Costs of managing conditions associated with obesity among Australian teenagers

Booth, ML; Dobbins, T; Aitken, R; Denney-Wilson, E; Hardy, LL; Okely, AD; George, J; Sullivan, D; Cowell, CT

Costs of managing conditions associated with obesity among Australian teenagers

Booth, ML Dobbins, T Aitken, R Denney-Wilson, E

Hardy, LL Okely, AD George, J Sullivan, D Cowell, CT

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Publication Type:: Journal Article
Citation:: Journal of Paediatrics and Child Health, 2009, 45 (7-8), pp. 448 - 456
Issue Date:: 2009-07-01

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Field	Value	Language
dc.contributor.author	Booth, ML	en_US
dc.contributor.author	Dobbins, T	en_US
dc.contributor.author	Aitken, R	en_US
dc.contributor.author	Denney-Wilson, E https://orcid.org/0000-0001-9879-4969	en_US
dc.contributor.author	Hardy, LL	en_US
dc.contributor.author	Okely, AD	en_US
dc.contributor.author	George, J	en_US
dc.contributor.author	Sullivan, D	en_US
dc.contributor.author	Cowell, CT	en_US
dc.date.issued	2009-07-01	en_US
dc.identifier.citation	Journal of Paediatrics and Child Health, 2009, 45 (7-8), pp. 448 - 456	en_US
dc.identifier.issn	1034-4810	en_US
dc.identifier.uri	http://hdl.handle.net/10453/32536
dc.description.abstract	Aim: To determine the health-care charges associated with monitoring and managing, over 1 year, the cases of elevated insulin concentration, elevated alanine aminotransferase concentration and dyslipidaemia due to overweight or obesity among 15-19-year-old Australian males and females. Methods: Fasting blood samples (n = 500) were collected in 2004 from a representative population sample of adolescents (n = 496; mean age 15.3 years) attending schools in Sydney, Australia. Full service charges and Medicare expenditures for specialist medical and dietary consultations, pathology tests and radiological investigations, over 1 year, under efficient and inefficient health-care delivery models, including and excluding participants in the healthy body mass index (BMI) category. Results: Under an inefficient delivery model and including all participants with elevated risk factors, the Medicare expenditure was $A305.1 million per annum (M pa). Exclusion of participants in the healthy BMI category resulted in an annual Medicare expenditure of $A170.0M pa. Under an efficient delivery model and including all participants with elevated risk factors, the Medicare expenditure was $A295.5M pa. Exclusion of participants in the healthy BMI category reduced annual Medicare expenditure to $A164.8M pa. Medicare expenditure for 15-19-year-olds would increase by 48% if only cases among overweight and obese adolescents were treated and by 85% if all cases were identified and treated. Conclusions: Short-term management of the health consequences of overweight and obesity among adolescents will increase Medicare expenditure on this group by at least 48%. Failure to treat will delay, but compound, health-care expenditure. © 2009 Paediatrics and Child Health Division (Royal Australasian College of Physicians).	en_US
dc.relation.ispartof	Journal of Paediatrics and Child Health	en_US
dc.relation.isbasedon	10.1111/j.1440-1754.2009.01503.x	en_US
dc.subject.classification	Pediatrics	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Obesity	en_US
dc.subject.mesh	Insulin	en_US
dc.subject.mesh	Alanine Transaminase	en_US
dc.subject.mesh	Diagnostic Tests, Routine	en_US
dc.subject.mesh	Fasting	en_US
dc.subject.mesh	Comorbidity	en_US
dc.subject.mesh	Cost of Illness	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Health Expenditures	en_US
dc.subject.mesh	National Health Programs	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Dyslipidemias	en_US
dc.subject.mesh	Young Adult	en_US
dc.title	Costs of managing conditions associated with obesity among Australian teenagers	en_US
dc.type	Journal Article
utslib.citation.volume	7-8	en_US
utslib.citation.volume	45	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	7-8	en_US
pubs.publication-status	Published	en_US
pubs.volume	45	en_US

Abstract:

Aim: To determine the health-care charges associated with monitoring and managing, over 1 year, the cases of elevated insulin concentration, elevated alanine aminotransferase concentration and dyslipidaemia due to overweight or obesity among 15-19-year-old Australian males and females. Methods: Fasting blood samples (n = 500) were collected in 2004 from a representative population sample of adolescents (n = 496; mean age 15.3 years) attending schools in Sydney, Australia. Full service charges and Medicare expenditures for specialist medical and dietary consultations, pathology tests and radiological investigations, over 1 year, under efficient and inefficient health-care delivery models, including and excluding participants in the healthy body mass index (BMI) category. Results: Under an inefficient delivery model and including all participants with elevated risk factors, the Medicare expenditure was $A305.1 million per annum (M pa). Exclusion of participants in the healthy BMI category resulted in an annual Medicare expenditure of $A170.0M pa. Under an efficient delivery model and including all participants with elevated risk factors, the Medicare expenditure was $A295.5M pa. Exclusion of participants in the healthy BMI category reduced annual Medicare expenditure to $A164.8M pa. Medicare expenditure for 15-19-year-olds would increase by 48% if only cases among overweight and obese adolescents were treated and by 85% if all cases were identified and treated. Conclusions: Short-term management of the health consequences of overweight and obesity among adolescents will increase Medicare expenditure on this group by at least 48%. Failure to treat will delay, but compound, health-care expenditure. © 2009 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

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http://hdl.handle.net/10453/32536