State-level estimates of obesity-attributable costs of absenteeism

J Occup Environ Med. 2014 Nov;56(11):1120-7. doi: 10.1097/JOM.0000000000000298.


Objective: To provide state-level estimates of obesity-attributable costs of absenteeism among working adults in the United States.

Methods: Nationally representative data from the National Health and Nutrition Examination Survey for 1998 to 2008 and from the Behavioral Risk Factor Surveillance System for 2012 are examined. The outcome is obesity-attributable workdays missed in the previous year because of health and their costs to states.

Results: Obesity, but not overweight, is associated with a significant increase in workdays absent, from 1.1 to 1.7 extra days missed annually compared with normal-weight employees. Obesity-attributable absenteeism among American workers costs the nation an estimated $8.65 billion per year.

Conclusions: Obesity imposes a considerable financial burden on states, accounting for 6.5% to 12.6% of total absenteeism costs in the workplace. State legislatures and employers should seek effective ways to reduce these costs.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Absenteeism*
  • Adult
  • Behavioral Risk Factor Surveillance System
  • Cost of Illness*
  • Female
  • Humans
  • Ideal Body Weight
  • Male
  • Nutrition Surveys
  • Obesity / economics*
  • Obesity / epidemiology
  • Overweight / economics
  • Overweight / epidemiology
  • United States / epidemiology