The enormous cost of obesity: analysis of public costs in a basic health unit in Minas Gerais, Brazil

Authors

DOI:

https://doi.org/10.33448/rsd-v12i5.41383

Keywords:

Obesity; Public health; Costs; Management; Comorbidities.

Abstract

Introduction: The higher the body mass index (BMI) of a patient, the greater the risk of the patient developing obesity-related diseases. Likewise, the severity of obesity and related diseases increases as BMI increases. Objective: to assess the costs of obesity and related diseases in Brazil from the perspective of society and health systems, in view of the analysis of estimated costs attributable to this main pathology, considering the costs of outpatient procedures, medicines distributed by the SUS to treat the disease and request of examination. Methodology: analytical observational approach developed at the Itamarati Basic Health Unit, located in the Jardim Itamarati neighborhood, in the city of Patos de Minas, Minas Gerais, using data from the Viver Platform, physical records and DATASUS. Results and discussion: given the results of this study and others cited here, it is noted that, considering obesity as a risk factor for hypertension and diabetes separately, the costs attributable to this disease are high, and the estimates of costs attributable to the main Chronic diseases associated with inadequate nutrition show the great economic burden of these diseases for the SUS. The data show the need to prioritize integrated and intersectoral policies for the prevention and control of hypertension, diabetes and obesity. Conclusion: Obesity imposes a high cost to the health of people and public administration. Thus, by understanding the pathophysiology of obesity, it will allow healthcare providers to better manage the set of diseases supported by this main pathology that affect an individual.

References

Allender, S., & Rayner, M. (2007). The burden of overweight and obesity-related ill health in the UK. Obes Rev. 8(5), 467-473.

Andolfi, C., & Fisichella, P. M (2018). Epidemiologia da obesidade e comorbidades associadas. Revista de Técnicas Cirúrgicas e Laparoendoscópicas Avançadas, 28 (8), 1-6.

Anjos, L. A. (2006). Obesidade e saúde pública. Editora FIOCRUZ, 1-101.

Bahia, L. R., et al. (2014). Impacto econômico da obesidade no Brasil. Revista HUPE, 13 (1), 13-17.

Brasil, Ministério da Saúde (2018). Banco de dados do Sistema Único de Saúde (DATASUS). http://sigtap.datasus.gov.br/tabela-unificada/app/sec/inicio.jsp.

Bueter, M., et al. (2009). Cirurgia bariátrica e hipertensão. Surg Obes Relat Dis, 5 (1), 615–620.

Costa, A. F., et al. (2017). Carga do diabetes mellitus tipo 2 no Brasil. Cadernos de Saúde Pública. 33 (2), 1-14.

Figueiredo, B. Q., et al. (2021). O enorme custo da obesidade para a saúde pública brasileira: Uma breve revisão de literatura. Research, Society and Development. 10 (9), 1-9.

Finkelstein, E. A., et al. (2012). A obesidade e as previsões de obesidade grave até 2030. Am J Prev Med, 42 (1), 563–570.

Freitas, E. V., & Py, L. (2018). Tratado de geriatria e gerontologia. (4a ed.), Guanabara Koogan, 1638p.

Ghosh, A., et al. (2003). Association of food patterns, central obesity measures and metabolic risk factors for coronary heart disease (CHD) in middle aged Bengalee Hindu men, Calcutta, India. Asia Pacific Journal of Clinical Nutrition. 12 (2), 166-171.

Gouvea, H. R., et al. (2013). Validação da ultrassonografia para a avaliação da gordura abdominal visceral em obesos clinicamente graves. Arq. Bras. Cir. Dig. 26 (1), 43-46.

Guh, D. P., et al. (2009). The incidence of co-morbidities related to obesity and overweight: A systematic review and meta-analysis. BMC Public Health. 88 (9).

Hammond, R. A., & Levine, R. (2010). The economic impact of obesity in the United States. Diabetes Metab Syndr Obes. 3 (1), 285-295.

Instituto Brasileiro de Geografia e Estatística. Pro¬duto Interno Bruto (2010). Rio de Janeiro: IBGE. http://www.ibge.gov.br/home/

Oliveira, M. L. (2013). Estimativa dos custos da obesidade para o Sistema Único de Saúde do Brasil [Tese de Doutorado em Nutrição Humana]. Brasília: Universidade de Brasília.

Pedersen, D. J., et al. (2015). Um importante papel da insulina no pro- inflamação do tecido adiposo associada à obesidade. Mol Metab, 4 (1), 507-518.

Sichieri, R., et al. (2007). The burden of hospitalization due to overweight and obesity in Bra¬zil. Cad Saúde Pública. 23 (7), 1721-1727.

Thorpe, R. J., et al. (2015). Explicando as disparidades raciais na obesidade entre homens: O lugar importa? Am J Mens Health, 9 (1), 464-472.

Xu, W., et al. (2015). Massa corporal índice e mortalidade por todas as causas em pacientes com hipertensão. Obesity, 23 (1), 1712–1720.

Downloads

Published

23/04/2023

How to Cite

LIMA, J. R. de A.; CAMPANATI, S. P.; CUNHA, Ítalo Íris B. R. da; ROSA, F. R. P. de A. C.; LOUREIRO, L. S.; BARTH, B. T.; LOPES, A. S.; MENEZES, A. G. G. de .; SILVA, M. V. da .; PEREIRA, A. S. The enormous cost of obesity: analysis of public costs in a basic health unit in Minas Gerais, Brazil. Research, Society and Development, [S. l.], v. 12, n. 5, p. e1112541383, 2023. DOI: 10.33448/rsd-v12i5.41383. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41383. Acesso em: 22 dec. 2024.

Issue

Section

Health Sciences