Effect of Combined Cardiovascular Risk Factors on Individual and Population Medical Expenditures : A 10-Year Cohort Study of National Health Insurance in a Japanese Population

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概要

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• Background Although obesity is required for some criteria defining metabolic syndrome, clustering of other risk factors also indicates an increased risk of cardiovascular disease. Whether the relationship between cardio-vascular risk factor clustering and medical expenditures differs with body mass index (BMI) requires investigation, especially in a population with a low prevalence of obesity such as that in Japan. Methods and Results A 10-year cohort study of 4,478 Japanese National Health Insurance beneficiaries aged 40-69 years in a community between 1990 and 2001 was carried out in the present study. The clustering of cardiovascular risk factors showed a positive and graded relationship to personal medical expenditures in participants who are overweight (BMI ⪈25.0) and normal weight (BMI <25.0). The individual medical expenditures per month were 1.7-fold higher for participants with 2 or 3 risk factors and overweight than for those without these factors (26,782 vs 15,377 Japanese yen). Differences in the geometric means were similarly significant after adjustment for other confounding factors. However, the excess medical expenditures by risk clustering of normal weight categories within the total medical expenditures were higher than those of overweight categories because more participants were of normal weight. Conclusions Cardiovascular risk factor clustering and being overweight can be a useful predictor of medical expenditures in a Japanese population.

• 社団法人日本循環器学会の論文
• 2007-05-20

著者

• Okamura Tomonori

  Department of Preventive Cardiology, National Cardiovascular center

• Hayakawa Takehito

  Department of Hygiene and Preventive Medicine, Fukushima Medical University

• MURAKAMI Yoshitaka

  Department of Health Science, Shgia University of Medical Science

• Kadowaki Takashi

  Department of Health Science, Shiga University of Medical Science

• Ueshima Hirotsugu

  滋賀大学 医学部健康科学科

• OKAYAMA Akira

  Department of Preventive Cardiology, National Cardiovascular Center

• HOZAWA Atsushi

  Department of Public Health, Environmental Health Science, Tohoku University Graduate School of Medi

• Hozawa Atsushi

  滋賀大学 医学部健康科学科

• Hozawa Atsushi

  滋賀医科大学 福祉保健医学

• Nakamura Koshi

  Department of Epidemiology and Public Health, Kanazawa Medical University

• KITA Yoshikuni

  Department of Health Science, Shiga University of Medical Science

• KANDA Hideyuki

  Department of Hygiene and Preventive Medicine, Fukushima Medical University

• Kadowaki Takashi

  滋賀大学 医学部健康科学科

• Katanosaka Yuki

  国立循環器病センター

• Kadowaki Takashi

  Department Of Cardiovascular Medicine Graduate School Of Medicine University Of Tokyo

• Kosakai Yoshio

  Department Of Cardiovascldar Surgery National Cardiovascudar Center

• Tamakoshi A

  Department Of Health Science Shiga University Of Medical Science

• Okayama A

  The First Institute Of Health Service Japan Anti-tuberculosis Association

• Okayama Akira

  Department Of Orthopedic Surgery Hyogo College Of Medicine

• Nakamura Koshi

  Department Of Epidemiology And Public Health Kanazawa Medical University

• Kanda Hideyuki

  Department Of Hygiene And Preventive Medicine Fukushima Medical University

• Kanda Hideyuki

  Department Of Hygiene & Preventive Medicine Fukushima Medical University

• Kita Yoshikuni

  Department Of Health Science Shiga University Of Medical Science

• Takagi Kenzo

  Third Division Of The Research Laboratory For Development Of Medicine School Of Pharmacy Hokuriku Un

• Yoshida Michiaki

  Department Of Health Science Shgia University Of Medical Science

• Murakami Yoshitaka

  Department Of Health Science Shiga University Of Medical Science

• Takemiya Kiyoko

  Department Of Internal Medicine Division Of Cardio-vascular Medicine Kurume University School Of Med

• Hayakawa Takehito

  Department Of Hygiene And Preventive Medicine Fukushima Medical University

• Okayama Akira

  Department Of Hygiene And Preventive Medicine Osaka University School Of Medicine Nakanoshima

• Okamura Tomonori

  Department Of Cardiology National Cardiovascular Center

• Ueshima Hirotsugu

  The Health Promotion Research Committee of the Shiga National Health Insurance Organizations

• Hozawa Atsushi

  Department Of Public Health And Forensic Medicine Tohoku University Graduate School Of Medicine And

• Murakami Yoshitaka

  Faculty Of Healthcare Kiryu University

• Murakami Yoshitaka

  Fac. Of Healthcare Kiryu Univ.

• Hozawa Atsushi

  Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat

• Murakami Yoshitaka

  Department Of Health Science Shgia University Of Medical Science

• Miwa Yoshikazu

  Fac. Of Healthcare Kiryu Univ.

• Hozawa Atsushi

  Department Of Preventive Medicine Nagoya University Graduate School Of Medicine

• Hayakawa Takehito

  Division Of Epidemiology And Prevention Aichi Cancer Center Research Institute

• Kadowaki Takashi

  Department Of Cardiology Kawasaki Medical School

• Hayakawa Takehito

  Department Of Cancer Control And Statistics Osaka Medical Center For Cancer And Cardiovascular Diseases:for The Hipop-ohp Research Group

• Hozawa Atsushi

  Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization

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