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AJPH First Look, published online ahead of print Jul 27, 2006
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©
American Journal of Public Health, 10.2105/AJPH.2005.068874

Research and Practice

Gender and the Burden of Disease Attributable to Obesity

Peter Muennig 1*, Erica Lubetkin 2, Haomiao Jia 3, Peter Franks 4

1 Columbia University
2 City University of New York Medical School
3 Mercer Medical School
4 University of California, Davis

* To whom correspondence should be addressed. E-mail: pm124{at}columbia.edu.


  Abstract

Objectives. We estimated the burden of disease in the United States attributable to obesity by gender, with life expectancy, quality-adjusted life expectancy, years of life lost annually, and quality-adjusted life years lost annually as outcome measures.

Methods. We obtained burden of disease estimates for adults falling into the following body-mass index categories: normal weight (23 to <25), overweight (25 to <30), and obese (?30). We analyzed the 2000 Medical Expenditure Panel Survey to obtain health-related quality-of-life scores and the 1990-1992 National Health Interview Survey linked to National Death Index data through the end of 1995 for mortality.

Results. Overweight men and women lost 270 000 and 1.8 million quality-adjusted life years, respectively, relative to their normal-weight counterparts. Obese men and women lost 1.9 million and 3.4 million quality-adjusted life years, respectively, per year. Much of the burden of disease among overweight and obese women arose from lower health-related quality of life and late life mortality.

Conclusions. Relative to men, women suffer a disproportionate burden of disease attributable to overweight and obesity, mostly because of differences in health-related quality of life.

Key Words: Gender, Global Health, Obesity, Overweight, Underweight, Mortality, Surveys




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