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Int J Obes Relat Metab Disord. 2000 Feb;24(2):151-5.

Obesity morbidity and health care costs in France: an analysis of the 1991-1992 Medical Care Household Survey.

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  • 1Cemka, 43 Boulevard Maréchal Joffre, 92340 Bourg-la-Reine, France.



To estimate the direct medical costs associated with obesity in France.


Analysis of the French 1991-1992 National Household Survey database comprising a representative sample of 14, 670 individuals aged 18 y and over. A subgroup of subjects with a body mass index (BMI)>/=30 kg/m2 was compared with a control group of normal-weight individuals (BMI 18.5-25 kg/m2) matched on age, gender and education level.


Self-reported weight and height used to calculate individual body mass index and health expenditures in a 3 month period, and morbidity as declared by respondents to the national household survey and verified on medical records.


The direct cost attributable to obesity (BMI>/=30 kg/m2) was estimated to be in the range 4.2-8.7 billion French Francs (FF) in 1992 value, that is between 0.7 and 1.5% of total health expenditures.


These results were of the same order of magnitude as similar estimates obtained by a top-down approach for the same year and setting. International Journal of Obesity (2000) 24, 151-155

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