Health Care Utilization by Body Mass Index in a Pediatric Population

Abstract Objective We tested the hypothesis that the frequency of emergency department (ED) visits, outpatient clinic visits, and hospitalizations were higher among children with higher body mass index (BMI) categories, even after controlling for demographics, socioeconomic status, and presence of o...

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Bibliographic Details
Published in:Academic pediatrics 2015-11, Vol.15 (6), p.644-650
Main Authors: Lynch, Brian A., MD, Finney Rutten, Lila J., PhD, Jacobson, Robert M., MD, Kumar, Seema, MD, Elrashidi, Muhamad Y., MD, MHA, Wilson, Patrick M., MPH, Jacobson, Debra J., MS, St. Sauver, Jennifer L., PhD
Format: Article
Language:English
Subjects:
Adolescent
Ambulatory Care - utilization
Body Mass Index
Child
Child, Preschool
Cohort Studies
emergency service
Emergency Service, Hospital - utilization
Female
health services utilization
hospital utilization
Hospitalization - statistics & numerical data
Humans
Male
Minnesota - epidemiology
Multivariate Analysis
Neonatal and Perinatal Medicine
obesity
Obesity - epidemiology
Overweight - epidemiology
Patient Acceptance of Health Care
pediatric obesity
Pediatrics
preschool
Retrospective Studies
Thinness - epidemiology
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Summary:Abstract Objective We tested the hypothesis that the frequency of emergency department (ED) visits, outpatient clinic visits, and hospitalizations were higher among children with higher body mass index (BMI) categories, even after controlling for demographics, socioeconomic status, and presence of other chronic medical conditions. Methods We obtained electronic height, weight, and utilization data for all residents of Olmsted County, Minnesota, aged 2 to 18 years on January 1, 2005 (n = 34,335), and calculated baseline BMI (kg/m2 ). At least 1 BMI measurement and permission to use medical record information was available for 19,771 children (58%); 19,528 with follow-up comprised the final cohort. BMIs were categorized into underweight/healthy weight (
ISSN:1876-2859
1876-2867
DOI:10.1016/j.acap.2015.08.009