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Development of BMI values of German children and their healthcare costs

Listed author(s):
  • Batscheider, Ariane
  • Rzehak, Peter
  • Teuner, Christina M.
  • Wolfenstetter, Silke B.
  • Leidl, Reiner
  • von Berg, Andrea
  • Berdel, Dietrich
  • Hoffmann, Barbara
  • Heinrich, Joachim

The aim of this study is to assess the association between different patterns of Body Mass Index (BMI) development from birth on and later healthcare utilisation and costs in children aged about 10 years based on two birth cohort studies: the GINIplus study (3287 respondents) and the LISAplus study (1762 respondents). Direct costs were estimated using information on healthcare utilisation given by parents in the 10-year follow-up. To meet this aim, we (i) estimate BMI-standard deviation score (BMIZ) trajectories using latent growth mixture models and (ii) examine the correlation between these trajectories and utilisation of healthcare services and resulting costs at the 10-year follow-up. We identified three BMI-trajectories: a normative BMIZ growth class (BMI development almost as in the WHO growth standards), a rapid BMIZ growth up to age 2 years class (with a higher BMI in the first two years of life as proposed by the WHO growth standards) and a persistent rapid BMIZ growth up to age 5 years class (with a higher BMI in the first five years of life as proposed by the WHO growth standards). Annual total direct medical costs of healthcare use are estimated to be on average €368 per child. These costs are doubled, i.e. on average €722 per child, in the group with the most pronounced growth (persistent rapid BMIZ growth up to age 5 years class).

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Article provided by Elsevier in its journal Economics & Human Biology.

Volume (Year): 12 (2014)
Issue (Month): C ()
Pages: 56-66

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Handle: RePEc:eee:ehbiol:v:12:y:2014:i:c:p:56-66
DOI: 10.1016/j.ehb.2013.05.007
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  1. Zellner, Konrad & Ulbricht, Gottfried & Kromeyer-Hauschild, Katrin, 2007. "Long-term trends in body mass index of children in Jena, Eastern Germany," Economics & Human Biology, Elsevier, vol. 5(3), pages 426-434, December.
  2. John Mullahy, 1998. "Much Ado About Two: Reconsidering Retransformation and the Two-Part Model in Health Economics," NBER Technical Working Papers 0228, National Bureau of Economic Research, Inc.
  3. Moodie, Marjory & Haby, Michelle & Wake, Melissa & Gold, Lisa & Carter, Robert, 2008. "Cost-effectiveness of a family-based GP-mediated intervention targeting overweight and moderately obese children," Economics & Human Biology, Elsevier, vol. 6(3), pages 363-376, December.
  4. Wolfenstetter, S.B., 2012. "Future direct and indirect costs of obesity and the influence of gaining weight: Results from the MONICA/KORA cohort studies, 1995–2005," Economics & Human Biology, Elsevier, vol. 10(2), pages 127-138.
  5. Cawley, John & Spiess, C. Katharina, 2008. "Obesity and skill attainment in early childhood," Economics & Human Biology, Elsevier, vol. 6(3), pages 388-397, December.
  6. Coneus, Katja & Spiess, C. Katharina, 2012. "The intergenerational transmission of health in early childhood—Evidence from the German Socio-Economic Panel Study," Economics & Human Biology, Elsevier, vol. 10(1), pages 89-97.
  7. Breitfelder, Ariane & Wenig, Christina M. & Wolfenstetter, Silke B. & Rzehak, Peter & Menn, Petra & John, Jürgen & Leidl, Reiner & Bauer, Carl Peter & Koletzko, Sibylle & Röder, Stefan & Herbarth, Olf, 2011. "Relative weight-related costs of healthcare use by children--Results from the two German birth cohorts, GINI-plus and LISA-plus," Economics & Human Biology, Elsevier, vol. 9(3), pages 302-315, July.
  8. Glick, Henry A & Doshi, Jalpa A & Sonnad, Seema S & Polsky, Daniel, 2007. "Economic Evaluation in Clinical Trials," OUP Catalogue, Oxford University Press, number 9780198529972.
  9. Christina Wenig, 2012. "The impact of BMI on direct costs in Children and Adolescents: empirical findings for the German Healthcare System based on the KiGGS-study," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(1), pages 39-50, February.
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