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Professor Annie S. Anderson Centre for Public Health Nutrition Research

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@dundee.ac.uk. Who knows?..........

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Professor Annie S. Anderson Centre for Public Health Nutrition Research

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  1. 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@dundee.ac.uk

  2. Who knows?.......... Reflections and thoughts…….. The healthy/unhealthy landscape influenced by diet and ways of life……………….

  3. 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 steatohepatitis 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

  4. Most people with any long term condition have multiple (diet related) conditions in Scotland

  5. People living in more deprived areas in Scotland develop multimorbidity 10 years before those living in the most affluent areas

  6. 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

  7. 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)

  8. The cost of obesity to the NHS (2007/2008) • > £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

  9. 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.

  10. 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

  11. RCP (2013) Action on Obesity

  12. What are the total costs? • ? £457 m (estimates of direct and indirect) • £0.6b to £1.4b

  13. Future estimates (Scotland) 10-15 years behind US (2003 S = 1991 US), 41% predicted to be obese by 2030

  14. Estimated UK costs of £1.9 to 2 billion /year by 2030

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