[Disability attributable to excess weight in Spain].
OBJECTIVE
To estimate the disability attributable to higher than optimal body mass index in the Spanish population in 2006.


METHODS
Excess body weight prevalence data were obtained from the 2006 National Health Survey (NHS), while the prevalence of associated morbidities was extracted from the 2006 NHS and from a national hospital data base. Population attributable fractions were applied and disability attributable was expressed as years life with disability (YLD).


RESULTS
In 2006, in the Spanish population aged 35-79 years, 791.650 YLD were lost due to higher than optimal body mass index (46.7% in males and 53.3% in females). Overweight (body mass index 25-29.9) accounted for 45.7% of total YLD. Males YLD were higher than females under 60. The 35-39 quinquennial group showed a difference for males of 16.6% while in the 74-79 group the difference was 23.8% for women. Osteoarthritis and chronic back pain accounted for 60% of YLD while hypertensive disease and type 2 diabetes mellitus were responsible of 37%.


CONCLUSIONS
Excess body weight is a health risk related to the development of various diseases with an important associated disability burden and social and economical cost. YLD analysis is a useful monitor tool for disease control interventions.
Servicio de Cirugía General y Aparato Digestivo, Hospital Severo Ochoa, Madrid, España; Facultad de Medicina, Universidad Alfonso X El Sabio, Madrid, España. Electronic address: 44javier@gmail.com.
José Javier
JJ
Martín-Ramiro
Plan Nacional sobre Drogas, Ministerio de Sanidad, Servicios Sociales e Igualdad, Madrid, España; Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, España.
Elena
E
Alvarez-Martín
Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, España.
Ruth
R
Gil-Prieto
D000328:Adult; D000368:Aged; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000453:epidemiology; D002769:Cholelithiasis / Q000453:epidemiology; D015897:Comorbidity; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology; D010003:Osteoarthritis / Q000453:epidemiology; D050177:Overweight / Q000453:epidemiology*; D015995:Prevalence; D019057:Quality-Adjusted Life Years; D020069:Shoulder Pain / Q000453:epidemiology; D013030:Spain
Attributable; Años vividos con discapacidad; Burden of disease; Carga de enfermedad; Exceso de peso; Morbilidad atribuible; Obesity; Overweight; Years lived with disability