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The joint impact of cardiovascular risk factors upon medical costs
Kaori Ohmori-Matsuda1, Shinichi Kuriyama, Atsushi Hozawa
1Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan. ohmori-k@umin.ac.jp
Insights
Obesity, hypertension, and hyperglycemia significantly increase medical costs by 91% in rural Japan. These three cardiovascular risk factors account for 17.2% of total healthcare expenses, highlighting their substantial economic burden.
Area of Science:
- Public Health
- Health Economics
- Cardiovascular Disease Epidemiology
Background:
- The combined effects of obesity, hypertension, and hyperglycemia on healthcare expenditures remain understudied.
- Cardiovascular risk factors pose a significant challenge to healthcare systems globally.
Purpose of the Study:
- To assess the joint impact of obesity, hypertension, and hyperglycemia on medical costs.
- To quantify the contribution of these cardiovascular risk factors to total healthcare spending in rural Japan.
Main Methods:
- Prospective observational study of 12,340 National Health Insurance beneficiaries in rural Japan over 6 years.
- Data collected from annual health check-ups (1995) including blood pressure, weight, height, and blood chemistry.
- Medical costs were prospectively tracked for individuals without prior cardiovascular disease or cancer.
Main Results:
- Individuals with overweight/obesity, hypertension, and/or hyperglycemia incurred 91.0% higher mean medical costs compared to those without these conditions.
- These three cardiovascular risk factors were attributable to 17.2% of the total medical costs within the study cohort.
Conclusions:
- Overweight/obesity, hypertension, and hyperglycemia represent a substantial burden on healthcare resources in rural Japan.
- Interventions targeting these modifiable risk factors could lead to significant healthcare cost savings.
Objective:
The joint impact of obesity, hypertension, and hyperglycemia upon medical costs is not well known. Our objective was to evaluate the joint impact of these cardiovascular risk factors upon medical costs in the rural Japanese population.
Methods:
The data were derived from a 6-year prospective observation of National Health Insurance beneficiaries in rural Japan. Data on blood chemistry tests, blood pressure, weight, and height were obtained from an annual health check-up provided by the local municipalities in 1995. We prospectively collected data on medical costs over a 6-year period for 12,340 subjects (5306 men and 7034 women) without prior histories of cardiovascular disease or cancer.
Results:
Mean medical costs for individuals being overweight/obese, hypertensive, and hyperglycemic were 91.0% higher than those for individuals without any of these three cardiovascular risk factors. In this cohort, 17.2% of total medical costs were attributable to these three risk factors.
Conclusion:
Overweight/obesity, hypertension, and hyperglycemia could have a large impact on health care resources in rural Japan.
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