April 23, 2007 7:00 PM

Obesity Costly In Workers' Comp

(WebMD)  Obesity may raise workers' compensation claims, a new study shows.

The study included more than 11,700 Duke University workers who had at least one medical checkup from 1997-2004.

During the study, participants filed a total of 2,539 workers' compensation claims topping $5 million in medical claims and another $5 million in indemnity claims. Workers' comp claims were more common and costlier for obese employees, judging by BMI data from the patients' medical records. BMI, or body mass index, is a measure that relates height to weight.

The researchers, who work in the community and family medicine department of Duke University Medical Center, included Truls Ostbye, M.D., Ph.D.

They checked the workers' medical records and found that 2 percent were underweight, 42 percent were normal weight, 30 percent were overweight but not obese, 21 percent were mildly or moderately obese, and 5 percent were severely obese.

Workers' comp claims rose with workers' BMI, the study shows.

For instance, nearly six workers' comp claims were filed per 100 workers of normal BMI, compared with more than 11 claims filed per 100 of the heaviest workers.

Medical claims costs per 100 workers were as follows:

  • Normal BMI: $7,500;
  • Overweight: More than $13,300;
  • Mildly obese: More than $19,000;
  • Moderately obese: More than $23,300;
  • Severely obese: More than $51,000 per 100 very obese workers.

    "The number of lost workdays was almost 13 times higher, medical costs were seven times higher, and indemnity claims costs were 11 times higher among the heaviest employees compared with those of recommended weight," write the researchers.

    Obesity was particularly linked to workers' comp claims for falls, slips, lifting, exertion, back pain, and injuries to the hand, wrist, knee, hip, or ankle. Physically demanding jobs carried the highest risk.

    Companies may help their bottom line by promoting healthy lifestyles for their workers, the study suggests.

    "It is increasingly common for employers to support healthy lifestyle interventions such as healthy cafeteria food, on-site fitness facilities, and encouragement of physical activity during work breaks," write the researchers.

    "Our study lends support to the notion that such programs may not only improve the health of employees but also be financially beneficial," they add.

    Ostbye and colleagues say workplace-based programs on healthy eating and physical activity should be developed and evaluated as an addition to other workplace safety strategies.

    The study appears in the Archives of Internal Medicine.

    By Miranda Hitti
    Reviewed by Louise Chang, M.D.
    © 2007, WebMD Inc. All rights reserved
  • © 2007 WebMD, LLC.. All Rights Reserved.
    Add a Comment
    by ajaxrose1 April 24, 2007 8:18 PM EDT
    Genetics CAN be a small contributing factor, but I'm sorry, the truth is too many calories, not enough exercise, and WAAAAAAAYY too many excuses. Pretty simple.
    Reply to this comment
    by kofiananimus April 24, 2007 3:40 PM EDT
    There was a good documentary on PBS recently about fat. I don't have the world's greatest memory, but I seem to recall that there are a variety of reasons why a person might become obese, ranging from genetic, to psychological, to the stereotypical "lazy" person who just doesn't take good care of themself. Not every obese person is capable of controlling their weight as easily as the next, or as easily as a "low-fat" person. No excuse not to exercise and try to eat healthier though, even if you don't lose any weight doing so.
    I hope the CBS opinion columnist who wrote the retarded piece about how banning transfats in public restaurants will lead to a rebellion reads the above article.
    Reply to this comment
    by sasi1-2009 April 24, 2007 2:00 PM EDT
    There are many reasons for obesity. Not all cases are caused by overeating. Genetics play a large part in obesity, and an underactive metabolism is also a cause. Don't automatically blame obesity on the person's eating habits. When one does that it merely shows one's stupidity.
    Reply to this comment
    by ares44-2009 April 24, 2007 12:41 PM EDT
    Obesity is not a small problem,it is a huge problem,its an epadimic.Is causes many different problems in the human body,amd is a cause of many deaths.The only people who says OBESITY is a SMALL problem must be obese themselves.It is a MAJOR issue that 2/3 of the U.S. is over eating.
    Reply to this comment
    by formrusmcsgt April 24, 2007 11:55 AM EDT
    I think the media needs to start addressing more encompassing problems. Not these small problems, most of which are quiet symptoms of bigger ones, while pretending the bigger ones don't exist. Of course, do they exist?
    Posted by hypnotoad72 at 08:13 PM : Apr 23, 2007

    I do not agree, since 2/3 of this country is eating itself to death, that this is not a major issue.
    Reply to this comment
    by hypnotoad72 April 23, 2007 11:13 PM EDT
    I just started an exercise routine. I'm still debating WHY given the offshoring problem, but there is a valid point in that we'd all be better off making ourselves healthier.

    Of course, you can bet your sweet bippy no insurance company would consider anybody even after 'turning over a new leaf', becoming a 'born again exerciser', or much anything else...

    Not to mention the time factor. I'm grateful I've got the time TO exercise and get myself into proper condition; and it's felt good so far. Not everybody is so lucky. Many people have to work TWO jobs just to make ends meet. And yet the worst types of food cost lower than the good ones. Here's an idea - swap the costs of romaine lettuce with that of a package of sugar-laden candy bars.

    I think the media needs to start addressing more encompassing problems. Not these small problems, most of which are quiet symptoms of bigger ones, while pretending the bigger ones don't exist. Of course, do they exist?
    Reply to this comment
    .
    Scroll Left
    Scroll Right More »
    Better Information. Better Health.
    CBS News on Facebook