Association Between Weight Reduction and Employees' Healthcare Cost.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Occupational and Environmental Medicine Pub Date : 2023-12-01 Epub Date: 2023-07-31 DOI:10.1097/JOM.0000000000002938

Samuel K Peasah, Alek Drnach, Eric Rosenberg, Chester B Good

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Abstract

Objective: The aim of the study is to assess the impact of ≥15% body mass index (BMI) reduction on employees' health expenditures.

Methods: We retrospectively analyzed health risk assessment surveys combined with insurance claims from January 2014 to December 2019. We compared costs of employees with baseline BMI > 30 who reported ≥15% BMI reduction in subsequent health risk assessment reports with employees who lost ≤5% BMI within the same period, matching the two cohorts on demographics and costs.

Results: The study cohort of 197 lost an average of 23% of their BMI from baseline. The average age was 44 years with majority females (approximately 80%). Group health insurance payments were similar at baseline; at year 1, the study cohort had a 33% payment reduction compared with 10% reduction in the control group.

Conclusions: A ≥15% BMI reduction was associated with a substantial medical cost savings.

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体重减轻与员工医疗费用的关系

目的:本研究旨在评估身体质量指数(BMI)降低≥15%对员工健康支出的影响。方法:回顾性分析2014年1月至2019年12月的健康风险评估调查和保险索赔。我们比较了基线BMI > 30且在随后的健康风险评估报告中报告BMI下降≥15%的员工与同期BMI下降≤5%的员工的成本，在人口统计学和成本方面匹配两个队列。结果:197人的研究队列平均比基线降低了23%的BMI。平均年龄44岁，以女性居多(约80%)。团体健康保险支付在基线时相似;在第一年，研究队列的支付减少了33%，而对照组的支付减少了10%。结论:BMI降低≥15%与大量医疗费用节约相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Occupational and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

9.40%

发文量

402

审稿时长

3-8 weeks

期刊介绍： Journal of Occupational and Environmental Medicine is an indispensable guide to good health in the workplace for physicians, nurses, and researchers alike. In-depth, clinically oriented research articles and technical reports keep occupational and environmental medicine specialists up-to-date on new medical developments in the prevention, diagnosis, and rehabilitation of environmentally induced conditions and work-related injuries and illnesses.