Healthy Active Arkansas

The Facts

$1.25 Billion

Annual obesity-attributable expenditures in Arkansas, of which nearly 40% is financed by medicare and medicaid.1

Annual medical costs for obese adults were $1429 higher than for people of a healthy weight in 2006.2

In Arkansas nearly 760,000 adults are obese.3

When comparing the average annual total cost of health care for normal weight and obese Arkansas, the cost increased with age at a greater rate for obese group. The cost difference was 8% at ages 10-14 progressively growing to 104% by ages 65-74.4

Reducing the average BMI of Arkansans by only 5 percent could lead to health care savings of more than $2 billion in 10 years and $6 billion in 20 years, while also preventing thousands of cases of stroke, coronary heart disease, type 2 diabetes, hypertension and cancer.5

Obesity Causes or Exacerbates Numerous Chronic Diseases & Conditions, Including:

Cardiovascular disease
Type 2 diabetes
Various cancers
High blood pressure

Hypertension
High Cholesterol
Stroke
Liver and Gallbaldder disease
Arthritis

Asthma
Metabolic syndrome
Sleep disorders
Depression

In 2009, total hospital charges for cardiovascular disease in Arkansas totaled over $2.1 billion.6 In 2012, hospital costs in Arkansas for stroke totalled $57 million.7 Obesity increases the likelyhood of stroke by 64%.8 Costs for hypertension totalled $3.6 million, and for asthma totalled $13 million.9

Special Portrait: Diabetes and Obesity

Nearly a quarter of a million adults in Arkansas have diabetes10 and 85% of diabetics are overweight.11 The cost of diabetes in Arkansas for 2007 was estimated at $1.4 billion.12 Diabetes causes 38% of all kidney failure, and 40% of diabetics will develop chronic kidney disease (CKD). In 2009, national Medicare expenditures for people with CKD and diabetes were $18 billion. The savings to Medicare for each kidney disease patient who does not go on dialysis is estimated to be $250,000.13

  1. Trogdon JG1, Finkelstein EA, Feagan CW, Cohen JW. State- and payer-specific estimates of annual medical expenditures attributable to obesity. Obesity (2012) 20, 214–220. doi:10.1038/oby.2011.169
  2. Eric A. Finklestein, Justin D. Trogdon, Joel W. Cohen and William Dietz. Annual Medical Expenditures Attributable to Obesity: Payer- and Service-Specific Estimates. Health Affairs, 28, no. 5 (2009):w822-w831 http://content.healthaffairs.org/content/28/5/w822.full.pdf
  3. America’s Health Rankings: 2013 Edition Arkansas. United Health Foundation. http://cdnfiles.americashealthrankings.org/SiteFiles/StateProfiles/Arkansas-Health-Profile-2013.pdf
  4. http://www.achi.net/Docs/27/
  5. "Bending the Obesity Cost Curve in Arkansas," issue brief by the Robert Wood Johnson Foundation and the Trust for America's Health, September 2012, http://healthyamericans.org/assets/files/obesity2012/TFAHSept2012_AR_ObesityBrief02.pdf
  6. http://www.healthy.arkansas.gov/programsServices/chronicDisease/HeartDiseaseandStrokePrevention/Pages/HeartFacts.aspx
  7. "National and State Statistics on Hospital Stays by Payer - Medicare, Medicaid, Private, Uninsured," Healthcare Cost and Utilization Project of the Agency for Healthcare Research and Quality, http://hcupnet.ahrq.gov/HCUPnet.jsp?Id=3009FFA2015A59D3&Form=MAINSEL&JS=Y&Action=%3E%3ENext%3E%3E&_MAINSEL=Payer%20Statistics
  8. http://stroke.ahajournals.org/content/41/5/e418.full.pdf+html
  9. "National and State Statistics on Hospital Stays by Payer - Medicare, Medicaid, Private, Uninsured," Healthcare Cost and Utilization Project of the Agency for Healthcare Research and Quality, http://hcupnet.ahrq.gov/HCUPnet.jsp?Id=3009FFA2015A59D3&Form=MAINSEL&JS=Y&Action=%3E%3ENext%3E%3E&_MAINSEL=Payer%20Statistics
  10. http://cdnfiles.americashealthrankings.org/SiteFiles/StateProfiles/Arkansas-Health-Profile-2013.pdf
  11. http://www.cdc.gov/diabetes/statistics/comp/fig7_overweight.htm
  12. http://www.healthy.arkansas.gov/programsServices/chronicDisease/diabetesPreventionControl/Documents/BurdenofDiabetesAR.pdf
  13. http://www.report.nih.gov/NIHfactsheets/Pdfs/ChronicKidneyDiseaseAndKidneyFailure%28NIDDK%29.pdf