{"title":"Body Mass Index and Medical Expenses Paid by the National Health Insurance Service in Korean Adults.","authors":"Youn Huh, Ga Eun Nam, Hye Soon Park","doi":"10.7570/jomes24019","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study aimed to analyze the medical expenses paid by the Korea National Health Insurance Service (KNHIS) according to body mass index (BMI) in Korean adults.</p><p><strong>Methods: </strong>We included 1,170,464 adults (623,498 men and 546,966 women) aged ≥19 years from the KNHIS-National Sample Cohort database (2016 to 2019) after excluding individuals with cancer. Average yearly medical expenses per person and average yearly medical expenses (Korean won [KRW], 1 United States dollar=1,292 KRW) by BMI classification were assessed according to age and sex. The medical expenses comprised those for medication, outpatient department (OPD), and hospitalization. The means and 95% confidence intervals were analyzed using a two-factor t-test.</p><p><strong>Results: </strong>The average yearly medical expenses per person increased significantly as BMI increased in women but not in men. The average yearly medical expenses were highest in the highest quintile of BMI in all age groups and in women. Even though BMI showed a U-shape association with medical expenses for OPD and hospitalization in young and elderly individuals, medical expenses for medication in all age groups and those for OPD and hospitalization in middle-aged individuals increased sharply in the highest quintile of BMI.</p><p><strong>Conclusion: </strong>All types of medical expenses increased in higher BMI groups in all Korean adults, particularly in women, and those with the highest BMI had the highest direct medical expenses. Strategies for preventing and managing obesity are warranted to minimize the burden from medical expenses.</p>","PeriodicalId":45386,"journal":{"name":"Journal of Obesity & Metabolic Syndrome","volume":" ","pages":""},"PeriodicalIF":4.7000,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Obesity & Metabolic Syndrome","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7570/jomes24019","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
摘要
研究背景本研究旨在根据韩国成年人的体重指数（BMI）分析韩国国民健康保险服务（KNHIS）支付的医疗费用：在排除癌症患者后，我们纳入了 KNHIS-全国抽样队列数据库（2016 年至 2019 年）中年龄≥19 岁的 1,170,464 名成年人（男性 623,498 人，女性 546,966 人）。根据年龄和性别评估了每人每年平均医疗费用和按体重指数分类的平均每年医疗费用（韩元[KRW]，1美元=1,292韩元）。医疗费用包括药物、门诊和住院费用。采用双因素 t 检验分析了平均值和 95% 的置信区间：女性每人每年的平均医疗费用随着体重指数（BMI）的增加而显著增加，但男性则没有。在所有年龄组和女性中，BMI最高五分位数的年均医疗费用最高。尽管体重指数与年轻人和老年人的门诊和住院医疗费用呈 U 型关系，但在体重指数最高的五分位数中，所有年龄组的药物医疗费用以及中年人的门诊和住院医疗费用都急剧增加：结论：在所有韩国成年人中，体重指数越高的人群各类医疗费用越高，尤其是女性，体重指数最高的人群直接医疗费用最高。有必要采取预防和管理肥胖症的策略，以尽量减轻医疗费用负担。
Body Mass Index and Medical Expenses Paid by the National Health Insurance Service in Korean Adults.
Background: This study aimed to analyze the medical expenses paid by the Korea National Health Insurance Service (KNHIS) according to body mass index (BMI) in Korean adults.
Methods: We included 1,170,464 adults (623,498 men and 546,966 women) aged ≥19 years from the KNHIS-National Sample Cohort database (2016 to 2019) after excluding individuals with cancer. Average yearly medical expenses per person and average yearly medical expenses (Korean won [KRW], 1 United States dollar=1,292 KRW) by BMI classification were assessed according to age and sex. The medical expenses comprised those for medication, outpatient department (OPD), and hospitalization. The means and 95% confidence intervals were analyzed using a two-factor t-test.
Results: The average yearly medical expenses per person increased significantly as BMI increased in women but not in men. The average yearly medical expenses were highest in the highest quintile of BMI in all age groups and in women. Even though BMI showed a U-shape association with medical expenses for OPD and hospitalization in young and elderly individuals, medical expenses for medication in all age groups and those for OPD and hospitalization in middle-aged individuals increased sharply in the highest quintile of BMI.
Conclusion: All types of medical expenses increased in higher BMI groups in all Korean adults, particularly in women, and those with the highest BMI had the highest direct medical expenses. Strategies for preventing and managing obesity are warranted to minimize the burden from medical expenses.
期刊介绍：
The journal was launched in 1992 and diverse studies on obesity have been published under the title of Journal of Korean Society for the Study of Obesity until 2004. Since 2017, volume 26, the title is now the Journal of Obesity & Metabolic Syndrome (pISSN 2508-6235, eISSN 2508-7576). The journal is published quarterly on March 30th, June 30th, September 30th and December 30th. The official title of the journal is now "Journal of Obesity & Metabolic Syndrome" and the abbreviated title is "J Obes Metab Syndr". Index words from medical subject headings (MeSH) list of Index Medicus are included in each article to facilitate article search. Some or all of the articles of this journal are included in the index of PubMed, PubMed Central, Scopus, Embase, DOAJ, Ebsco, KCI, KoreaMed, KoMCI, Science Central, Crossref Metadata Search, Google Scholar, and Emerging Sources Citation Index (ESCI).
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
