|
The Effects Of Obesity, Smoking, And Drinking On Medical Problems And Costs
Roland Sturm
This paper compares the effects of obesity, overweight, smoking, and problem drinking on health care use and health status based on national survey data. Obesity has roughly the same association with chronic health conditions as does twenty years’ aging; this greatly exceeds the associations of smoking or problem drinking. Utilization effects mirrors the health effects. Obesity is associated with a 36 percent increase in inpatient and outpatient spending and a 77 percent increase in medications, compared with a 21 percent increase in inpatient and outpatient spending and a 28 percent increase in medications for current smokers and smaller effects for problem drinkers. Nevertheless, the latter two groups have received more consistent attention in recent decades in clinical practice and public health policy.
       What's this?
This article has been cited by other articles:
|
|
|
|
 
H. Jia and E. I. Lubetkin
The statewide burden of obesity, smoking, low income and chronic diseases in the United States
J Public Health,
December 1, 2009;
31(4):
496 - 505.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Armstrong
Origins of the Problem of Health-related Behaviours: A Genealogical Study
Social Studies of Science,
December 1, 2009;
39(6):
909 - 926.
[Abstract]
[PDF]
|
|
|
|
|
|
|
N. Williams, R. Burnie, and I. Robbe
Response to: Association of perceived environment with meeting public health recommendations for physical activity in seven European countries
J Public Health,
June 1, 2009;
31(2):
306 - 306.
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. Clarke, P. M O'Malley, L. D Johnston, and J. E Schulenberg
Social disparities in BMI trajectories across adulthood by gender, race/ethnicity and lifetime socio-economic position: 1986-2004
Int. J. Epidemiol.,
April 1, 2009;
38(2):
499 - 509.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. R. Gabel, H. Whitmore, J. Pickreign, C. C. Ferguson, A. Jain, S. KC, and H. Scherer
Obesity And The Workplace: Current Programs And Attitudes Among Employers And Employees
Health Aff.,
January 1, 2009;
28(1):
46 - 56.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. M. Mellor, R. B. Rapoport, and D. Maliniak
The Impact of Child Obesity on Active Parental Consent in School-Based Survey Research on Healthy Eating and Physical Activity
Eval Rev,
June 1, 2008;
32(3):
298 - 312.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Schieman, T. Pudrovska, and R. Eccles
Perceptions of Body Weight Among Older Adults: Analyses of the Intersection of Gender, Race, and Socioeconomic Status
J Gerontol B Psychol Sci Soc Sci,
November 1, 2007;
62(6):
S415 - S423.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. H. Curtis, B. G. Hammill, M. A. Bethel, K. J. Anstrom, J. S. Gottdiener, and K. A. Schulman
Costs of the Metabolic Syndrome in Elderly Individuals: Findings from the Cardiovascular Health Study
Diabetes Care,
October 1, 2007;
30(10):
2553 - 2558.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Jell, S. Merali, M. L. Hensen, R. Mazurchuk, J. A. Spernyak, P. Diegelman, N. D. Kisiel, C. Barrero, K. K. Deeb, L. Alhonen, et al.
Genetically Altered Expression of Spermidine/Spermine N1-Acetyltransferase Affects Fat Metabolism in Mice via Acetyl-CoA
J. Biol. Chem.,
March 16, 2007;
282(11):
8404 - 8413.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. A. Schulte, G. R. Wagner, A. Ostry, L. A. Blanciforti, R. G. Cutlip, K. M. Krajnak, M. Luster, A. E. Munson, J. P. O'Callaghan, C. G. Parks, et al.
Work, Obesity, and Occupational Safety and Health
Am J Public Health,
March 1, 2007;
97(3):
428 - 436.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. Desjardins and A. L. Schwartz
Collaborating To Combat Childhood Obesity
Health Aff.,
March 1, 2007;
26(2):
567 - 571.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
W. G. Thompson, D. A. Cook, M. M. Clark, A. Bardia, and J. A. Levine
Treatment of Obesity
Mayo Clin. Proc.,
January 1, 2007;
82(1):
93 - 102.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. J. Dilley, L. A. Martin, C. Sullivan, R. Seshadri, H. J. Binns, and for the Pediatric Practice Research Group
Identification of Overweight Status Is Associated With Higher Rates of Screening for Comorbidities of Overweight in Pediatric Primary Care Practice
Pediatrics,
January 1, 2007;
119(1):
e148 - e155.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. J. Walley, A. I.F. Blakemore, and P. Froguel
Genetics of obesity and the prediction of risk for health
Hum. Mol. Genet.,
October 15, 2006;
15(suppl_2):
R124 - R130.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
O. S. Azodi, R. Bellocco, K. Eriksson, and J. Adami
The impact of tobacco use and body mass index on the length of stay in hospital and the risk of post-operative complications among patients undergoing total hip replacement
J Bone Joint Surg Br,
October 1, 2006;
88-B(10):
1316 - 1320.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. D. Hensrud and S. Klein
Extreme Obesity: A New Medical Crisis in the United States
Mayo Clin. Proc.,
October 1, 2006;
81(10_Suppl):
S5 - S10.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Lin, J. Liu, C. Chang, and M. Nowalk
Association of Obesity and Chronic Diseases in Taiwan
Asia Pac J Public Health,
September 1, 2006;
18(3):
8 - 14.
[PDF]
|
|
|
|
|
|
|
A. K. Yancey, L. B. Lewis, J. J. Guinyard, D. C. Sloane, L. M. Nascimento, L. Galloway-Gilliam, A. L. Diamant, and W. J. McCarthy
Putting Promotion Into Practice: The African Americans Building a Legacy of Health Organizational Wellness Program
Health Promot Pract,
July 1, 2006;
7(3_suppl):
233S - 246S.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. M. Mello, D. M. Studdert, and T. A. Brennan
Obesity--the new frontier of public health law.
N. Engl. J. Med.,
June 15, 2006;
354(24):
2601 - 2610.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. L. Strife, R. E. Decanio, L. F. Donnelly, and N. D. Johnson
The frequency of radiology reporting of childhood obesity.
Am. J. Roentgenol.,
March 1, 2006;
186(3):
833 - 836.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Lang and G. Rayner
Obesity: a growing issue for European policy?
Journal of European Social Policy,
November 1, 2005;
15(4):
301 - 327.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. Peterson, A. Abraham, and A. Waterfield
Marketing Physical Activity: Lessons Learned From a Statewide Media Campaign
Health Promot Pract,
October 1, 2005;
6(4):
437 - 446.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. Kersh and J. A. Morone
Obesity, courts, and the new politics of public health.
Journal of Health Politics Policy and Law,
October 1, 2005;
30(5):
839 - 868.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. E. Oliver and T. Lee
Public opinion and the politics of obesity in America.
Journal of Health Politics Policy and Law,
October 1, 2005;
30(5):
923 - 954.
[Abstract]
[PDF]
|
|
|
|
|
|
|
N. Freudenberg
Public Health Advocacy to Change Corporate Practices: Implications for Health Education Practice and Research
Health Educ Behav,
June 1, 2005;
32(3):
298 - 319.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. M. Smith, F. Lopez-Jimenez, M. M. McMahon, R. J. Thomas, M. A. Wellik, M. D. Jensen, and D. D. Hensrud
Action on Obesity: Report of a Mayo Clinic National Summit
Mayo Clin. Proc.,
April 1, 2005;
80(4):
527 - 532.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. K. Yancey, R. G. Robinson, R. K. Ross, R. Washington, H. R. Goodell, N. J. Goodwin, E. R. Benjamin, R. G. Langie, J. M. Galloway, L. N. Carroll, et al.
Discovering the Full Spectrum of Cardiovascular Disease: Minority Health Summit 2003: Report of the Advocacy Writing Group
Circulation,
March 15, 2005;
111(10):
e140 - e149.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. A. Raebel, D. C. Malone, D. A. Conner, S. Xu, J. A. Porter, and F. A. Lanty
Health Services Use and Health Care Costs of Obese and Nonobese Individuals
Arch Intern Med,
October 25, 2004;
164(19):
2135 - 2140.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. Eyre, R. Kahn, R. M. Robertson, and and the ACS/ADA/AHA Collaborative Writing Committe
Preventing Cancer, Cardiovascular Disease, and Diabetes: A Common Agenda for the American Cancer Society, the American Diabetes Association, and the American Heart Association
Stroke,
August 1, 2004;
35(8):
1999 - 2010.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. Eyre, R. Kahn, R. M. Robertson, the ACS/ADA/AHA Collaborative Writing Committee, ACS/ADA/AHA Collaborative Writing Committee Member, N. G. Clark, C. Doyle, Y. Hong, T. Gansler, T. Glynn, et al.
Preventing Cancer, Cardiovascular Disease, and Diabetes: A Common Agenda for the American Cancer Society, the American Diabetes Association, and the American Heart Association
Circulation,
June 29, 2004;
109(25):
3244 - 3255.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Rooks, T. Bennet, T. J. Bartness, and R. B. S. Harris
Compensation for an increase in body fat caused by donor transplants into mice
Am J Physiol Regulatory Integrative Comp Physiol,
June 1, 2004;
286(6):
R1149 - R1155.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. H. Mokdad, J. S. Marks, D. F. Stroup, and J. L. Gerberding
Actual Causes of Death in the United States, 2000
JAMA,
March 10, 2004;
291(10):
1238 - 1245.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. M. Krueger, R. G. Rogers, R. A. Hummer, and J. D. Boardman
Body Mass, Smoking, and Overall and Cause-Specific Mortality Among Older U.S. Adults
Research on Aging,
January 1, 2004;
26(1):
82 - 107.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. Sturm
Increases in Clinically Severe Obesity in the United States, 1986-2000
Arch Intern Med,
October 13, 2003;
163(18):
2146 - 2148.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Pucher and L. Dijkstra
Promoting Safe Walking and Cycling to Improve Public Health: Lessons From The Netherlands and Germany
Am J Public Health,
September 1, 2003;
93(9):
1509 - 1516.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. Cuttler, J. L. Whittaker, and E. D. Kodish
Pediatric Obesity Policy: The Danger of Skepticism
Arch Pediatr Adolesc Med,
August 1, 2003;
157(8):
722 - 724.
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. N. Ames
The Metabolic Tune-Up: Metabolic Harmony and Disease Prevention
J. Nutr.,
May 1, 2003;
133(5):
1544S - 1548.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. M. Friedenberg
Obesity
Radiology,
December 1, 2002;
225(3):
629 - 632.
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. A. Hansen
PHYSIOLOGY'S RECONDITE CURRICULUM
Advan Physiol Educ,
September 1, 2002;
26(3):
139 - 145.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
F. P. Rivara, R. Whitaker, L. Cuttler, and P. M. Sherman
Obesity, Nutrition, and Physical Activity - Call for Papers
Arch Pediatr Adolesc Med,
September 1, 2002;
156(9):
852 - 852.
[Full Text]
[PDF]
|
|
|
|
