Burden of Disease Attributable to Obesity and Overweight: Korean Focus
This chapter estimates the burden of disease attributable to overweight and obesity in Korea using disability adjusted life-years (DALYs). First, overweight- and obesity-related diseases and their relative risks (RRs) were selected by systematic review
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Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1120
2 Measuring Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1123 2.1 Disease Selection Related to Overweight and Obesity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1123 3 Relative Risk (RR) Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1123 3.1 The Burden of Disease Attributable to Overweight and Obesity . . . . . . . . . . . . . . . . . . 1126 3.2 Disease Burdens Attributable to Overweight and Obesity . . . . . . . . . . . . . . . . . . . . . . . . . . 1127 4
Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1129 Summary Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1133
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Springer Science+Business Media LLC 2010 (USA)
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Burden of Disease Attributable to Obesity and Overweight: Korean Focus
Abstract: This chapter estimates the burden of disease attributable to > overweight and > obesity in Korea using disability adjusted life-years (DALYs). First, overweight- and obesity-related diseases and their > relative risks (RRs) were selected by systematic review. Second, population-attributable fractions (PAFs) were computed by using a formula that included RR and the prevalence of exposure (Pe) of overweight and obesity. Third, the DALYs of overweight and obesity-related diseases in Korea were estimated. Finally, the attributable burden (AB) of disease due to overweight and obesity was calculated as the sum of the products resulting from the multiplication of the DALYs of overweight and obesity-related diseases by their PAFs. In 2002, the disease burden attributable to overweight was 827.1 PYs overall: 732.6 for men and 922.9 for women per 100,000 persons. The disease burden attributable to obesity was 260.0 PYs overall: 144.2 for men and 377.3 for women. The burden of diabetes attributable to overweight and obesity was higher than that of any other disease in both genders. The disease burden attributable to overweight was 3.2 times higher than that attributable to obesity. In conclusion, the greatest disease burden attributable to a high BMI occurred among those with only moderately elevated BMI scores, such as overweight, and not those with extremely elevated BMI scores, such as obesity. This suggests that population-based, public health intervention is more effective than high-risk group-focused strategies at reducing the burden of disease attributable to overweight and obesity in Korea. List of Abbreviations: AB, attributable burden; AICR, American Institute For Cancer Research; BMI, > body mass index; DALY, disability adjusted life-year; GBD, > global burden of disease; PAFs, p
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