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...

Descripción completa

Detalles Bibliográficos
Autores principales: Evans, Marc, de Courcy, Joanna, de Laguiche, Elisabeth, Faurby, Mads, Haase, Christiane Lundegaard, Matthiessen, Kasper Sommer, Moore, Adam, Pearson-Stuttard, Jonathan
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