costs of health care will undoubtedly increase over the next 30 years, after the baby boomers " coming of age "and access Medicare benefits. the economic and social impact of the future growth of health care spending in the United States for the elderly will be. obesity will have a cost impact on since an obese 65, everyone entering the Medicare program requires immediate health care costs and higher than normal weight people.
an obese 45 year old person surviving to 65 years has considerably life higher costs on average Medicare $ 163,000 compared to $ 117,000 for a normal weight of surviving 45 years to 65 years older, such as obesity and the resulting health effects occur in young subjects, the system costs health care will be earlier and longer than in recent years when obesity developed in the elderly. The reality of these costs are supported by recent estimates of national health spending for children related to obesity :. $ 14.1 billion in additional prescription drugs, emergency room and outpatient costs each year
Many chronic diseases related to obesity affect the health quality for the life of PI obese. When obese people are assessed using the short form of health assessment (SF-36), they usually have low scores on the physical aspects of the evaluation of the operation. Physical functioning is most often affected by orthopedic problems, which impede the mobility of joints and interfere with the process and other activities of daily living (such as climbing stairs, lifting groceries, and enter in and out of the tub). The researchers found a positive association with body mass index (BMI) and knee osteoarthritis (OA); specifically knee, hip and back pain. A study comparing the obese / non-obese showed a 13-fold increase in the incidence of knee osteoarthritis (OA) among the heaviest subjects. Studies have also shown that hip replacement in younger is positively associated with body weight and stress of contact of the hip.
However, research shows that obese people who lose a modest amount of weight (0 to 9.9% weight loss) improved SF-36 in the field of psychosocial functioning, physical functioning and general health 2 years, demonstrating a dose-response improvement with increasing weight loss. Other research describes overweight people with radiographic knee signs (OA) who, having lost 10-12 pounds on average, reported a 30% improvement in knee pain and has experienced a 24% improvement in their ability to perform daily activities; including the ability to climb stairs more quickly and easily than subjects who lost weight.
Physiotherapists are in a position where they can have a positive impact on the obesity epidemic. The American Physical Therapy Association (APTA) recognizes that physical therapists are uniquely qualified to assume positions of leadership in efforts to prevent injuries and disability, and fully supports the positive role that physical therapists and assistants physiotherapist play in promoting healthy lifestyles, wellness and injury prevention. APTA holds as ethically binding the principle that PTs "strives to meet society's health needs." APTA is envisaged that by 2020 consumers "will have direct access to physical therapists in all settings for the patient / client management, prevention and wellness services." These statements by the APTA leaves no other choice for physical therapists to take an active role integrating all aspects of disease prevention, promotion of health and wellness in practice.
future articles will be designed to demonstrate how physical therapists can affectively integrate the promotion of health and wellness in their practice
References :.
Andersen, RE, Crespo, CJ, Bartlett SJ Bathon, JM, & Fontaine, KR (03). Relationship between body weight gain and significant knee, hip and back pain in older Americans. Obesity Research, 11 (10), 1159 to 1162.
Cai, L., Lubitz, J., Flegal, K. M., & Pamuk, E. A., (2010). The anticipated effects of the middle-aged chronic obesity on health insurance costs and mortality. Medical Care, 48 (6), 510-517.
Christensen, R., Astrup, A., & Bliddal, H. (05). Weight loss: the treatment of choice for osteoarthritis of the knee? A randomized trial. Osteoarthritis Cartilage. 13 (1), 20-7.
Coggon, D., Reading, I., Croft, P., McLaren, Mr. Barrett, D., & Cooper, C. (01). Knee osteoarthritis and obesity. International Journal of Obesity and Related Metabolic Disorders, 25 (5), 622-627.
Doll, H. A., Petersen, E. S., & Stewart-Brown, S. L. (00). Obesity and physical and well-being: the associations between body mass index, chronic conditions, and the physical and mental components of the SF-36 questionnaire. Obesity Research, 8 (2), 0-170.
Felson, D. T., Anderson, JJ, Naimark, A. Walker, A. M., & Meenan, R. F. (1988). Obesity and knee osteoarthritis.The Framingham study. Annals of Internal Medicine, 109 (1), 18-24.
Field AE, Coakley EH, Must, A., Spadano, MA, and Laird, N. (01). of overweight impact on the risk of developing common chronic diseases for a period of 10 years. Archives of Internal Medicine, 161, 1581-1586.
Finkelstein EA, Trogdon, JG, Brown, DS, Allaire, BT, Dellea, PS, and Kamal-Bahl, SJ (08). The burden of medical expenses of life overweight and obesity: implications for obesity prevention. Obesity, 16 (8), of 1843-1848.
Gelber AC, Hochberg MC, Mead LA, Wang, NY, Wigley FM, and Klag MJ (1999) .Body mass index in young men and risk of subsequent knee and hip osteoarthritis. American Journal of Medicine, 107 (6), 542-8.
Messier, SP, Loeser, RF, Miller, GD, Morgan, TM, Rejeski, WJ, Sevick, MA, ... Williamson, JD (04). Exercise and dietary weight loss in older overweight and obese people with knee osteoarthritis: the trial of arthritis, diet and development business. Arthritis Rheumatism, 50 (5), 1501-1510
Oliveria, S.A., Felson, D. T., Cirillo, P. A., Reed, J. I., and Walker, A. M. (1999). Body weight, body mass index, and symptomatic osteoarthritis of the hand incident, hip and knee. Epidemiology, 10 (2), 161-166.
Recnik, G., Kralj-Iglic, V., Iglic, A., et al. (09). The role of obesity, biomechanics constitution of the basin and the common contact stress in the progression of osteoarthritis of the hip. Osteoarthritis Cartilage, 17 (7), 879-882.
Rice, D. P., & Fineman, N. (04). Economic implications of increased longevity in the United States. Annual review of public health. 25, 457-473.
Trasande, L., & Chatterjee, S. (09). The impact of obesity on the use and costs in child health services. Obesity, 17 (9), 1749 to 1754.
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Jeff Gilliam, PT, PhD, OCS
Jeff Gilliam PT PhD: is a specialist in weight loss, who studied in detail in the areas of health behavior, exercise physiology and nutritional biochemistry at the University of Florida. Jeff taught a course at the University of Florida called "Search Applications to obesity and weight loss." He also taught for UF DPT program to promote health and well-being "and" Evidence Based Practice III '. His doctoral research was in the area of effective behavioral interventions for obesity and its associated diseases. He is the founder of choice of doctors for weight loss Loss a program of life / Successful weight, which can be found in more than 40 clinics in the US Southeast. He is currently clinical director of ReQuest Physical Therapy (Gainesville, Florida) and integrates the loss of life program / weight in physical therapy for his patients to help them achieve their healthy body weight.
Jeff Gilliam is an orthopedic specialist certified by the American Board of Physical Therapy Specialties.
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