Twelve-Year Trajectory of Disease Burden and Mortality by Obesity Level in Korea: Analysis of the National Health Insurance Service Database
DC Field | Value | Language |
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dc.contributor.author | Park, Ji-Hyeon | - |
dc.contributor.author | Park, Do Joong | - |
dc.contributor.author | Kim, Hyesung | - |
dc.contributor.author | Park, HyeJin | - |
dc.contributor.author | Lee, Bora | - |
dc.contributor.author | Nam, Hyeryeong | - |
dc.contributor.author | Kim, Sara | - |
dc.contributor.author | Kim, Sa-Hong | - |
dc.contributor.author | Kong, Seong-Ho | - |
dc.contributor.author | Lee, Hyuk-Joon | - |
dc.contributor.author | Yang, Han-Kwang | - |
dc.date.accessioned | 2023-02-21T00:40:05Z | - |
dc.date.available | 2023-02-21T00:40:05Z | - |
dc.date.issued | 2023-01 | - |
dc.identifier.issn | 0960-8923 | - |
dc.identifier.issn | 1708-0428 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/86910 | - |
dc.description.abstract | Introduction Despite increases in obesity prevalence, awareness of obesity as a disease requiring active treatment remains lacking in Korea. We investigated differences in medical problems and expenditures and mortality across obesity categories using 12-year data from the National Health Insurance Service. Materials and Methods Individuals aged 40-79 years who underwent medical examinations during 2003-2004 (n = 415,201) were divided based on Asian body mass index (kg/m(2)) criteria: normal weight (18.5 to <23.0, 36.4%), overweight (23.0 to < 25.0, 28.3%), obesity (25.0 to < 30.0, 32.5%), and severe obesity (>= 30.0, 2.8%). Medical problems and expenditures were fitted to linear mixed models. Mortality was analyzed via Cox proportional-hazards model. Results More severe obesity was associated with a higher rate of medical problems, relative to normal weight: coefficient =0.31 (95% confidence interval [CI], 0.30-0.32) for overweight, 0.61 (0.60-0.61) for obesity, and 1.07 (1.04-1.09) for severe obesity. A similar association was observed for medical expenditure: coefficient =8.85 (95%CI, 6.80-10.89) for overweight, 20.04 (18.07-22.01) for obesity, and 48.76 (43.66-53.86) for severe obesity. Relative to overweight participants, those with normal weight and severe obesity exhibited a higher mortality risk (hazard ratio [HR] 1.21 [95%CI, 1.18-1.25] for normal; 1.27 [1.19-1.36] for severe obesity). In agespecific analyses, mortality risk was the highest for participants with severe obesity, aged< 60 years (HR, 1.58 [95%CI, 1.41-1.77]). Conclusion Disease burden including medical problems and expenditure, and mortality in middle-aged adults, increased proportionally to the degrees of obesity. Health policies and medical systems aimed at reducing the burden of obesity may help reduce the burden of disease on society. | - |
dc.format.extent | 12 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | SPRINGER | - |
dc.title | Twelve-Year Trajectory of Disease Burden and Mortality by Obesity Level in Korea: Analysis of the National Health Insurance Service Database | - |
dc.type | Article | - |
dc.identifier.wosid | 000879713800001 | - |
dc.identifier.doi | 10.1007/s11695-022-06327-y | - |
dc.identifier.bibliographicCitation | OBESITY SURGERY, v.33, no.1, pp 105 - 116 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85141384923 | - |
dc.citation.endPage | 116 | - |
dc.citation.startPage | 105 | - |
dc.citation.title | OBESITY SURGERY | - |
dc.citation.volume | 33 | - |
dc.citation.number | 1 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | Obesity | - |
dc.subject.keywordAuthor | Comorbidity | - |
dc.subject.keywordAuthor | Mortality | - |
dc.subject.keywordAuthor | Medical cost | - |
dc.subject.keywordAuthor | Database | - |
dc.subject.keywordPlus | BODY-MASS INDEX | - |
dc.subject.keywordPlus | OVERWEIGHT | - |
dc.subject.keywordPlus | PREVALENCE | - |
dc.subject.keywordPlus | ADULTS | - |
dc.subject.keywordPlus | TRENDS | - |
dc.subject.keywordPlus | IMPACT | - |
dc.subject.keywordPlus | BMI | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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