetinchem Cohort Study are used with measured rather than self-reported data on BMI. 20 Further, data on the use of prescription drugs are available through linkage to a pharmacy register (PHARMO).…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have shown that overweight and obesity are associated with increased drug use. [9][10][11][12][13][14][15] Much less information is available on the relation between physical activity levels and use of prescription drugs.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Relation between body mass index, physical inactivity and use of prescription drugs: the Doetinchem Cohort Study

et al. 2010

View full text Add to dashboard Cite

Background: Obesity and physical inactivity are associated with several diseases such as diabetes, cardiovascular diseases, musculoskeletal complaints, osteoporosis, certain types of cancer and depression. However, few data are available on the specific types of medication associated with obesity and physical inactivity. Objective: The aim of this study was to determine the independent association of body mass index (BMI) and physical inactivity with use of specific classes of prescription drugs, and the interaction between BMI and physical inactivity. Methods: The Doetinchem Cohort Study is a population-based longitudinal study. We analyzed cross-sectional data of 1703 men and 1841 women, examined between 1998 and 2002, for whom drug-dispending data were available from the PHARMO database. Drugs were coded according to the WHO Anatomical Therapeutic Chemical (ATC) classification system. Body weight was measured during the physical examination. Physical activity was assessed using an extensive questionnaire. Persons were defined as a user of a certain drug class if they filed at least one prescription in the year around ( ± 6 months) the examination. Results: Compared with normal weight persons (BMI 18.5-25 kg m À2 ), obese persons (BMI430 kg m À2 ) had a higher use of prescription drugs of several drug classes, especially cardiovascular drugs (OR (95% CI): 3.83 (2.61-5.64) in men and 2.80 (2.03-3.86) in women) and diabetes drugs (OR (95% CI): 5.72 (2.32-14.14) in men and 3.92 (1.80-8.54) in women). In women, physical inactivity was also associated with higher use of certain drug classes, such as drugs for blood and bloodforming organs (OR (95% CI): 2.11 (1.22-3.65)) and musculoskeletal drugs (OR (95% CI): 2.07 (1.45-2.97)), whereas in men this was not the case. We found no interaction between BMI and physical inactivity with respect to use of prescription drugs. Conclusion: In both men and women, obesity was associated with a higher use of several types of prescription drugs, whereas physical inactivity was only associated with a higher use of certain drug classes in women.

show abstract

Section: Comparison With Previous Researchmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Relation between body mass index, physical inactivity and use of prescription drugs: the Doetinchem Cohort Study

et al. 2010

View full text Add to dashboard Cite

show abstract

“…An Italian study detailing medication costs in 2622 patients showed that the obese group required more prescriptions annually with a 153% increase in annual medication cost over the normal weight group (Esposti et al, 2006). Another study found obesity resulted in a 47% increase in pharmacy claims by state employees in Arkansas (Hill et al, 2009).…”

Section: Medication Dosage In Obese Patientsmentioning

confidence: 99%

Caesarean Section and Maternal Obesity

O’Dwyer¹,

Turner²

2012

Cesarean Delivery

View full text Add to dashboard Cite

“…Interestingly, health claims of obese workers were even higher in high-risk occupations with high physical demands and ergonomic stress (Ostbye et al 2007;Kuehl et al 2012). Ultimately, obesity is reported to reduce participation in the workforce (Degli Esposti et al 2006) and is associated with increased absenteeism, disability, and health claims (Han et al 2009) as well as attenuated salaries (Baum et al 2004) and productivity (Bhattacherjee et al 2003), with a 13-fold increase in lost working days and 11-fold increase in compensation claims (Tunceli et al 2006).…”

Section: Impact Of Chronic Health Disorders On Physical Functionmentioning

confidence: 99%

Age, human performance, and physical employment standards

Kenny

Groeller

McGinn

et al. 2016

Appl. Physiol. Nutr. Metab.

101

View full text Add to dashboard Cite

Abstract:The proportion of older workers has increased substantially in recent years, with over 25% of the Canadian labour force aged ≥55 years. Along with chronological age comes age-related declines in functional capacity associated with impairments to the cardiorespiratory and muscular systems. As a result, older workers are reported to exhibit reductions in work output and in the ability to perform and/or sustain the required effort when performing work tasks. However, research has presented some conflicting views on the consequences of aging in the workforce, as physically demanding occupations can be associated with improved or maintained physical function. Furthermore, the current methods for evaluating physical function in older workers often lack specificity and relevance to the actual work tasks, leading to an underestimation of physical capacity in the older worker. Nevertheless, industry often lacks the appropriate information and/or tools to accommodate the aging workforce, particularly in the context of physical employment standards. Ultimately, if appropriate workplace strategies and work performance standards are adopted to optimize the strengths and protect against the vulnerability of the aging workers, they can perform as effectively as their younger counterparts. Our aim in this review is to evaluate the impact of different individual (including physiological decline, chronic disease, lifestyle, and physical activity) and occupational (including shift work, sleep deprivation, and cold/heat exposure) factors on the physical decline of older workers, and therefore the risk of work-related injuries or illness.Key words: aging, worker, work ability, functional capacity, health, fitness, exercise.Résumé : La proportion de travailleurs âgés s'est accrue substantiellement au cours des dernières années; plus de 25 % de la main d'oeuvre au Canada est âgée de ≥55 ans. Avec l'avancement en âge vient le déclin de la capacité fonctionnelle associé à des troubles des systèmes cardiorespiratoire et musculaire. Ainsi, selon des études, il y a une diminution dans la production de travail des individus plus âgés et dans leur capacité à effectuer et maintenir un rythme de travail. Toutefois, la documentation scientifique rapporte des points de vue divergents à propos des conséquences du vieillissement de la main-d'oeuvre, car les tâches physiquement exigeantes peuvent être associées à une amélioration ou à un maintien des fonctions physiques. De plus, les méthodes actuelles d'évaluation des fonctions physiques des travailleurs plus âgés ne sont pas pertinentes ou ne sont pas suffisamment ajustées aux tâches courantes, ce qui entraîne une sous-estimation de la capacité physique des travailleurs plus âgés. Quoi qu'il en soit, cette industrie ne dispose pas souvent des informations ou des outils pertinents pour s'ajuster à la main-d'oeuvre vieillissante notamment dans le contexte des normes de travail physique. En fin de compte, si on adopte de bonnes stratégies et des normes de travail ajustées aux forces et à la...

show abstract

The relationship between body weight and drug costs: An Italian population-based study

Cited by 20 publications

References 18 publications

Relation between body mass index, physical inactivity and use of prescription drugs: the Doetinchem Cohort Study

Relation between body mass index, physical inactivity and use of prescription drugs: the Doetinchem Cohort Study

Caesarean Section and Maternal Obesity

Age, human performance, and physical employment standards

Contact Info

Product

Resources

About