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Updated: Jun 22, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Obesity in children is associated with increased health care use
Elie Hering1, Irena Pritsker, Ludmila Gonchar
1Pediatrics Department, Clalit General Health Care, Child Care Center, Tirat Hacarmel, 34349 Israel. ELIEZERHE@clalit.org.il
Insights
Childhood obesity significantly increases healthcare utilization, including more clinic visits, hospitalizations, and medication use. These findings highlight the need for public health initiatives to combat rising pediatric obesity rates.
Area of Science:
- Pediatrics
- Public Health
- Health Services Research
Background:
- Childhood obesity prevalence is rising globally.
- Obesity in children is linked to increased morbidity.
- Adult obesity is associated with higher healthcare use.
Purpose of the Study:
- To examine the impact of childhood obesity on healthcare utilization.
- To compare healthcare use between obese and non-obese children across different age groups.
Main Methods:
- A case-control study involving obese and non-obese children matched for age and gender.
- Participants were from a child care center in Tirat HaCarmel, Israel.
- Healthcare use was assessed over two years, measuring clinic visits, emergency department visits, hospitalizations, and medication use.
Main Results:
- Obese children had significantly more clinic visits (4942 vs 4058, P < .001).
- Obese children experienced more hospitalizations (67 vs 34, P < .001) with longer durations (207 vs 79 days, P < .001).
- Significantly higher medication use was observed in obese children (5945 vs 4638, P < .001).
Conclusions:
- Childhood obesity is demonstrably associated with increased healthcare utilization.
- Findings underscore the importance of investing in childhood obesity prevention strategies.
- Results have implications for public health policy and health insurance planning.
Background:
The prevalence of obesity in children has steadily risen during recent years in developed countries. There is increasing data associating this rise in obesity with a rise in morbidity. In adults, data show clear association between obesity and health care use. This study examined the effects of obesity on health care use in children of several age groups.
Methods:
The population consisted of children from Tirat HaCarmel, Israel, who are patients at the town's Clalit Health Care, Child Care Center (CCC). All obese children (body mass index [BMI] > 95%) participated and were matched by age and gender with nonobese children (BMI < 85%) who served as a control group. Children were further divided into 3 age groups: ages 4 to 7 years, 8 to 11 years, and 12 to 18 years. Health care use was measured by 4 criteria over a 2-year time period: clinic visits, emergency department visits, hospitalizations, and medication use.
Results:
Of more than 4000 children treated in the CCC, 363 obese children were matched to 382 control children. Obese children had significantly more clinic visits (4942 vs 4058, P < .001), had more hospitalizations (67 vs 34, P < .001), were hospitalized for longer periods (207 vs 79 days, P < .001), and used significantly more medications (5945 vs 4638, P < .001) than did the control group.
Conclusion:
This study provides objective clinical evidence that obesity in children is associated with increased health care use. This information has clear implications for both the public health and health insurance sectors and supports the need to invest in efforts to reduce childhood obesity.
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