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  1. Article ; Online: Lifetime costs of overweight and obesity in Italy.

    Atella, Vincenzo / Belotti, Federico / Giaccherini, Matilde / Medea, Gerardo / Nicolucci, Antonio / Sbraccia, Paolo / Mortari, Andrea Piano

    Economics and human biology

    2024  Volume 53, Page(s) 101366

    Abstract: We use longitudinal electronic clinical data on a large representative sample of the Italian population to estimate the lifetime profile costs of different BMI classes - normal weight, overweight, and obese (I, II, and III) - in a primary care setting. ... ...

    Abstract We use longitudinal electronic clinical data on a large representative sample of the Italian population to estimate the lifetime profile costs of different BMI classes - normal weight, overweight, and obese (I, II, and III) - in a primary care setting. Our research reveals that obese patients generate the highest cost differential throughout their lives compared to normal weight patients. Moreover, we show that overweight individuals spend less than those with normal weight, primarily due to reduced expenditures beginning in early middle age. Our estimates could serve as a vital benchmark for policymakers looking to prioritize public interventions that address the obesity pandemic while considering the increasing obesity rates projected by the OECD until 2030.
    MeSH term(s) Humans ; Italy/epidemiology ; Obesity/epidemiology ; Obesity/economics ; Middle Aged ; Female ; Male ; Overweight/epidemiology ; Overweight/economics ; Adult ; Body Mass Index ; Aged ; Young Adult ; Adolescent ; Longitudinal Studies ; Cost of Illness ; Child ; Health Expenditures/statistics & numerical data ; Primary Health Care/economics
    Language English
    Publishing date 2024-02-06
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2099749-8
    ISSN 1873-6130 ; 1570-677X
    ISSN (online) 1873-6130
    ISSN 1570-677X
    DOI 10.1016/j.ehb.2024.101366
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: When particulate matter strikes cities: Social disparities and health costs of air pollution.

    Giaccherini, Matilde / Kopinska, Joanna / Palma, Alessandro

    Journal of health economics

    2021  Volume 78, Page(s) 102478

    Abstract: We investigate the heterogeneous effects of particle pollution on Italian daily hospitalizations and their costs by exploiting public transportation strikes as plausibly-exogenous shocks in pollution exposure. We find that a one standard deviation ... ...

    Abstract We investigate the heterogeneous effects of particle pollution on Italian daily hospitalizations and their costs by exploiting public transportation strikes as plausibly-exogenous shocks in pollution exposure. We find that a one standard deviation increase in PM
    MeSH term(s) Aged ; Air Pollutants/toxicity ; Air Pollution/adverse effects ; Cities ; Environmental Exposure/adverse effects ; Health Care Costs ; Humans ; Particulate Matter/analysis ; Particulate Matter/toxicity
    Chemical Substances Air Pollutants ; Particulate Matter
    Language English
    Publishing date 2021-06-05
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 625797-5
    ISSN 1879-1646 ; 0167-6296
    ISSN (online) 1879-1646
    ISSN 0167-6296
    DOI 10.1016/j.jhealeco.2021.102478
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1779: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: The interplay between excess weight and hyper-glycemia on NCDs in Italy: results from a cross-sectional study.

    Atella, Vincenzo / Belotti, Federico / Giaccherini, Matilde / Medea, Gerardo / Piano Mortari, Andrea / Sbraccia, Paolo / Nicolucci, Antonio

    Acta diabetologica

    2024  

    Abstract: Purpose: To evaluate the prevalence of chronic comorbidities according to BMI classes and assess the interplay between excess body weight and blood glucose abnormalities in increasing the risk of major chronic diseases.: Methods: The study is based ... ...

    Abstract Purpose: To evaluate the prevalence of chronic comorbidities according to BMI classes and assess the interplay between excess body weight and blood glucose abnormalities in increasing the risk of major chronic diseases.
    Methods: The study is based on data from the Health Search/IQVIA Health LPD Longitudinal Patient Database, an Italian general practice registry, with data obtained from electronic clinical records of 800 general practitioners throughout Italy. Data relative to the year 2018 were analyzed. The study population was classified according to BMI (normal weight, overweight, and obesity classes 1, 2 and 3) and glucose metabolism status (normoglycemia-NGT; impaired fasting glucose-IFG; diabetes mellitus-DM). Comorbidities were identified through ICD-9 CM codes.
    Results: Data relative to 991,917 adults were analyzed. The prevalence of overweight was 39.4%, while the prevalence of obesity was 11.1% (class 1: 7.9%, class 2: 2.3%, class 3: 0.9%). In the whole population, the prevalence of DM and IFG was 8.9% and 4.2%, respectively. Both overweight and obesity were associated with an increasing prevalence of glucose metabolism alterations and a large array of different chronic conditions, including cardio-cerebrovascular diseases, heart failure, chronic kidney disease, osteoarticular diseases, depression, sleep apnea, and neoplasms of the gastrointestinal tract. Within each BMI class, the presence of IFG, and to a greater extent DM, identified subgroups of individuals with a marked increase in the risk of concomitant chronic conditions.
    Conclusion: Addressing the double burden of excess weight and hyperglycemia represents an important challenge and a healthcare priority.
    Language English
    Publishing date 2024-05-13
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1097676-0
    ISSN 1432-5233 ; 0940-5429
    ISSN (online) 1432-5233
    ISSN 0940-5429
    DOI 10.1007/s00592-024-02296-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 611: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Outpatient healthcare costs associated with overweight and obesity in Italy.

    Atella, Vincenzo / Belotti, Federico / Cricelli, Claudio / Giaccherini, Matilde / Medea, Gerardo / Nicolucci, Antonio / Piano Mortari, Andrea / Sbraccia, Paolo

    BMC health services research

    2023  Volume 23, Issue 1, Page(s) 619

    Abstract: Background: To evaluate outpatient healthcare expenditure associated with different levels of BMI and glucose metabolism alterations.: Methods: The study is based on a representative national sample of adults, with data obtained from electronic ... ...

    Abstract Background: To evaluate outpatient healthcare expenditure associated with different levels of BMI and glucose metabolism alterations.
    Methods: The study is based on a representative national sample of adults, with data obtained from electronic clinical records of 900 Italian general practitioners. Data relative to the year 2018 were analyzed. The study population was classified according to BMI (normal weight, overweight, and obesity classes 1, 2, and 3) and glucose metabolism status (normoglycemia - NGT; impaired fasting glucose - IFG; diabetes mellitus - DM). Outpatient health expenditures include diagnostic tests, specialist visits, and drugs.
    Results: Data relative to 991,917 adults were analyzed. Annual per capita expenditure rose from 252.2 Euro among individuals with normal weight to 752.9 Euro among those with class 3 obesity. The presence of obesity determined an excess cost, particularly among younger individuals. Within each BMI class, the presence of IFG or DM2 identified subgroups of individuals with substantially higher healthcare expenditures.
    Conclusions: Outpatient healthcare costs markedly increased with increasing BMI in all age categories, particularly among individuals below 65. Addressing the double burden of excess weight and hyperglycemia represents a significant challenge and a healthcare priority.
    MeSH term(s) Adult ; Humans ; Overweight ; Outpatients ; Obesity ; Health Care Costs ; Italy ; Glucose
    Chemical Substances Glucose (IY9XDZ35W2)
    Language English
    Publishing date 2023-06-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050434-2
    ISSN 1472-6963 ; 1472-6963
    ISSN (online) 1472-6963
    ISSN 1472-6963
    DOI 10.1186/s12913-023-09576-4
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  5. Article: The Role of Information Sources and Providers in Shaping Green Behaviors. Evidence from Europe

    D'Amato, Alessio / Giaccherini, Matilde / Zoli, Mariangela

    Ecological economics. 2019 Oct., v. 164

    2019  

    Abstract: The role of environmental information is crucial in driving individuals' environmentally relevant behaviors. The aim of this paper is to shed light on the impact of different sources of information and trust in information providers on four behaviors ... ...

    Abstract The role of environmental information is crucial in driving individuals' environmentally relevant behaviors. The aim of this paper is to shed light on the impact of different sources of information and trust in information providers on four behaviors related to waste management and resource efficiency. In order to consider dynamic effects related to behaviors of different age groups, we adopt a pseudo-panel approach using data from three cross-sectional Eurobarometer surveys. The use of multivariate regression analysis allows us to show the existence of complementarities among “similar” behaviors. Our results suggest that the use of eco-information sources and trust in different providers significantly affect green behaviors of EU citizens towards a ‘truly’ circular economic system.
    Keywords European Union ; economic systems ; information sources ; regression analysis ; surveys ; waste management ; Europe
    Language English
    Dates of publication 2019-10
    Publishing place Elsevier B.V.
    Document type Article
    ISSN 0921-8009
    DOI 10.1016/j.ecolecon.2019.04.004
    Database NAL-Catalogue (AGRICOLA)

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