Authors
Aldo Zárate, Marco Crestto, Alberto Maiz, Gonzalo Ravest, María Inés Pino, Gonzalo Valdivia, Manuel Moreno, Luis Villarroel
Publication date
2009/3
Journal
Revista médica de Chile
Volume
137
Issue
3
Pages
337-344
Publisher
Sociedad Médica de Santiago
Description
ZARATE, Aldo et al. Influencia de la obesidad en los costos en salud y en el ausentismo laboral de causa médica en una cohorte de trabajadores. Rev. méd. Chile [online]. 2009, vol. 137, n. 3, pp. 337-344. ISSN 0034-9887. http://dx. doi. org/10.4067/S0034-98872009000300003.
Background: The health associated costs of obesity can represent between 2% and 9% of the total health costs of a given country. Aim: To assess the impact of obesity on health care costs and absenteeism in a cohort of mine workers. Patients and wethods: Prospective study of 4.673 men, employees of a mining company, aged 49±7 years that were followed for 24±11 months. Total health care cost and days of sick leave were recordedfor each individual. The association between obesity and these variables was analyzed by logistic regression adjusting for co-morbidities, age and other variables. Results: Mean annual health care costs for obese workers were 17% higher (p< 0.001) compared to workers with normal weight and 58% higher (p< 0.001) for workers with severe and morbid obesity. Mean annual days of sick leave increased by 25% o in the obese (p= 0.002) and by 57% o in subjects with severe and morbid obesity (p< 0.001). For health care costs the most significant predictors were: presence of diabetes mellitus (Odds ratio (OR) 6.21, 95% o confidence intervals (95% CI) 4.9 to 7.9), hypertension (OR 3-99; 95% CI3-4 to 4.6) and severe and morbid obesity (OR 2.55, 95% o CI 1.9 to 3-4). For absenteeism the most significant predictors were: presence of diabetes mellitus (OR 1.58, 95%> CI 1.2 to 2.0), hypertension (OR 1, 34, 95%> CI 1.2 to 1.6) and severe …
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