Professor Annie S. Anderson

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The cost of diet related diseases in Scotland?

Professor Annie S. Anderson Centre for Public
Health Nutrition Research Centre for Research
into Cancer Prevention and Screening Ninewells
Medical School, University of Dundee email
a.s.anderson_at_dundee.ac.uk
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• Who knows?..........
• Reflections and thoughts..
• The healthy/unhealthy landscape influenced by
  diet and ways of life.

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Medical Complications of Obesity
Stroke
Idiopathic intracranial hypertension
Pulmonary disease abnormal function obstructive
sleep apnea hypoventilation syndrome
Cataracts
Coronary heart disease
Pancreatitis
Diabetes
Nonalcoholic fatty liver disease steatosis steatoh
epatitis cirrhosis
Dyslipidemia
Hypertension
Gynecologic abnormalities abnormal menses/
infertility polycystic ovarian syndrome Numerous
pregnancy comps.
Gall bladder disease
Cancer breast, uterus, ovary, kidney colon,
oesophagus, pancreas, gall bladder
Osteoarthritis
Phlebitis venous stasis
Skin
Gout
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Most people with any long term condition have
multiple (diet related) conditions in Scotland
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People living in more deprived areas in Scotland
develop multimorbidity 10 years before those
living in the most affluent areas
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Scottish Women aged 50 to 74

• 70 are overweight or obese
• 76 do not eat 5 a day
• 58 do not meet physical activity guidelines
• 35 regularly drink over 14 units per week

Scottish Health Survey, 2013
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The cost of obesity to Scottish society
We estimate that the total cost to Scottish
society of obesity in 2007/8 was in excess of
457 million and it is likely that this is an
underestimate. Much of this cost is avoidable...
(Published 2010)
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The cost of obesity to the NHS (2007/2008)

• gt 175 million (direct costs)
• Includes
• 4.5 m associated with drug cost
• 48 m obesity related diabetes
• 38 m hypertension
• Add the costs of being overweight may be half
  again ADD 137 m
• TOTAL NHS COSTS for OW and obesity 312m

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NHS Costs

• Accounts for around 2 of total healthcare costs
• Obese individuals had medical costs 30 higher
  than those with normal wt
• Around 23 of spending on all drugs is
  attributable to overweight and obesity.

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The cost of obesity to Society(2007/2008)

• Impact on employment
• obesity 25 less likely to be in employment
• overall attainment less for women
• Production levels
• Incapacity benefits est 195 m
• Premature death est 87 m
• Infra- structure planning
• Hospital costs
• TOTAL society COSTS for obesity 282m

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RCP (2013) Action on Obesity
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What are the total costs?

• ? 457 m (estimates of direct and indirect)
• 0.6b to 1.4b

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Future estimates (Scotland)
10-15 years behind US (2003 S 1991 US), 41
predicted to be obese by 2030
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Estimated UK costs of 1.9 to 2 billion /year by
2030