Association of overweight and obesity with the use of self and home‐based infusion therapy among haemophilic men

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Association of overweight and obesity with the use of self and home-based infusion therapy among haemophilic menM. Ullman1,*, Q. C. Zhang2, D. Brown1, A. Grant2, J. M. Soucie2 andon Behalf of the Hemophilia Treatment Center Network InvestigatorsArticle first published online: 22 NOV 2013

DOI: 10.1111/hae.12303

© 2013 John Wiley & Sons Ltd

Issue

HaemophiliaVolume 20, Issue 3, pages 340–348, May 2014

Additional Information

How to CiteUllman, M., Zhang, Q. C., Brown, D., Grant, A., Soucie, J. M. and on Behalf of the Hemophilia Treatment Center Network Investigators (2014), Association of overweight and obesity with the use of self and home-based infusion therapy among haemophilic men. Haemophilia, 20: 340–348. doi: 10.1111/hae.12303

Author Information1

Gulf States Hemophilia & Thrombophilia Center, University of Texas Health Science Center at Houston, Houston, TX, USA

2

Division of Blood Disorders, National Center on Birth Defects and Developmental Disabilities, CDC, Atlanta, GA, USA

* Correspondence: Megan Ullman, MA, MPH, Gulf States Hemophilia & Thrombophilia Center, 6655 Travis St., Suite 400, Houston, TX 77030, USA.
Tel.: +1 713 500 8378; fax: +1 713 500 8364;
e-mail: megan.m.ullman@uth.tmc.edu

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Publication HistoryIssue published online: 15 APR 2014Article first published online: 22 NOV 2013Manuscript Accepted: 8 OCT 2013Funded byCDCHaemophilia Treatment Center NetworkDivision of Blood DisordersNational Center on Birth Defects and Developmental DisabilitiesGulf States Haemophilia & Thrombophilia CenterUniversity of Texas Health Science Center at Houston SEARCH Search Scope All contentPublication titlesIn this journalIn this issue Search String Advanced >Saved Searches > SEARCH BY CITATION Volume: Issue: Page: ARTICLE TOOLSGet PDF (377K)Save to My ProfileE-mail Link to this ArticleExport Citation for this ArticleGet Citation AlertsRequest Permissions AbstractArticleReferencesCited By View Full Article (HTML) Enhanced Article (HTML) Get PDF (377K) Keywords: BMI ;haemophilia;home infusion;obesity;overweight;self-infusionSummary

An elevated body mass index (BMI) may make venipuncture more difficult, potentially impacting the use of home infusion (HI) and self-infusion (SI). We sought to determine whether above-normal BMI is associated with decreased use of HI treatment and SI of clotting factor concentrate among haemophilic persons. We analysed data from 10 814 male patients with haemophilia A and B (45% with severe disease) aged 6–79 years enrolled in the Centers for Disease Control and Prevention Universal Data Collection surveillance project between 1998 and 2008. Associations between the use of HI and SI and BMI were evaluated using logistic regression. Fifty per cent of haemophilic men were overweight or obese, similar to rates reported among the general US population by the 2007–2008 National Health and Nutrition Examination Survey [Flegal, KM et al., JAMA 2010;303:235–241;]. Twenty per cent of children and 22% of teens were obese, as were 28% of adults [Ogden, CL et al., JAMA 2010;303:235, 242]. Overall, 70% of the study sample used HI; 44% of those who used HI also used SI. Overweight and obese men were each less likely to use HI than those of normal weight [odds ratio (OR) 0.8; 95% confidence interval (CI) 0.7–1.0 and OR 0.7; 95% CI 0.6–0.8 respectively]. Obese teens and adult men were also less likely to practice SI than teens and adults of normal weight (OR 0.8; 95% CI 0.7–0.9 for each). We conclude that overweight and obese haemophilic men are less likely to use HI and obese men are less likely to use SI than their normal-weight counterparts.

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