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Background <p>Obesity and overweight are prevailing concerns in modern society, but high BMI shows an established correlation with the risk of cancers that impacts not only medical issues but also economic performance. This study analyzes the economic loss due to high BMI-caused cancers (HBCCs).</p> Methods <p>This study used the comprehensive Global Burden of Disease (GBD) 2021 database and estimated the economic loss of HBCCs through the Value of Statistical Life approach (VSLA), incorporating a willingness-to-pay metric. Health burdens are expressed in age-standardized DALYs and death rates, and economic burdens are shown in dollars lost (2021 PPP) calculated from total DALYs. A joinpoint regression analysis was utilized to capture the temporal trends, cancer incidence, and economic losses attributed to high BMI across various countries and income levels. We calculated the average annual percentage change (AAPC) in total economic loss to evaluate the trend over the study period.</p> Results <p>There is a growing trend in both economic loss and disease burden of HBCCs on a global level. Colon and rectum cancer (CRC) show the highest economic loss ($2593.159 million, UI: 1109.04–4119.61, to $7294.52 million, UI: 3134.75–11,511.13), with pancreatic (AAPC: 10.47*, CI: 8.01–13.51) and liver cancer (AAPC: 8.08*, CI: 5.77–10.35) being the fastest growing cause. The cancer burden for all measures positively correlates with the country’s income level; high-income countries are the only group to experience a decreasing trend in the health burden, but they are still increasing in economic burden. Differences in loss of certain types of cancer and gender gap are observed in different income tiers.</p> Conclusions <p>These findings indicate a significant upward trend in economic loss, highlighting the urgency for strengthened policy measures. It is crucial for policymakers to implement effective risk reduction and resilience-building strategies to mitigate future economic loss and better protect vulnerable communities.</p>

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Economic burden attributable to high BMI-caused cancers: a global level analysis between 2002 and 2021

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年5月28日

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  • Jiacheng Zheng,
  • Laiang Yao,
  • Katie Lei,
  • Wanying Huang,
  • Yi Jie Zhou Luo,
  • Priscilla Hui–Xuan Tran,
  • Aaron Guan,
  • Yueyi Qiu,
  • Yusuff Adebayo Adebisi,
  • Don Lucero-Prisno Eliseo III,
  • Claire Chenwen Zhong,
  • Martin C.S. Wong,
  • Junjie Huang

摘要

Background

Obesity and overweight are prevailing concerns in modern society, but high BMI shows an established correlation with the risk of cancers that impacts not only medical issues but also economic performance. This study analyzes the economic loss due to high BMI-caused cancers (HBCCs).

Methods

This study used the comprehensive Global Burden of Disease (GBD) 2021 database and estimated the economic loss of HBCCs through the Value of Statistical Life approach (VSLA), incorporating a willingness-to-pay metric. Health burdens are expressed in age-standardized DALYs and death rates, and economic burdens are shown in dollars lost (2021 PPP) calculated from total DALYs. A joinpoint regression analysis was utilized to capture the temporal trends, cancer incidence, and economic losses attributed to high BMI across various countries and income levels. We calculated the average annual percentage change (AAPC) in total economic loss to evaluate the trend over the study period.

Results

There is a growing trend in both economic loss and disease burden of HBCCs on a global level. Colon and rectum cancer (CRC) show the highest economic loss ($2593.159 million, UI: 1109.04–4119.61, to $7294.52 million, UI: 3134.75–11,511.13), with pancreatic (AAPC: 10.47*, CI: 8.01–13.51) and liver cancer (AAPC: 8.08*, CI: 5.77–10.35) being the fastest growing cause. The cancer burden for all measures positively correlates with the country’s income level; high-income countries are the only group to experience a decreasing trend in the health burden, but they are still increasing in economic burden. Differences in loss of certain types of cancer and gender gap are observed in different income tiers.

Conclusions

These findings indicate a significant upward trend in economic loss, highlighting the urgency for strengthened policy measures. It is crucial for policymakers to implement effective risk reduction and resilience-building strategies to mitigate future economic loss and better protect vulnerable communities.