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  1. Frequency of'obesity'in medical records and utilization of out-patient health care by'obese'subjects in Germany. An analysis of health insurance data.

    Article - En anglais

    OBJECTIVE 

    The aim of this study was to assess the frequency of the diagnoses'overweight'or'obesity'in medical records and to examine the utilization of the out-patient health care system by'obese'subjects.

    DESIGN 

    All claims-cards, prescriptions and other diagnosis-carrying medical certificates from 1990 of a representative sample of members of a large local health insurance were collected and analyzed anonymously in a patient-related approach.

    SUBJECTS 

    A 5% random sample (n=6085) of all members of the general local health insurance (AOK) in the city of Dortmund, Germany.

    MEASUREMENTS 

    The percentage of subjects carrying the diagnosis of'overweight'and/or'obesity'was determined.

    In addition, the utilization of medical services and the presence of comorbid conditions in the documents of the AOK was recorded.

    RESULTS 

    A total number of 377'obese'subjects was identified corresponding with a prevalence rate of 6.2%. Among those, more women than men carried one of these diagnoses (240 vs 137,7.3% vs 4.9%, p<0.01).

    In comparison with an age-and sex-matched control group (n=1131) the'obese'subjects had significantly more practice contacts (25.7 vs 17.5/year, p<0.01) and received more medical services (64.2 vs 43.0/year, p<0.01), including more prescriptions (20.9 vs 15.5/year, p<0.01). (...)

    Mots-clés Pascal : Obésité, Prévalence, Homme, Allemagne, Europe, Diagnostic, Epidémiologie, Etat nutritionnel, Trouble nutrition, Surcharge pondérale

    Mots-clés Pascal anglais : Obesity, Prevalence, Human, Germany, Europe, Diagnosis, Epidemiology, Nutritional status, Nutrition disorder, Overweight

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0458685

    Code Inist : 002B22B. Création : 10/04/1997.