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