Burden of disease attributable to high body mass index in Belgium: a comparative risk assessment analysis

Background and methods High body mass index (BMI) is a major risk factor for several non-communicable diseases. The increasing concern about the health and economic burden of BMI makes it essential for countries to track their progress on major modifiable risk exposures. The aim of the study is to e...

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Main Authors: Stefanie Vandevijvere, Delphine De Smedt, Brecht Devleesschauwer, Robby De Pauw, Johan Van der Heyden, Sarah Nayani, Vanessa Gorasso, Wilma Johanna Nusselder, Henk Hilderink
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Public Health
Online Access:https://bmjpublichealth.bmj.com/content/3/1/e002446.full
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author Stefanie Vandevijvere
Delphine De Smedt
Brecht Devleesschauwer
Robby De Pauw
Johan Van der Heyden
Sarah Nayani
Vanessa Gorasso
Wilma Johanna Nusselder
Henk Hilderink
author_facet Stefanie Vandevijvere
Delphine De Smedt
Brecht Devleesschauwer
Robby De Pauw
Johan Van der Heyden
Sarah Nayani
Vanessa Gorasso
Wilma Johanna Nusselder
Henk Hilderink
author_sort Stefanie Vandevijvere
collection DOAJ
description Background and methods High body mass index (BMI) is a major risk factor for several non-communicable diseases. The increasing concern about the health and economic burden of BMI makes it essential for countries to track their progress on major modifiable risk exposures. The aim of the study is to estimate the burden attributable to high BMI in Belgium, in terms of years of life lost due to disability (YLD), years of life lost due to premature mortality (YLL) and disease costs, using comparative risk assessment. We followed the general framework established in the Global Burden of Diseases, Injuries and Risk Factors study. Population attributable fractions were calculated for the year 2018 for selected health outcomes using local estimates of BMI and burden of disease estimates from the Belgian Burden of Disease study.Results According to our figures, around 37 800 YLD, 56 000 YLL and €1.85 billion in healthcare costs can be attributed to a high BMI. Diabetes had the highest number of YLD attributable to high BMI followed by musculoskeletal disorders. Cardiovascular diseases accounted for the highest burden in terms of YLL attributable to high BMI, followed by diabetes and different forms of cancers (i.e., breast, colon and rectum and oesophageal cancer).Conclusion A substantial proportion of the burden of disease could be prevented when reducing BMI in Belgium. This evidence on the impact of risk factors is important for monitoring disease burdens and setting priorities for health prevention policies.
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spelling doaj-art-548ebcd2176d4e7fa3f91b1137a3504d2025-01-17T08:05:09ZengBMJ Publishing GroupBMJ Public Health2753-42942025-01-013110.1136/bmjph-2024-002446Burden of disease attributable to high body mass index in Belgium: a comparative risk assessment analysisStefanie Vandevijvere0Delphine De Smedt1Brecht Devleesschauwer2Robby De Pauw3Johan Van der Heyden4Sarah Nayani5Vanessa Gorasso6Wilma Johanna Nusselder7Henk Hilderink8Department of Epidemiology and Public Health, Sciensano, Brussel, Belgium6 Department of Public Health, Ghent University, Gent, BelgiumEpidemiology and Public Health, Sciensano, Brussels, BelgiumEpidemiology and Public Health, Sciensano, Brussels, Belgium7 SD Epidemiology and Public Health, Sciensano, Brussel, BelgiumEpidemiology and Public Health, Sciensano, Brussels, BelgiumDepartment of Epidemiology and Public Health, Sciensano, Brussel, BelgiumDepartment of Public Health, Erasmus MC, Rotterdam, The NetherlandsCentre for Public Health Forecasting, National Institute for Public Health and the Environment, Utrecht, The NetherlandsBackground and methods High body mass index (BMI) is a major risk factor for several non-communicable diseases. The increasing concern about the health and economic burden of BMI makes it essential for countries to track their progress on major modifiable risk exposures. The aim of the study is to estimate the burden attributable to high BMI in Belgium, in terms of years of life lost due to disability (YLD), years of life lost due to premature mortality (YLL) and disease costs, using comparative risk assessment. We followed the general framework established in the Global Burden of Diseases, Injuries and Risk Factors study. Population attributable fractions were calculated for the year 2018 for selected health outcomes using local estimates of BMI and burden of disease estimates from the Belgian Burden of Disease study.Results According to our figures, around 37 800 YLD, 56 000 YLL and €1.85 billion in healthcare costs can be attributed to a high BMI. Diabetes had the highest number of YLD attributable to high BMI followed by musculoskeletal disorders. Cardiovascular diseases accounted for the highest burden in terms of YLL attributable to high BMI, followed by diabetes and different forms of cancers (i.e., breast, colon and rectum and oesophageal cancer).Conclusion A substantial proportion of the burden of disease could be prevented when reducing BMI in Belgium. This evidence on the impact of risk factors is important for monitoring disease burdens and setting priorities for health prevention policies.https://bmjpublichealth.bmj.com/content/3/1/e002446.full
spellingShingle Stefanie Vandevijvere
Delphine De Smedt
Brecht Devleesschauwer
Robby De Pauw
Johan Van der Heyden
Sarah Nayani
Vanessa Gorasso
Wilma Johanna Nusselder
Henk Hilderink
Burden of disease attributable to high body mass index in Belgium: a comparative risk assessment analysis
BMJ Public Health
title Burden of disease attributable to high body mass index in Belgium: a comparative risk assessment analysis
title_full Burden of disease attributable to high body mass index in Belgium: a comparative risk assessment analysis
title_fullStr Burden of disease attributable to high body mass index in Belgium: a comparative risk assessment analysis
title_full_unstemmed Burden of disease attributable to high body mass index in Belgium: a comparative risk assessment analysis
title_short Burden of disease attributable to high body mass index in Belgium: a comparative risk assessment analysis
title_sort burden of disease attributable to high body mass index in belgium a comparative risk assessment analysis
url https://bmjpublichealth.bmj.com/content/3/1/e002446.full
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