Association between adolescent obesity and early adulthood healthcare utilization—a two-cohort prospective study
Abstract Background Pediatric obesity is a growing global health challenge, with long-term implications for individuals and healthcare systems. Existing studies on the association between pediatric obesity and healthcare use in adulthood are limited and often rely on mathematical simulation models....
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12916-025-03866-w |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832585680051503104 |
|---|---|
| author | Emilia Hagman Vidar Halsteinli Resthie R. Putri Christina Hansen Edwards Gudrun Waaler Bjørnelv Claude Marcus Rønnaug A. Ødegård |
| author_facet | Emilia Hagman Vidar Halsteinli Resthie R. Putri Christina Hansen Edwards Gudrun Waaler Bjørnelv Claude Marcus Rønnaug A. Ødegård |
| author_sort | Emilia Hagman |
| collection | DOAJ |
| description | Abstract Background Pediatric obesity is a growing global health challenge, with long-term implications for individuals and healthcare systems. Existing studies on the association between pediatric obesity and healthcare use in adulthood are limited and often rely on mathematical simulation models. This study aims to provide real-world data on the impact of adolescent obesity on specialized healthcare utilization and costs in early adulthood. Methods This study analyzed data from two longitudinal cohorts: a population-based cohort from Norway (Young-HUNT) and a clinical cohort from Sweden (BORIS), the latter with matched general population comparators. Individuals included were born between 1987 and 1994, with BMI measurements at ages 13–19, and follow-up data from ages 20 to 30 years. Healthcare utilization and costs were assessed using national patient registries. Results A total of 7592 individuals from Norway (5.7% with adolescent obesity) and 1543 individuals from Sweden with adolescent obesity, accompanied with 7330 matched general population comparators, were included. Among females, adolescent obesity was associated with significantly higher specialized healthcare utilization and costs in young adulthood, e.g., in Sweden, females with adolescent obesity had a 57% probability of annual specialized healthcare visits at ages 25–29, compared to 49% among the general population, p < 0.0001. In Norway, a similar pattern was observed. Among males, the association between obesity and healthcare utilization/annual specialized visits was less prominent. Annual excess costs for females with a history of adolescent obesity ranged from €578 to €835, while males showed minimal or no annual excess costs. Conclusions Analyses of real-world data cohorts from Norway and Sweden reveal that adolescent obesity is associated with increased healthcare utilization and costs in young adulthood, exceeding previous estimates. A distinct sex difference was evident, with females incurring higher costs compared to males. |
| format | Article |
| id | doaj-art-fcbb897279a249929e1a15bc84d1e21a |
| institution | Kabale University |
| issn | 1741-7015 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medicine |
| spelling | doaj-art-fcbb897279a249929e1a15bc84d1e21a2025-01-26T12:37:18ZengBMCBMC Medicine1741-70152025-01-0123111010.1186/s12916-025-03866-wAssociation between adolescent obesity and early adulthood healthcare utilization—a two-cohort prospective studyEmilia Hagman0Vidar Halsteinli1Resthie R. Putri2Christina Hansen Edwards3Gudrun Waaler Bjørnelv4Claude Marcus5Rønnaug A. Ødegård6Department of Clinical Science, Intervention, and Technology, Karolinska InstitutetDepartment of Surgery, Obesity Research Centre, St. Olavs Hospital Trondheim University HospitalDepartment of Clinical Science, Intervention, and Technology, Karolinska InstitutetDepartment of Public Health and Nursing, Norwegian University of Science and TechnologyDepartment of Public Health and Nursing, Norwegian University of Science and TechnologyDepartment of Clinical Science, Intervention, and Technology, Karolinska InstitutetDepartment of Surgery, Obesity Research Centre, St. Olavs Hospital Trondheim University HospitalAbstract Background Pediatric obesity is a growing global health challenge, with long-term implications for individuals and healthcare systems. Existing studies on the association between pediatric obesity and healthcare use in adulthood are limited and often rely on mathematical simulation models. This study aims to provide real-world data on the impact of adolescent obesity on specialized healthcare utilization and costs in early adulthood. Methods This study analyzed data from two longitudinal cohorts: a population-based cohort from Norway (Young-HUNT) and a clinical cohort from Sweden (BORIS), the latter with matched general population comparators. Individuals included were born between 1987 and 1994, with BMI measurements at ages 13–19, and follow-up data from ages 20 to 30 years. Healthcare utilization and costs were assessed using national patient registries. Results A total of 7592 individuals from Norway (5.7% with adolescent obesity) and 1543 individuals from Sweden with adolescent obesity, accompanied with 7330 matched general population comparators, were included. Among females, adolescent obesity was associated with significantly higher specialized healthcare utilization and costs in young adulthood, e.g., in Sweden, females with adolescent obesity had a 57% probability of annual specialized healthcare visits at ages 25–29, compared to 49% among the general population, p < 0.0001. In Norway, a similar pattern was observed. Among males, the association between obesity and healthcare utilization/annual specialized visits was less prominent. Annual excess costs for females with a history of adolescent obesity ranged from €578 to €835, while males showed minimal or no annual excess costs. Conclusions Analyses of real-world data cohorts from Norway and Sweden reveal that adolescent obesity is associated with increased healthcare utilization and costs in young adulthood, exceeding previous estimates. A distinct sex difference was evident, with females incurring higher costs compared to males.https://doi.org/10.1186/s12916-025-03866-wAdolescent obesityHealthcare CostsHealthcare utilizationHealth economicsReal-world data |
| spellingShingle | Emilia Hagman Vidar Halsteinli Resthie R. Putri Christina Hansen Edwards Gudrun Waaler Bjørnelv Claude Marcus Rønnaug A. Ødegård Association between adolescent obesity and early adulthood healthcare utilization—a two-cohort prospective study BMC Medicine Adolescent obesity Healthcare Costs Healthcare utilization Health economics Real-world data |
| title | Association between adolescent obesity and early adulthood healthcare utilization—a two-cohort prospective study |
| title_full | Association between adolescent obesity and early adulthood healthcare utilization—a two-cohort prospective study |
| title_fullStr | Association between adolescent obesity and early adulthood healthcare utilization—a two-cohort prospective study |
| title_full_unstemmed | Association between adolescent obesity and early adulthood healthcare utilization—a two-cohort prospective study |
| title_short | Association between adolescent obesity and early adulthood healthcare utilization—a two-cohort prospective study |
| title_sort | association between adolescent obesity and early adulthood healthcare utilization a two cohort prospective study |
| topic | Adolescent obesity Healthcare Costs Healthcare utilization Health economics Real-world data |
| url | https://doi.org/10.1186/s12916-025-03866-w |
| work_keys_str_mv | AT emiliahagman associationbetweenadolescentobesityandearlyadulthoodhealthcareutilizationatwocohortprospectivestudy AT vidarhalsteinli associationbetweenadolescentobesityandearlyadulthoodhealthcareutilizationatwocohortprospectivestudy AT resthierputri associationbetweenadolescentobesityandearlyadulthoodhealthcareutilizationatwocohortprospectivestudy AT christinahansenedwards associationbetweenadolescentobesityandearlyadulthoodhealthcareutilizationatwocohortprospectivestudy AT gudrunwaalerbjørnelv associationbetweenadolescentobesityandearlyadulthoodhealthcareutilizationatwocohortprospectivestudy AT claudemarcus associationbetweenadolescentobesityandearlyadulthoodhealthcareutilizationatwocohortprospectivestudy AT rønnaugaødegard associationbetweenadolescentobesityandearlyadulthoodhealthcareutilizationatwocohortprospectivestudy |