Cargando…
Obesity-related complications, healthcare resource use and weight loss strategies in six European countries: the RESOURCE survey
BACKGROUND: Obesity-related complications (ORCs), such as type 2 diabetes (T2D) and cardiovascular disease, contribute considerably to the clinical and economic impacts of obesity. To obtain a holistic overview of health and weight management attempts for people with obesity in Europe, we designed t...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359184/ https://www.ncbi.nlm.nih.gov/pubmed/37258646 http://dx.doi.org/10.1038/s41366-023-01325-1 |
_version_ | 1785075823484600320 |
---|---|
author | Evans, Marc de Courcy, Joanna de Laguiche, Elisabeth Faurby, Mads Haase, Christiane Lundegaard Matthiessen, Kasper Sommer Moore, Adam Pearson-Stuttard, Jonathan |
author_facet | Evans, Marc de Courcy, Joanna de Laguiche, Elisabeth Faurby, Mads Haase, Christiane Lundegaard Matthiessen, Kasper Sommer Moore, Adam Pearson-Stuttard, Jonathan |
author_sort | Evans, Marc |
collection | PubMed |
description | BACKGROUND: Obesity-related complications (ORCs), such as type 2 diabetes (T2D) and cardiovascular disease, contribute considerably to the clinical and economic impacts of obesity. To obtain a holistic overview of health and weight management attempts for people with obesity in Europe, we designed the cross-sectional RESOURCE survey to collect data on comorbidities, healthcare resource use (HCRU) and weight loss strategies from people with obesity in France, Germany, Italy, Spain, Sweden and the UK. METHODS: Adults (≥18 years old) with self-reported body mass index (BMI) ≥30 kg/m(2) who reported interacting with primary or secondary healthcare services in the past 12 months, but had not been pregnant during this time, were recruited from an existing consumer research panel. All data were self-reported via an online survey (May–June 2021). Weight changes over the past year were calculated from participants’ estimated weights. RESULTS: Of the 1850 participants in the survey, 26.3% reported that they had ≥3 ORCs from a set of 15 conditions of interest. The most frequently reported ORCs were hypertension (39.3% of participants), dyslipidaemia (22.8%) and T2D (17.5%). Participants in obesity class III (BMI 40 to <70 kg/m(2)) were more likely to report multiple ORCs than those in lower obesity classes. The presence of multiple ORCs was linked to various types of HCRU, including a significantly increased chance of reporting hospitalization in the past year. Most participants (78.6%) had attempted to lose weight in the past year, but of those who also reported estimated weight changes, 73.4% had not experienced clinically meaningful weight loss of ≥5%. CONCLUSIONS: ORCs are common in people with obesity, and are linked to increased HCRU. Together with the low reported success rate of weight loss attempts, this highlights an unmet need in Europe for enhanced weight management support for people with obesity. |
format | Online Article Text |
id | pubmed-10359184 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-103591842023-07-22 Obesity-related complications, healthcare resource use and weight loss strategies in six European countries: the RESOURCE survey Evans, Marc de Courcy, Joanna de Laguiche, Elisabeth Faurby, Mads Haase, Christiane Lundegaard Matthiessen, Kasper Sommer Moore, Adam Pearson-Stuttard, Jonathan Int J Obes (Lond) Article BACKGROUND: Obesity-related complications (ORCs), such as type 2 diabetes (T2D) and cardiovascular disease, contribute considerably to the clinical and economic impacts of obesity. To obtain a holistic overview of health and weight management attempts for people with obesity in Europe, we designed the cross-sectional RESOURCE survey to collect data on comorbidities, healthcare resource use (HCRU) and weight loss strategies from people with obesity in France, Germany, Italy, Spain, Sweden and the UK. METHODS: Adults (≥18 years old) with self-reported body mass index (BMI) ≥30 kg/m(2) who reported interacting with primary or secondary healthcare services in the past 12 months, but had not been pregnant during this time, were recruited from an existing consumer research panel. All data were self-reported via an online survey (May–June 2021). Weight changes over the past year were calculated from participants’ estimated weights. RESULTS: Of the 1850 participants in the survey, 26.3% reported that they had ≥3 ORCs from a set of 15 conditions of interest. The most frequently reported ORCs were hypertension (39.3% of participants), dyslipidaemia (22.8%) and T2D (17.5%). Participants in obesity class III (BMI 40 to <70 kg/m(2)) were more likely to report multiple ORCs than those in lower obesity classes. The presence of multiple ORCs was linked to various types of HCRU, including a significantly increased chance of reporting hospitalization in the past year. Most participants (78.6%) had attempted to lose weight in the past year, but of those who also reported estimated weight changes, 73.4% had not experienced clinically meaningful weight loss of ≥5%. CONCLUSIONS: ORCs are common in people with obesity, and are linked to increased HCRU. Together with the low reported success rate of weight loss attempts, this highlights an unmet need in Europe for enhanced weight management support for people with obesity. Nature Publishing Group UK 2023-05-31 2023 /pmc/articles/PMC10359184/ /pubmed/37258646 http://dx.doi.org/10.1038/s41366-023-01325-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Evans, Marc de Courcy, Joanna de Laguiche, Elisabeth Faurby, Mads Haase, Christiane Lundegaard Matthiessen, Kasper Sommer Moore, Adam Pearson-Stuttard, Jonathan Obesity-related complications, healthcare resource use and weight loss strategies in six European countries: the RESOURCE survey |
title | Obesity-related complications, healthcare resource use and weight loss strategies in six European countries: the RESOURCE survey |
title_full | Obesity-related complications, healthcare resource use and weight loss strategies in six European countries: the RESOURCE survey |
title_fullStr | Obesity-related complications, healthcare resource use and weight loss strategies in six European countries: the RESOURCE survey |
title_full_unstemmed | Obesity-related complications, healthcare resource use and weight loss strategies in six European countries: the RESOURCE survey |
title_short | Obesity-related complications, healthcare resource use and weight loss strategies in six European countries: the RESOURCE survey |
title_sort | obesity-related complications, healthcare resource use and weight loss strategies in six european countries: the resource survey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359184/ https://www.ncbi.nlm.nih.gov/pubmed/37258646 http://dx.doi.org/10.1038/s41366-023-01325-1 |
work_keys_str_mv | AT evansmarc obesityrelatedcomplicationshealthcareresourceuseandweightlossstrategiesinsixeuropeancountriestheresourcesurvey AT decourcyjoanna obesityrelatedcomplicationshealthcareresourceuseandweightlossstrategiesinsixeuropeancountriestheresourcesurvey AT delaguicheelisabeth obesityrelatedcomplicationshealthcareresourceuseandweightlossstrategiesinsixeuropeancountriestheresourcesurvey AT faurbymads obesityrelatedcomplicationshealthcareresourceuseandweightlossstrategiesinsixeuropeancountriestheresourcesurvey AT haasechristianelundegaard obesityrelatedcomplicationshealthcareresourceuseandweightlossstrategiesinsixeuropeancountriestheresourcesurvey AT matthiessenkaspersommer obesityrelatedcomplicationshealthcareresourceuseandweightlossstrategiesinsixeuropeancountriestheresourcesurvey AT mooreadam obesityrelatedcomplicationshealthcareresourceuseandweightlossstrategiesinsixeuropeancountriestheresourcesurvey AT pearsonstuttardjonathan obesityrelatedcomplicationshealthcareresourceuseandweightlossstrategiesinsixeuropeancountriestheresourcesurvey |