Loss of Health State Utilities Attributable to Obesity

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dc.contributor.authorDel Rio, Francisco
dc.contributor.authorZitko, Pedro
dc.contributor.authorSantis, Rodrigo
dc.contributor.authorBabul, Marcela
dc.contributor.authorSantis, Florencia
dc.date.accessioned2025-01-20T20:14:19Z
dc.date.available2025-01-20T20:14:19Z
dc.date.issued2023
dc.description.abstractObjectives: This study aimed to quantify the association between the loss of health state utilities (LHSU) and obesity, considering different obesity categories. This is relevant to interventions economic evaluations and for public policy decision planning. Methods: Using data from the Chilean National Health Survey, this study uses linear regression models and counterfactual scenarios to calculate the prevalent burden, population averages, and total sum of LHSU attributable to obesity for the Chilean national level on people older than 15 years, year 2017. Adjustments for socioeconomic status and associated noncommunicable diseases (NCDs) are considered. Calculating the LHSU using these methods enables the approximation of loss Results: The raw obesity LHSU burden was 9.1% (95% uncertainty interval [UI] 5.1-13). When adjustment is considered, the LHSU attributable to obesity reaches 4.6% (95% UI 0.6-8.5) being responsible for 121045 prevalent QALYs. Socioeconomic status adjusted analysis of higher body mass index (BMI, in kg/m2) categories of obesity shows a dose-response effect for LHSU, being the BMI >= 40 category with the highest population average of attributable LHSU (10.1; 95% UI 5.5-14.5, scale 0 [full health] to 100 [dead]). Burden for BMI >= 35 categories showed the biggest change after NCD adjustment. Conclusions: Obesity carries a significant burden of QALY loss. Policy decision-making addressing obesity should focus specially on the BMI >= 40 group. NCD comorbidity should be considered for policies addressing the BMI >= 35 group.
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.vhri.2023.02.007
dc.identifier.issn2212-1099
dc.identifier.urihttps://doi.org/10.1016/j.vhri.2023.02.007
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/92188
dc.identifier.wosidWOS:000985422200001
dc.language.isoen
dc.pagina.final97
dc.pagina.inicio92
dc.revistaValue in health regional issues
dc.rightsacceso restringido
dc.subjectburden of diseases
dc.subjecthealth state utilities
dc.subjectobesity
dc.subjectquality -adjusted life -year
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleLoss of Health State Utilities Attributable to Obesity
dc.typeartículo
dc.volumen36
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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