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Obesity in Germany and Italy: prevalence, comorbidities, and associations with patient outcomes

Overview of attention for article published in ClinicoEconomics and Outcomes Research: CEOR, August 2018
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Title
Obesity in Germany and Italy: prevalence, comorbidities, and associations with patient outcomes
Published in
ClinicoEconomics and Outcomes Research: CEOR, August 2018
DOI 10.2147/ceor.s157673
Pubmed ID
Authors

Marco DiBonaventura, Antonio Nicolucci, Henrik Meincke, Agathe Le Lay, Janine Fournier

Abstract

This study investigated the association between body mass index (BMI) and three comorbid conditions (type 2 diabetes [T2D], prediabetes, and hypertension) on humanistic and economic outcomes. This retrospective observational study collected data from German (n=14286) and Italian (n=9433) respondents to the 2013 European Union National Health and Wellness Survey, a cross-sectional, nationally representative online survey of the general adult population. Respondents were grouped, based on their self-reported BMI, and stratified into three other comorbid conditions (T2D, prediabetes, and hypertension). Generalized linear models, controlling for demographics and health characteristics, tested the relationship between BMI and health status, work productivity loss, and health care resource utilization. Indirect and direct costs were calculated based on overall work productivity loss and health care resource utilization, respectively. The same generalized linear models were also performed separately for those with T2D, prediabetes, and hypertension. The sample of German respondents was 50.16% male, with a mean age of 46.68 years (SD =16.05); 35.24% were classified as overweight and 21.29% were obese. In Italy, the sample was 48.34% male, with a mean age of 49.27 years (SD =15.75); 34.85% were classified as overweight, and 12.89% were obese. Multivariable analyses demonstrated that, in both countries, higher BMI was associated with worse humanistic outcomes and only those from Germany also reported greater direct and indirect costs. Differences in the impact of BMI on outcomes by country were additionally found when the sample was stratified into those with prediabetes, T2D, and hypertension. The high percentage of patients who are overweight or obese in Germany and Italy remains problematic. Better elucidating the impact of overweight or obese BMI, as well as the incremental effects of relevant comorbid conditions, on humanistic and economic outcomes is critical to quantify the multifaceted burden on individuals and society.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 93 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 93 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 16 17%
Researcher 11 12%
Student > Bachelor 10 11%
Student > Ph. D. Student 9 10%
Student > Doctoral Student 8 9%
Other 10 11%
Unknown 29 31%
Readers by discipline Count As %
Medicine and Dentistry 18 19%
Nursing and Health Professions 9 10%
Biochemistry, Genetics and Molecular Biology 7 8%
Computer Science 5 5%
Agricultural and Biological Sciences 4 4%
Other 17 18%
Unknown 33 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 September 2018.
All research outputs
#22,867,974
of 25,498,750 outputs
Outputs from ClinicoEconomics and Outcomes Research: CEOR
#487
of 524 outputs
Outputs of similar age
#299,311
of 342,157 outputs
Outputs of similar age from ClinicoEconomics and Outcomes Research: CEOR
#8
of 9 outputs
Altmetric has tracked 25,498,750 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 524 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.0. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 342,157 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 9 others from the same source and published within six weeks on either side of this one.