The Relationship between Obesity and Injuries among U.S. Adults

Finkelstein, Eric A.; Chen, Huey tsyh; Prabhu, Malavika; Trogdon, Justin G.; Corso, Phaedra S.

doi:10.4278/0890-1171-21.5.460

Cited by 160 publications

(116 citation statements)

References 27 publications

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“…The HR for sustaining an injury were 12% (obese class I) to 21% (obese class II) greater among those with excess weight than those with normal weight, which is similar to other studies. 9 In addition, we observed a positive relationship between BMI and injury-related expenditure, possibly because of an increased severity of injury and higher injury frequencies among those obese adults. 3,4 Earlier, a retrospective review study of 316 patients in a Los Angeles County Medical Center found that obese patients had more complications and required longer intensive care unit stays (obese 8±9 days vs non-obese 6±6 days, P ¼ 0.05) after severe trauma.…”

Section: Discussionmentioning

confidence: 60%

“…In brief, our findings were generally consistent with the former studies. 9 Regression results by injury types are presented in Table 3. The regression results include the top five injury types: strain/sprain, contusions, open wounds, superficial, fractures, and other injuries.…”

Section: Resultsmentioning

confidence: 99%

“…[3][4][5] Some studies have identified an increased risk of injury among young overweight and obese groups of people. 6,7 Other research, from cross-sectional studies, has shown that increased body weight is associated with an increased risk of unintentional injury 8,9 and with workplace traumatic injury. 10,11 Past studies that have investigated the relationship between obesity and injury have been limited to mostly western populations, by the use of a specific subgroup of persons, or by the use of a cross-sectional study approach.…”

Section: Introductionmentioning

confidence: 99%

“…3,4 Hence, intuitively when an injury occurs, obese individuals may tend to have greater health care expenditure on treatment; nonetheless, one cross-sectional study found that BMI did not signifi-cantly influence injury treatment costs. 9 Therefore, this study aims to extend the research beyond these study limitations and to evaluate the relationships between BMI, the occurrence of injury, and injury-related expenditure among Taiwanese adults.…”

Section: Introductionmentioning

confidence: 99%

“…8,9,11 Owing to their heterogeneity of culture, lifestyle, body size, and physical activity practices, the findings from western societies may not be generalizable to oriental countries. Taiwan is a typical oriental country and it shares many similar ethnic, cultural (physical activity habits and health behaviors), and health care system characteristics with other oriental Asian countries.…”

Section: Introductionmentioning

confidence: 99%

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Association between obesity and injury among Taiwanese adults

Hu¹,

Chou²,

Chou³

et al. 2009

Int J Obes

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Background: The prevalence of obesity and injury has increased in Asian countries, but the relationship between obesity and injury is less well established. The aim of this study is to evaluate the relationship between body mass index (BMI), the occurrence of injury, and the injury-related expenditure among Taiwanese adults. Design: Retrospective cohort study. Methods: Our study sample consisted of 12 520 adults aged 18 years or older from the 2001 National Health Interview Survey, who had consented to the linking of their survey responses with their National Health Insurance claims records. Cox proportional hazards regression and a two-part model were used for analysis. Results: The results show that there was a positive association between BMI and injury. Relative to normal-weight adults, the hazard ratio (HR) of injury were 1.21 (95% confidence interval (CI): 1.08-1.36) for obese class II adults and 1.11 (95% CI: 1.05-1.18) for obese class I adults, after adjusting for confounding factors. The HR of sustained strain/sprain rose to statistical significance (Po0.001) among persons with a higher BMI. For obese class II and I adults, the adjusted injury-related expenditure levels were 33.4 and 15.6%, respectively, greater than those of normal-weight adults. Conclusions: There was a strong positive relationship between high BMI and increased risk of injury as well as higher injuryrelated expenditure. Specifically, a high BMI was associated with an increased risk of strain/sprain. Low-intensity flexibility, strength, and balance training programs should be considered in addition to weight reduction programs to prevent strain/sprain for obese adults.

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Section: Discussionmentioning

confidence: 60%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Association between obesity and injury among Taiwanese adults

Hu¹,

Chou²,

Chou³

et al. 2009

Int J Obes

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The medical care costs of obesity and severe obesity in youth: An instrumental variables approach

2020

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This paper is the first to use the method of instrumental variables to estimate the impact of obesity and severe obesity in youth. on U.S. medical care costs. We examine data from the Medical Expenditure Panel Survey for 2001–2015 and instrument for child BMI using the BMI of the child's biological mother. Instrumental variables estimates indicate that obesity in youth raises annual medical care costs by $907 (in 2015 dollars) or 92%, which is considerably higher than previous estimates of the association of youth obesity with medical costs. We find that obesity in youth significantly raises costs in all major categories of medical care: outpatient doctor visits, inpatient hospital stays, and prescription drugs. The costs of youth obesity are borne almost entirely by third‐party payers, which is consistent with substantial externalities of youth obesity, which in turn represents an economic rationale for government intervention.

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The association between fracture and obesity is site-dependent: A population-based study in postmenopausal women

Prieto-Alhambra

Premaor

Avilés

et al. 2011

Journal of Bone and Mineral Research

293

211

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The association between obesity and fracture is controversial. We investigated the relationship between body mass index (BMI) and fracture at different skeletal sites in women aged !50 years using data from the Sistema d' Informació per al Desenvolupament de la Investigació en Atenció Primària (SIDIAP) database. SIDIAP contains the computerized medical records of >3400 general practitioners in Catalonia (northeastern Spain), with information on a representative 80% of the population (>5 million people). In 2009, 1,039,878 women aged !50 years were eligible, of whom 832,775 (80.1%) had a BMI measurement. These were categorized into underweight/ normal (302,414 women), overweight (266,798), and obese (263,563). Fractures were ascertained using the International Classification of Diseases, 10th revision (ICD-10) codes. Multivariate Poisson regression models were fitted to adjust for age, smoking, high alcohol intake, type 2 diabetes, and oral corticosteroid use. Hip fractures were significantly less common in overweight and obese women than in normal/underweight women (rate ratio Conversely, obese women were at significantly higher risk of proximal humerus fracture than the normal/ underweight group (RR 1.28 [95% CI 1.04 to 1.58], p ¼ 0.018). Clinical spine, wrist, tibial, and multiple rib fracture rates were not significantly different between groups. An age-related increase in incidence was seen for all BMI groups at all fracture sites; obese women with hip, clinical spine, and pelvis fracture were significantly younger at the time of fracture than normal/underweight women, whereas those with wrist fracture were significantly older. The association between obesity and fracture in postmenopausal women is sitedependent, obesity being protective against hip and pelvis fractures but associated with an almost 30% increase in risk for proximal humerus fractures when compared with normal/underweight women. The reasons for these site-specific variations are unknown but may be related to different patterns of falls and attenuation of their impact by adipose tissue. ß[

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The Relationship between Obesity and Injuries among U.S. Adults

Cited by 160 publications

References 27 publications

Association between obesity and injury among Taiwanese adults

Association between obesity and injury among Taiwanese adults

The medical care costs of obesity and severe obesity in youth: An instrumental variables approach

The association between fracture and obesity is site-dependent: A population-based study in postmenopausal women

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