文章基本信息
- 标题：Impact and attribute of each obesity-related cardiovascular risk factor in combination with abdominal obesity on total health expenditures in adult Japanese National Health insurance beneficiaries: The Ibaraki Prefectural health study
- 本地全文：下载
- 作者：Toshimi Sairenchi ; Hiroyasu Iso ; Kazumasa Yamagishi 等
- 期刊名称：Journal of Epidemiology
- 印刷版ISSN：0917-5040
- 电子版ISSN：1349-9092
- 出版年度：2017
- 卷号：27
- 期号：8
- 页码：354-359
- DOI：10.1016/j.je.2016.08.009
- 出版社：Japan Epidemiological Association
- 摘要：
Background: The aim of this study was to examine the attribution of each cardiovascular risk factor in combination with abdominal obesity (AO) on Japanese health expenditures.
Methods: The health insurance claims of 43,469 National Health Insurance beneficiaries aged 40–75 years in Ibaraki, Japan, from the second cohort of the Ibaraki Prefectural Health Study were followed-up from 2009 through 2013. Multivariable health expenditure ratios (HERs) of diabetes mellitus (DM), high low-density lipoprotein cholesterol (LDL-C), low high-density lipoprotein cholesterol (HDL-C), and hypertension with and without AO were calculated with reference to no risk factors using a Tweedie regression model.
Results: Without AO, HERs were 1.58 for DM, 1.06 for high LDL-C, 1.27 for low HDL-C, and 1.31 for hypertension (all P P
Conclusions: Of the obesity-related cardiovascular risk factors, hypertension, independent of AO, appears to impose the greatest burden on Japanese health expenditures.
- 关键词：Abdominal obesity;Cardiovascular disease;Cohort study;Health expenditure;Risk factor
