Relationship Between Body Mass Index and Medical Care Expenditures for North Carolina Adolescents Enrolled in Medicaid in 2004
2008

Body Mass Index and Medical Costs for North Carolina Teens

Sample size: 3528 publication Evidence: moderate

Author Information

Author(s): Buescher Paul A. PhD, Whitmire J. Timothy PhD, Plescia Marcus MD, MPH

Primary Institution: State Center for Health Statistics

Hypothesis

Does body mass index (BMI) affect medical care expenditures among North Carolina adolescents enrolled in Medicaid?

Conclusion

Overweight adolescents have higher medical care expenditures compared to their normal-weight peers.

Supporting Evidence

  • Overweight adolescents had 25% higher Medicaid expenditures than normal-weight adolescents.
  • Adolescents at risk for overweight had 33% higher expenditures than normal-weight peers.
  • Overweight adolescents were more likely to have claims for diabetes and asthma.

Takeaway

Being overweight can cost more in medical bills for teenagers, even if they are still growing up.

Methodology

The study linked public health records with Medicaid claims to analyze expenditures based on BMI categories among adolescents aged 12-18.

Potential Biases

Overweight adolescents may be more likely to have their height and weight measured, potentially skewing the results.

Limitations

The sample may not represent all low-income adolescents in North Carolina, and the study can only show associations, not causation.

Participant Demographics

Adolescents aged 12-18, with a sample that included various races and both sexes.

Statistical Information

P-Value

P = .02

Statistical Significance

p<0.05

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