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Appendix 3
Future Costs of Obesity

Year Health Care Work Force Prevalence Obese Workers ECI Cost Per Worker
2005 $1,378,248,211 10,629,600 27.0% 2,869,992 - $480.23
2006 $1,568,293,065 10,862,200 28.7% 3,115,693 4.82% $503.35
2007 $1,739,977,967 11,060,300 29.7% 3,289,564 5.08% $528.94
2008 $1,916,812,643 11,295,300 30.8% 3,478,281 4.19% $551.08
2009 $2,098,410,044 11,527,500 31.8% 3,670,179 3.75% $571.75
2010 $2,308,571,117 11,746,700 32.9% 3,861,625 4.56% $597.82
2011 $2,548,512,100 11,955,300 33.9% 4,052,835 5.19% $628.82
2012 $2,810,488,494 12,145,300 34.9% 4,240,502 5.40% $662.77
2013 $3,094,566,065 12,339,900 35.9% 4,432,211 5.35% $698.20
2014 $3,405,763,049 12,553,000 36.9% 4,633,049 5.29% $735.10
2015 $3,747,901,947 12,790,200 37.9% 4,845,502 5.22% $773.48
2016 $4,109,993,268 13,027,100 38.8% 5,060,604 5.00% $812.15
2017 $4,499,318,377 13,258,700 39.8% 5,276,168 5.00% $852.76
2018 $4,916,542,181 13,482,600 40.7% 5,490,886 5.00% $895.40
2019 $5,363,038,938 13,698,700 41.6% 5,704,325 5.00% $940.17
2020 $5,838,999,918 13,904,000 42.5% 5,914,833 5.00% $987.18
2021 $6,345,561,177 14,098,300 43.4% 6,121,879 5.00% $1,036.54
2022 $6,889,777,143 14,293,700 44.3% 6,330,392 5.00% $1,088.37
2023 $7,471,115,759 14,484,400 45.1% 6,537,649 5.00% $1,142.78
2024 $8,092,117,313 14,671,400 46.0% 6,743,867 5.00% $1,199.92
2025 $8,754,678,142 14,854,200 46.8% 6,948,607 5.00% $1,259.92


Year Absenteeism Work Force Prevalence Obese Workers CPI Cost Per Worker
2005 $590,677,805 10,629,600 27.0% 2,869,992 - $205.81
2006 $664,229,654 10,862,200 28.7% 3,115,693 3.58% $213.19
2007 $718,976,716 11,060,300 29.7% 3,289,564 2.52% $218.56
2008 $774,518,738 11,295,300 30.8% 3,478,281 1.88% $222.67
2009 $834,267,187 11,527,500 31.8% 3,670,179 2.08% $227.31
2010 $898,131,859 11,746,700 32.9% 3,861,625 2.32% $232.58
2011 $958,833,018 11,955,300 33.9% 4,052,835 1.72% $236.58
2012 $1,022,447,519 12,145,300 34.9% 4,240,502 1.92% $241.11
2013 $1,089,222,738 12,339,900 35.9% 4,432,211 1.92% $245.75
2014 $1,160,061,617 12,553,000 36.9% 4,633,049 1.89% $250.39
2015 $1,235,725,003 12,790,200 37.9% 4,845,502 1.85% $255.03
2016 $1,316,179,779 13,027,100 38.8% 5,060,604 1.98% $260.08
2017 $1,398,377,296 13,258,700 39.8% 5,276,168 1.90% $265.04
2018 $1,481,902,731 13,482,600 40.7% 5,490,886 1.83% $269.88
2019 $1,569,563,437 13,698,700 41.6% 5,704,325 1.95% $275.15
2020 $1,658,027,991 13,904,000 42.5% 5,914,833 1.88% $280.32
2021 $1,748,968,575 14,098,300 43.4% 6,121,879 1.92% $285.69
2022 $1,843,228,655 14,293,700 44.3% 6,330,392 1.92% $291.17
2023 $1,940,779,372 14,484,400 45.1% 6,537,649 1.95% $296.86
2024 $2,041,085,332 14,671,400 46.0% 6,743,867 1.95% $302.66
2025 $2,144,790,181 14,854,200 46.8% 6,948,607 1.98% $308.66


Year Presenteeism Work Force Prevalence Obese Workers CPI Cost Per Worker
2005 $1,246,503,897 10,629,600 27.0% 2,869,992 - $434.32
2006 $1,401,719,931 10,862,200 28.7% 3,115,693 3.58% $449.89
2007 $1,517,252,334 11,060,300 29.7% 3,289,564 2.52% $461.23
2008 $1,634,462,335 11,295,300 30.8% 3,478,281 1.88% $469.91
2009 $1,760,549,137 11,527,500 31.8% 3,670,179 2.08% $479.69
2010 $1,895,322,379 11,746,700 32.9% 3,861,625 2.32% $490.81
2011 $2,023,419,677 11,955,300 33.9% 4,052,835 1.72% $499.26
2012 $2,157,664,984 12,145,300 34.9% 4,240,502 1.92% $508.82
2013 $2,298,580,335 12,339,900 35.9% 4,432,211 1.92% $518.61
2014 $2,448,071,205 12,553,000 36.9% 4,633,049 1.89% $528.39
2015 $2,607,743,203 12,790,200 37.9% 4,845,502 1.85% $538.18
2016 $2,777,526,445 13,027,100 38.8% 5,060,604 1.98% $548.85
2017 $2,950,987,382 13,258,700 39.8% 5,276,168 1.90% $559.30
2018 $3,127,250,615 13,482,600 40.7% 5,490,886 1.83% $569.53
2019 $3,312,240,488 13,698,700 41.6% 5,704,325 1.95% $580.65
2020 $3,498,926,715 13,904,000 42.5% 5,914,833 1.88% $591.55
2021 $3,690,838,094 14,098,300 43.4% 6,121,879 1.92% $602.89
2022 $3,889,754,588 14,293,700 44.3% 6,330,392 1.92% $614.46
2023 $4,095,615,291 14,484,400 45.1% 6,537,649 1.95% $626.47
2024 $4,307,290,369 14,671,400 46.0% 6,743,867 1.95% $638.70
2025 $4,526,138,102 14,854,200 46.8% 6,948,607 1.98% $651.37


Year Disability Work Force Prevalence Obese Workers CPI Cost Per Worker
2005 $115,628,578 10,629,600 27.0% 2,869,992 - $40.29
2006 $130,026,776 10,862,200 28.7% 3,115,693 3.58% $41.73
2007 $140,743,828 11,060,300 29.7% 3,289,564 2.52% $42.78
2008 $151,616,498 11,295,300 30.8% 3,478,281 1.88% $43.59
2009 $163,312,601 11,527,500 31.8% 3,670,179 2.08% $44.50
2010 $175,814,478 11,746,700 32.9% 3,861,625 2.32% $45.53
2011 $187,697,079 11,955,300 33.9% 4,052,835 1.72% $46.31
2012 $200,149,983 12,145,300 34.9% 4,240,502 1.92% $47.20
2013 $213,221,616 12,339,900 35.9% 4,432,211 1.92% $48.11
2014 $227,088,734 12,553,000 36.9% 4,633,049 1.89% $49.01
2015 $241,900,277 12,790,200 37.9% 4,845,502 1.85% $49.92
2016 $257,649,763 13,027,100 38.8% 5,060,604 1.98% $50.91
2017 $273,740,399 13,258,700 39.8% 5,276,168 1.90% $51.88
2018 $290,090,984 13,482,600 40.7% 5,490,886 1.83% $52.83
2019 $307,251,071 13,698,700 41.6% 5,704,325 1.95% $53.86
2020 $324,568,516 13,904,000 42.5% 5,914,833 1.88% $54.87
2021 $342,370,659 14,098,300 43.4% 6,121,879 1.92% $55.93
2022 $360,822,612 14,293,700 44.3% 6,330,392 1.92% $57.00
2023 $379,918,726 14,484,400 45.1% 6,537,649 1.95% $58.11
2024 $399,554,194 14,671,400 46.0% 6,743,867 1.95% $59.25
2025 $419,855,015 14,854,200 46.8% 6,948,607 1.98% $60.42


  • Future costs of health care, absenteeism, presenteeism and disability were projected by applying an inflation index (ECI or CPI) to the cost per worker, multiplied by the estimated number of obese adults.
  • Cost Per Worker – Estimates of 2005 cost per worker calculated by dividing 2005 health care, absenteeism, presenteeism or disability cost by the 2005 number of obese workers. Future cost per worker calculated by applying ECI/CPI to 2005.
  • Obese Workers – Estimates of obese workers calculated by applying the estimated prevalence of adult obesity to the estimated workforce.
  • Prevalence – Estimates from Comptroller of Public Accounts; based on a logistic regression from 1990-2005 BRFSS observations.
  • Workforce (Total Employed) – Estimates from the Comptroller of Public Accounts.
  • Employment Cost Index, Health Insurance portion (ECI) – U.S. Bureau of Labor Statistics
  • Consumer Price Index (CPI) – U.S. Bureau of Labor Statistics
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