The Comptroller’s 2007 report Counting Costs and Calories: Measuring the Cost of Obesity to Texas Employers examined the financial impact of obesity on Texas employers — and found it to be significant. Since then, the situation has only worsened. Obesity is an increasingly common and increasingly serious malady in Texas.
In 2009, 29.5 percent of all Texas adults were clinically obese, well ahead of the national rate of 27.1 percent.9 In the same year, two-thirds of all adult Texans were overweight or obese.
Texas employers pay a high price for the obesity epidemic. The Comptroller’s 2007 study estimated the costs to Texas businesses associated with obesity-related health care, absenteeism, disability and decreased productivity at $3.3 billion annually. According to new estimates, that amount has almost tripled, to $9.5 billion in 2009.
The Texas state demographer projects that, if current trends continue at the pace of the last 10 years, by 2030 36.7 percent of Texas adults will be obese, 36.4 percent will be overweight and only 26.9 percent will be at normal weight.10 New Comptroller estimates show that obesity could cost Texas businesses $32.5 billion annually by 2030.
Obesity also is a factor in the rising cost of health care and insurance. About 9.1 percent of all U.S. medical spending and nearly 13 percent of all private insurance spending can be attributed to obesity.11
In recognition of obesity’s impact on the workplace and the bottom line, many companies have started employee health and wellness programs to reduce absenteeism, lower insurance costs and improve productivity and morale. These programs produce a positive return on the investment needed to create them.12
Governments at the federal, state and local levels also are taking action, and Texas has become a national leader in this fight. It was among the first states to set nutritional standards for school lunches, breakfasts and snacks that exceed the federal standards, and to set standards for foods sold in school à la carte lines, stores and vending machines. In addition, physical education programs in Texas schools have received attention and some extra funding to work the other side of the “fewer calories, more activity” equation.
All links were valid at the time of publication. Changes to web sites not maintained by the office of the Texas Comptroller may not be reflected in the links below.
- 9 U.S. Centers for Disease Control and Prevention, “Behavioral Risk Factor Surveillance System: Prevalence and Trends Data: All States-2009,” (Last visited December 17, 2010.) Custom queries created.
- 10 Texas State Data Center and Office of the State Demographer, Obesity, Overweight and Normal Weight Projections for the State of Texas, 2007 to 2030 (San Antonio, Texas, August 2010), p. 1.
- 11 Eric A. Finkelstein, Justin G. Trogdon, Joel W. Cohen and William Dietz, “Annual Medical Spending Attributable To Obesity: Payer- And Service-Specific Estimates,” Health Affairs (July 27, 2009), p. w829, ; and Eric A. Finkelstein, Ian C. Fiebelkorn and Guijing Wang, “National Medical Spending Attributable To Overweight and Obesity: How Much, And Who’s Paying?” Health Affairs (May 14, 2003), p.W3-223, (Last visited December 17, 2010.)
- 12 U.S. Department of Health and Human Services, Prevention Makes Common “Cents,” (Washington, D.C., September 2003); and Texas Department of State Health Services, Building Healthy Texans: A Guide to Lower Health Care Costs and More Productive Employees (Austin, Texas), p. 6 (Last visited January 4, 2011.)