The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1186/1471-2458-11-275 http://hdl.handle.net/11449/20733 |
Resumo: | Background: Determinants of public healthcare expenditures in type 2 diabetics are not well investigated in developing nations and, therefore, it is not clear if higher physical activity decreases healthcare costs. The purpose of this study was to analyze the relationship between physical activity and the expenditures in public healthcare on type 2 diabetes mellitus treatment.Methods: Cross-sectional study carried out in Brazil. A total of 121 type 2 diabetics attended to in two Basic Healthcare Units were evaluated. Public healthcare expenditures in the last year were estimated using a specific standard table. Also evaluated were: socio-demographic variables; chronological age; exogenous insulin use; smoking habits; fasting glucose test; diabetic neuropathy and anthropometric measures. Habitual physical activity was assessed by questionnaire.Results: Age (r = 0.20; p = 0.023), body mass index (r = 0.33; p = 0.001) and waist-to-hip ratio (r = 0.20; p = 0.025) were positively related to expenditures on medication for the treatment of diseases other than diabetes. Insulin use was associated with increased expenditures. Higher physical activity was associated with lower expenditure, provided medication for treatment of diseases other than diabetes (OR = 0.19; p = 0.007) and medical consultations (OR = 0.26; p = 0.029).Conclusions: Type 2 diabetics with higher enrollment in physical activity presented consistently lower healthcare expenditures for the public healthcare system. |
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The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective studyDiabetes Mellitus expendituresphysical activityBackground: Determinants of public healthcare expenditures in type 2 diabetics are not well investigated in developing nations and, therefore, it is not clear if higher physical activity decreases healthcare costs. The purpose of this study was to analyze the relationship between physical activity and the expenditures in public healthcare on type 2 diabetes mellitus treatment.Methods: Cross-sectional study carried out in Brazil. A total of 121 type 2 diabetics attended to in two Basic Healthcare Units were evaluated. Public healthcare expenditures in the last year were estimated using a specific standard table. Also evaluated were: socio-demographic variables; chronological age; exogenous insulin use; smoking habits; fasting glucose test; diabetic neuropathy and anthropometric measures. Habitual physical activity was assessed by questionnaire.Results: Age (r = 0.20; p = 0.023), body mass index (r = 0.33; p = 0.001) and waist-to-hip ratio (r = 0.20; p = 0.025) were positively related to expenditures on medication for the treatment of diseases other than diabetes. Insulin use was associated with increased expenditures. Higher physical activity was associated with lower expenditure, provided medication for treatment of diseases other than diabetes (OR = 0.19; p = 0.007) and medical consultations (OR = 0.26; p = 0.029).Conclusions: Type 2 diabetics with higher enrollment in physical activity presented consistently lower healthcare expenditures for the public healthcare system.Univ Oeste Paulista UNOESTE, Dept Phys Educ, Presidente Prudente, BrazilUNESP Univ Estadual Paulista, Dept Phys Educ, Rio Claro, BrazilUniv São Paulo, Sch Arts Sci & Humanities, São Paulo, BrazilUNESP Univ Estadual Paulista, Dept Phys Educ, Presidente Prudente, BrazilUNESP Univ Estadual Paulista, Dept Phys Educ, Rio Claro, BrazilUNESP Univ Estadual Paulista, Dept Phys Educ, Presidente Prudente, BrazilBiomed Central Ltd.Universidade do Oeste Paulista (UNOESTE)Universidade Estadual Paulista (Unesp)Universidade de São Paulo (USP)Codogno, Jamile S. [UNESP]Fernandes, Romulo A.Sarti, Flavia Medeiros [UNESP]Freitas Junior, Ismael F. [UNESP]Monteiro, Henrique Luiz [UNESP]2013-09-30T18:09:10Z2014-05-20T13:58:22Z2013-09-30T18:09:10Z2014-05-20T13:58:22Z2011-05-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article7application/pdfhttp://dx.doi.org/10.1186/1471-2458-11-275Bmc Public Health. London: Biomed Central Ltd., v. 11, p. 7, 2011.1471-2458http://hdl.handle.net/11449/2073310.1186/1471-2458-11-275WOS:000290849800001WOS000290849800001.pdf7561935549573966Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBMC Public Health2.4201,337info:eu-repo/semantics/openAccess2023-10-09T06:09:01Zoai:repositorio.unesp.br:11449/20733Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-10-09T06:09:01Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study |
title |
The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study |
spellingShingle |
The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study Codogno, Jamile S. [UNESP] Diabetes Mellitus expenditures physical activity |
title_short |
The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study |
title_full |
The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study |
title_fullStr |
The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study |
title_full_unstemmed |
The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study |
title_sort |
The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study |
author |
Codogno, Jamile S. [UNESP] |
author_facet |
Codogno, Jamile S. [UNESP] Fernandes, Romulo A. Sarti, Flavia Medeiros [UNESP] Freitas Junior, Ismael F. [UNESP] Monteiro, Henrique Luiz [UNESP] |
author_role |
author |
author2 |
Fernandes, Romulo A. Sarti, Flavia Medeiros [UNESP] Freitas Junior, Ismael F. [UNESP] Monteiro, Henrique Luiz [UNESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade do Oeste Paulista (UNOESTE) Universidade Estadual Paulista (Unesp) Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
Codogno, Jamile S. [UNESP] Fernandes, Romulo A. Sarti, Flavia Medeiros [UNESP] Freitas Junior, Ismael F. [UNESP] Monteiro, Henrique Luiz [UNESP] |
dc.subject.por.fl_str_mv |
Diabetes Mellitus expenditures physical activity |
topic |
Diabetes Mellitus expenditures physical activity |
description |
Background: Determinants of public healthcare expenditures in type 2 diabetics are not well investigated in developing nations and, therefore, it is not clear if higher physical activity decreases healthcare costs. The purpose of this study was to analyze the relationship between physical activity and the expenditures in public healthcare on type 2 diabetes mellitus treatment.Methods: Cross-sectional study carried out in Brazil. A total of 121 type 2 diabetics attended to in two Basic Healthcare Units were evaluated. Public healthcare expenditures in the last year were estimated using a specific standard table. Also evaluated were: socio-demographic variables; chronological age; exogenous insulin use; smoking habits; fasting glucose test; diabetic neuropathy and anthropometric measures. Habitual physical activity was assessed by questionnaire.Results: Age (r = 0.20; p = 0.023), body mass index (r = 0.33; p = 0.001) and waist-to-hip ratio (r = 0.20; p = 0.025) were positively related to expenditures on medication for the treatment of diseases other than diabetes. Insulin use was associated with increased expenditures. Higher physical activity was associated with lower expenditure, provided medication for treatment of diseases other than diabetes (OR = 0.19; p = 0.007) and medical consultations (OR = 0.26; p = 0.029).Conclusions: Type 2 diabetics with higher enrollment in physical activity presented consistently lower healthcare expenditures for the public healthcare system. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-05-04 2013-09-30T18:09:10Z 2013-09-30T18:09:10Z 2014-05-20T13:58:22Z 2014-05-20T13:58:22Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/1471-2458-11-275 Bmc Public Health. London: Biomed Central Ltd., v. 11, p. 7, 2011. 1471-2458 http://hdl.handle.net/11449/20733 10.1186/1471-2458-11-275 WOS:000290849800001 WOS000290849800001.pdf 7561935549573966 |
url |
http://dx.doi.org/10.1186/1471-2458-11-275 http://hdl.handle.net/11449/20733 |
identifier_str_mv |
Bmc Public Health. London: Biomed Central Ltd., v. 11, p. 7, 2011. 1471-2458 10.1186/1471-2458-11-275 WOS:000290849800001 WOS000290849800001.pdf 7561935549573966 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
BMC Public Health 2.420 1,337 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
7 application/pdf |
dc.publisher.none.fl_str_mv |
Biomed Central Ltd. |
publisher.none.fl_str_mv |
Biomed Central Ltd. |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799964500903854080 |