title: The impact of morbid obesity on the state economy: an initial evaluation.
abstract: BACKGROUND
  Obesity's impact on a state's economy has not been fully analyzed. This study compared bariatric surgery demographics at a large university hospital to that of a broader region's population statistics. From this comparison, an economic model was derived that evaluated, for the state of New Mexico, the cost of obesity in terms of lost business output, employment, and income.
  
  
  METHODS
  Between September 2003 and September 2005, we analyzed the charts of all of our patients from New Mexico who underwent laparoscopic gastric bypass and laparoscopic banding. Input-output analysis estimate margins, the purchase prices for goods and services, and regional purchase coefficients, the percent of spending by local suppliers, were used to model the regional economy. Collected patient data, used in conjunction with IMPLAN model data, were used to estimate, on a regional basis, an industry-by-industry formulation of input-output accounts to calculate multipliers in order to assess the impact of economic costs of the obese on the general economy.
  
  
  RESULTS
  Total labor income impacts are nearly 200 million dollars, 1,660 dollars of output income per household and 245 dollars of labor income per household. Obesity cost New Mexico more than 7,300 jobs and cut state and local tax revenues by more than 48 million dollars.
  
  
  CONCLUSIONS
  Obesity's impact of more than 1.3 billion dollars amounts to 2.5% of New Mexico's gross state product. Governmental measures to combat this menace are warranted.
authors.affiliation: Department of Surgery, Division of General Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas 79415, USA. eldo.frezza@ttuhsc.edu <eldo.frezza@ttuhsc.edu>
authors.forename: Eldo E
authors.initials: EE
authors.lastname: Frezza
authors.forename: Mitchell S
authors.initials: MS
authors.lastname: Wachtel
authors.forename: Bradley T
authors.initials: BT
authors.lastname: Ewing
mesh_terms: D000328:Adult; D017281:Cost of Illness; D005260:Female; D015390:Gastric Bypass / Q000191:economics*; D015391:Gastroplasty / Q000191:economics*; D017048:Health Care Costs; D006785:Hospitals, University / Q000191:economics; D006801:Humans; D008297:Male; D009516:New Mexico; D009767:Obesity, Morbid / Q000191:economics* / Q000601:surgery; D013219:State Government