Evidence map›Paper›PMID 35834577›Full record

ArticlePloS one2022

The future health and economic burden of obesity-attributable type 2 diabetes and liver disease among the working-age population in Saudi Arabia.

Timothy Coker, Jennifer Saxton, Lise Retat, Khalid Alswat, Suliman Alghnam, Rajaa Mohammad Al-Raddadi, Habeeb Ibrahim Abdul Razack, Laura Webber, Saleh A Alqahtani

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Economic costs of obesity: a systematic review.International journal of obesity (2005) · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. The Burden of Obesity in Saudi Arabia: A Real-World Cost-of-Illness Study.ClinicoEconomics and outcomes research : CEOR · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. BMJ open gastroenterology · 2024
    Article
  15. A systematic review of obesity burden in Saudi Arabia: Prevalence and associated co-morbidities.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024
    Review
  16. Stigma in steatotic liver disease: A survey of patients from Saudi Arabia.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2024
    Article
  17. The burden of metabolic dysfunction-associated steatotic liver disease and viral hepatitis in Saudi Arabia.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2024
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Timothy CokerHealthLumen Ltd, London, United Kingdom.ORCID 0000-0002-2516-0639
Jennifer SaxtonHealthLumen Ltd, London, United Kingdom.
Lise RetatHealthLumen Ltd, London, United Kingdom.
Khalid AlswatLiver Disease Research Centre, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.ORCID 0000-0002-3521-8523
Suliman AlghnamPopulation Health Department, King Abdullah International Medical Research Centre, King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.
Rajaa Mohammad Al-RaddadiSaudi Diabetes Study Research Group, King Fahd Medical Research Center, King Abdulaziz University, Jeddah, Saudi Arabia.
Habeeb Ibrahim Abdul RazackFaculty of Medicine & Health Sciences, Universiti Putra Malaysia, Sedang, Selangor, Malaysia.
Laura WebberHealthLumen Ltd, London, United Kingdom.
Saleh A AlqahtaniDivision of Gastroenterology & Hepatology, Johns Hopkins University, Baltimore, MD, United States of America.ORCID 0000-0003-2017-3526
Johns Hopkins University · USKing Abdulaziz University · SAKing Saud bin Abdulaziz University for Health Sciences · SAKing Saud University · SAUniversiti Putra Malaysia · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity and type 2 diabetes (T2DM) are increasing in Saudi Arabia (SA). Among other conditions, these risk factors increase the likelihood of non-alcoholic fatty liver disease (NAFLD), which in turn increases risks for advanced liver diseases, such as non-alcoholic steatohepatitis (NASH), cirrhosis and cancer. The goal of this study was to quantify the health and economic burden of obesity-attributable T2DM and liver disease in SA.

methodsWe developed a microsimulation of the SA population to quantify the future incidence and direct health care costs of obesity-attributable T2DM and liver disease, including liver cancer. Model inputs included population demographics, body mass index, incidence, mortality and direct health care costs of T2DM and liver disease and relative risks of each condition as a function of BMI category. Model outputs included age- and sex-disaggregated incidence of obesity-attributable T2DM and liver disease and their direct health care costs for SA's working-age population (20-59 years) between 2020 and 2040.

resultsBetween 2020 and 2040, the available data predicts 1,976,593 [± 1834] new cases of T2DM, 285,346 [±874] new cases of chronic liver diseases, and 2,101 [± 150] new cases of liver cancer attributable to obesity, amongst working-age people. By 2040, the direct health care costs of these obesity-attributable diseases are predicted to be 127,956,508,540 [± 51,882,446] USD.

conclusionsThe increase in obesity-associated T2DM and liver disease emphasises the urgent need for obesity interventions and strategies to meaningfully reduce the future health and economic burden of T2DM, chronic liver diseases and liver cancer in SA.

Indexed as

Diabetes Mellitus, Type 2Liver NeoplasmsNon-alcoholic Fatty Liver DiseaseChild, PreschoolFinancial StressHumansObesitySaudi Arabia

Identifiers

PMID35834577
PMCPMC9282435
OpenAlexW4285386350

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.