Disability attributable to excess weight in Spain

作者：Javier Martin Ramiro Jose; Alvarez Martin Elena; Gil Prieto Ruth

来源：Medicina Clinica, 2014, 143(4): 150-156.

DOI：10.1016/j.medcli.2013.05.028

• Overweight
• Obesity
• Attributable
• Burden of disease
• Years lived with disability

Background and objective: To estimate the disability attributable to higher than optimal body mass index in the Spanish population in 2006.
Population and method: Excess body weight prevalence data were obtained from the 2006 National Health Survey (NHS), while the prevalence of associated morbidities was extracted from the 2006 NHS and from a national hospital data base. Population attributable fractions were applied and disability attributable was expressed as years life with disability (YLD).
Results: In 2006, in the Spanish population aged 35-79 years, 791.650 YLD were lost due to higher than optimal body mass index (46.7% in males and 53.3% in females). Overweight (body mass index 25-29.9) accounted for 45.7% of total YLD. Males YLD were higher than females under 60. The 35-39 quinquennial group showed a difference for males of 16.6% while in the 74-79 group the difference was 23.8% for women. Osteoarthritis and chronic back pain accounted for 60% of YLD while hypertensive disease and type 2 diabetes mellitus were responsible of 37%.
Conclusions: Excess body weight is a health risk related to the development of various diseases with an important associated disability burden and social and economical cost. YLD analysis is a useful monitor tool for disease control interventions.

• 出版日期2014-8-19