心脏肥胖:流行病学,资源和经济影响
Duy Do1, Tiffany Lee1, Calie Santana1
1Evernorth Research Institute, Section on Healthcare Innovation and Intelligence, St. Louis MO USA.
American journal of preventive cardiology
|November 25, 2024
概括
心脏肥胖是一种渐进的疾病,带来了相当大的医疗费用. 早期干预对于预防疾病的进展和减少医疗保健系统的经济负担至关重要.
科学领域:
- 心血管医学 心血管医学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 心血管疾病,糖尿病前期,2型糖尿病 (T2D),慢性病 (CKD) 和肥胖症等包括心血管疾病在内的心血管肥胖症构成了重大的公共卫生挑战.
- 这种情况的特点是进展迅速,对医疗保健系统产生重大经济影响.
研究的目的:
- 为了调查心脏肥胖症的流行病学.
- 分析其与医疗保健资源利用和相关成本的关联.
- 为有效的管理策略提供基于证据的建议.
主要方法:
- 一项纵向队列研究,利用2019年1月至2021年12月的非识别的医疗和药房索赔数据.
- 包括被诊断患有早期和/或活跃心脏糖尿病的成年保险人.
- 在一年的随访期内分析疾病进展,医疗保健访问和医疗保健总成本.
主要成果:
- 超过320万和160万患者分别被确定患有早期和活跃心脏糖尿病.
- 进展率是显著的:27.4%从早期到活跃的心脏病糖尿病和88.4%从活跃到复杂的心脏病糖尿病在一年内.
- 高血压,高脂血症,早期CKD,糖尿病前期和高社会需求预测进展到活跃的心脏糖尿病,而T2D,CVD,高级CKD和肥胖预测进展到并发症. 总成本随着疾病的进展而增加.
结论:
- 心血管肥胖是一种快速进展和昂贵的疾病.
- 预防措施和早期干预对于缓解疾病进展和减少医疗保健支出至关重要.
- 需要创新策略来解决心脏病糖尿病的整体影响,促进健康公平,并优化资源利用.
相关概念视频
Obesity
379
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
379
Introduction to Epidemiology
650
Epidemiology, known as the cornerstone of public health, involves studying the distribution and determinants of health-related events in defined populations and applying these insights to control health issues. This is essential for understanding how diseases spread, identifying populations at greater risk, and implementing measures to control or prevent outbreaks. Epidemiology addresses not only infectious diseases but also non-communicable conditions like cancer and cardiovascular disease,...
650
Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
Bias in Epidemiological Studies
157
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
157
Carbohydrate Metabolism
10.8K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
10.8K
Prevalence and Incidence
364
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
364


