Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Nutrição |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-52732017000200209 |
Resumo: | ABSTRACT Objective: To analyze the association between excess abdominal fat and healthcare costs related to hypertension and diabetes Mellitus in older adults. Methods: These cross-sectional analyses are part of the Health, Wellbeing and Aging Study conducted in São Paulo, Brazil, with 806 older adults with self-reported hypertension and diabetes Mellitus. The study included the annual costs with medicines, hospital admissions, and outpatient services for hypertension and diabetes Mellitus control. Excess abdominal fat was diagnosed based on waist circumference. Level of physical activity, age, and gender were considered covariates. The sample was divided into two groups according to waist circumference. Multiple logistic regression analyzed the associations between annual costs and waist circumference. Results: The cost of services and hospitalizations (R$551.05; 95%CI=418.27-683.83) and total costs (R$817.77; 95%CI=669.21-966.33) were higher in the excess abdominal fat group. Older adults with high waist circumference had higher odds of increasing annual costs due to medicines (OR=2.6; 95%CI=1.13-3.77), regardless of gender, age, and level of physical activity. Conclusion: Healthcare costs for treating hypertension and diabetes Mellitus in older adults are higher in the presence of excess abdominal fat. |
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Abdominal obesity and healthcare costs related to hypertension and diabetes in older adultsAgingHealth care costsObesity abdominalPublic health.ABSTRACT Objective: To analyze the association between excess abdominal fat and healthcare costs related to hypertension and diabetes Mellitus in older adults. Methods: These cross-sectional analyses are part of the Health, Wellbeing and Aging Study conducted in São Paulo, Brazil, with 806 older adults with self-reported hypertension and diabetes Mellitus. The study included the annual costs with medicines, hospital admissions, and outpatient services for hypertension and diabetes Mellitus control. Excess abdominal fat was diagnosed based on waist circumference. Level of physical activity, age, and gender were considered covariates. The sample was divided into two groups according to waist circumference. Multiple logistic regression analyzed the associations between annual costs and waist circumference. Results: The cost of services and hospitalizations (R$551.05; 95%CI=418.27-683.83) and total costs (R$817.77; 95%CI=669.21-966.33) were higher in the excess abdominal fat group. Older adults with high waist circumference had higher odds of increasing annual costs due to medicines (OR=2.6; 95%CI=1.13-3.77), regardless of gender, age, and level of physical activity. Conclusion: Healthcare costs for treating hypertension and diabetes Mellitus in older adults are higher in the presence of excess abdominal fat.Pontifícia Universidade Católica de Campinas2017-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-52732017000200209Revista de Nutrição v.30 n.2 2017reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMP10.1590/1678-98652017000200006info:eu-repo/semantics/openAccessBUENO,Denise RodriguesMARUCCI,Maria de Fátima NunesGOUVEIA,Luiza AntoniazziDUARTE,Yeda Aparecida de OliveiraLEBRÃO,Maria Lúciaeng2017-12-14T00:00:00Zoai:scielo:S1415-52732017000200209Revistahttp://www.scielo.br/rnONGhttps://old.scielo.br/oai/scielo-oai.php||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2017-12-14T00:00Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false |
dc.title.none.fl_str_mv |
Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults |
title |
Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults |
spellingShingle |
Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults BUENO,Denise Rodrigues Aging Health care costs Obesity abdominal Public health. |
title_short |
Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults |
title_full |
Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults |
title_fullStr |
Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults |
title_full_unstemmed |
Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults |
title_sort |
Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults |
author |
BUENO,Denise Rodrigues |
author_facet |
BUENO,Denise Rodrigues MARUCCI,Maria de Fátima Nunes GOUVEIA,Luiza Antoniazzi DUARTE,Yeda Aparecida de Oliveira LEBRÃO,Maria Lúcia |
author_role |
author |
author2 |
MARUCCI,Maria de Fátima Nunes GOUVEIA,Luiza Antoniazzi DUARTE,Yeda Aparecida de Oliveira LEBRÃO,Maria Lúcia |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
BUENO,Denise Rodrigues MARUCCI,Maria de Fátima Nunes GOUVEIA,Luiza Antoniazzi DUARTE,Yeda Aparecida de Oliveira LEBRÃO,Maria Lúcia |
dc.subject.por.fl_str_mv |
Aging Health care costs Obesity abdominal Public health. |
topic |
Aging Health care costs Obesity abdominal Public health. |
description |
ABSTRACT Objective: To analyze the association between excess abdominal fat and healthcare costs related to hypertension and diabetes Mellitus in older adults. Methods: These cross-sectional analyses are part of the Health, Wellbeing and Aging Study conducted in São Paulo, Brazil, with 806 older adults with self-reported hypertension and diabetes Mellitus. The study included the annual costs with medicines, hospital admissions, and outpatient services for hypertension and diabetes Mellitus control. Excess abdominal fat was diagnosed based on waist circumference. Level of physical activity, age, and gender were considered covariates. The sample was divided into two groups according to waist circumference. Multiple logistic regression analyzed the associations between annual costs and waist circumference. Results: The cost of services and hospitalizations (R$551.05; 95%CI=418.27-683.83) and total costs (R$817.77; 95%CI=669.21-966.33) were higher in the excess abdominal fat group. Older adults with high waist circumference had higher odds of increasing annual costs due to medicines (OR=2.6; 95%CI=1.13-3.77), regardless of gender, age, and level of physical activity. Conclusion: Healthcare costs for treating hypertension and diabetes Mellitus in older adults are higher in the presence of excess abdominal fat. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-52732017000200209 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-52732017000200209 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1678-98652017000200006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Pontifícia Universidade Católica de Campinas |
publisher.none.fl_str_mv |
Pontifícia Universidade Católica de Campinas |
dc.source.none.fl_str_mv |
Revista de Nutrição v.30 n.2 2017 reponame:Revista de Nutrição instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) instacron:PUC_CAMP |
instname_str |
Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
instacron_str |
PUC_CAMP |
institution |
PUC_CAMP |
reponame_str |
Revista de Nutrição |
collection |
Revista de Nutrição |
repository.name.fl_str_mv |
Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
repository.mail.fl_str_mv |
||sbi.submissionrn@puc-campinas.edu.br |
_version_ |
1752128819707248640 |