TY - JOUR
T1 - Burden of disease and cost of illness of overweight and obesity in Portugal
AU - Borges, Margarida
AU - Sampaio, Filipa
AU - Costa, João
AU - Freitas, Paula
AU - Dias, Carlos Matias
AU - Gaio, Vânia
AU - Conde, Vasco
AU - Figueira, Débora
AU - Pinheiro, Bernardete
AU - Miguel, Luís Silva
N1 - Funding Information:
Obesity. Resources related to treatment of obesity were sourced from the Programa de Tratamento Cir\u00FArgico da Obesidade (PTCO) []. This programme is funded by the Portuguese National Health Service (NHS) and provides special access to treatment for patients with obesity. Medication costs were sourced from an IQVIA database (from 2020), where medication sales specifically targeting obesity and weight reduction were retrieved. For retails drugs, the fractions paid by the NHS and by the patients were considered.
Funding Information:
This study was funded by Novo Nordisk Portugal, Lda. Funding was independent of the study outcomes.
Publisher Copyright:
© 2024 The Author(s).
PY - 2024
Y1 - 2024
N2 - Introduction: The prevalence of overweight and obesity has increased in the last decades, posing significant health and economic impacts globally. These conditions are related to several non-communicable diseases, including cardiovascular disease, type II diabetes, and cancer. This study estimated the disease burden and healthcare costs associated with overweight and obesity in the adult population in mainland Portugal, in 2018. Method: Burden of disease was measured in disability-adjusted life years (DALYs) following Global Burden of Disease (GBD) methodology. DALYs were calculated as the sum of years of life lost (YLL) and years lived with disability (YLD). The analyses included morbidity, mortality, and related costs directly related to overweight and obesity, as well as the attributable morbidity, mortality, and related costs of 25 selected diseases related to obesity (DrO). A prevalence-based cost analysis was conducted a from the perspective of the public National Health Service, including costs related to inpatient, outpatient care, and pharmacological treatment. Results: In 2018, total DALY amounted to 260,943, with 75% due to premature death (196,438 YLL) and 25% due to disability (64,505 YLD). The economic burden of overweight and obesity was estimated at approximately EUR 1,148 million. Of these, approximately EUR 13.3 million (1%) were costs related to the treatment of obesity, and the remaining were costs of DrO attributed to overweight and obesity. Outpatient care corresponded to 43% of total costs, pharmacological treatment 38%, and inpatient care 19%. Cardiovascular and cerebrovascular diseases were the largest contributor to total costs (38%), followed by type II diabetes (34%). Conclusion: Overweight and obesity incur a large disease and economic burden to the public healthcare sector, representing approximately 0.6% of the country's gross domestic product and 5.8% of public health expenditures.
AB - Introduction: The prevalence of overweight and obesity has increased in the last decades, posing significant health and economic impacts globally. These conditions are related to several non-communicable diseases, including cardiovascular disease, type II diabetes, and cancer. This study estimated the disease burden and healthcare costs associated with overweight and obesity in the adult population in mainland Portugal, in 2018. Method: Burden of disease was measured in disability-adjusted life years (DALYs) following Global Burden of Disease (GBD) methodology. DALYs were calculated as the sum of years of life lost (YLL) and years lived with disability (YLD). The analyses included morbidity, mortality, and related costs directly related to overweight and obesity, as well as the attributable morbidity, mortality, and related costs of 25 selected diseases related to obesity (DrO). A prevalence-based cost analysis was conducted a from the perspective of the public National Health Service, including costs related to inpatient, outpatient care, and pharmacological treatment. Results: In 2018, total DALY amounted to 260,943, with 75% due to premature death (196,438 YLL) and 25% due to disability (64,505 YLD). The economic burden of overweight and obesity was estimated at approximately EUR 1,148 million. Of these, approximately EUR 13.3 million (1%) were costs related to the treatment of obesity, and the remaining were costs of DrO attributed to overweight and obesity. Outpatient care corresponded to 43% of total costs, pharmacological treatment 38%, and inpatient care 19%. Cardiovascular and cerebrovascular diseases were the largest contributor to total costs (38%), followed by type II diabetes (34%). Conclusion: Overweight and obesity incur a large disease and economic burden to the public healthcare sector, representing approximately 0.6% of the country's gross domestic product and 5.8% of public health expenditures.
KW - Burden of disease
KW - Cost of illness
KW - Disability-adjusted life years
KW - Obesity
KW - Overweight
KW - Portugal
UR - http://www.scopus.com/inward/record.url?scp=85211966821&partnerID=8YFLogxK
U2 - 10.1159/000541781
DO - 10.1159/000541781
M3 - Article
C2 - 39500293
AN - SCOPUS:85211966821
SN - 1662-4025
JO - Obesity Facts
JF - Obesity Facts
ER -