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.
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.
A 5% random sample (n=6085) of all members of the general local health insurance (AOK) in the city of Dortmund, Germany.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0458685
Code Inist : 002B22B. Création : 10/04/1997.