Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Nutrição |
Texto Completo: | https://periodicos.puc-campinas.edu.br/nutricao/article/view/7846 |
Resumo: | ObjectiveTo analyze the association between excess abdominal fat and healthcare costs related to hypertension and diabetes Mellitus in older adults. MethodsThese 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 waistcircumference. ResultsThe 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 waistcircumference 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. ConclusionHealthcare 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 adultsObesidade abdominal e custos com saúde relacionados à hipertensão e diabetes em idososAgingHealth care costsObesity abdominalPublic healthEnvelhecimentoCustos de cuidados de saúdeObesidade abdominalSaúde públicaObjectiveTo analyze the association between excess abdominal fat and healthcare costs related to hypertension and diabetes Mellitus in older adults. MethodsThese 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 waistcircumference. ResultsThe 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 waistcircumference 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. ConclusionHealthcare costs for treating hypertension and diabetes Mellitus in older adults are higher in the presence of excess abdominal fat.ObjetivoAnalisar a associação entre excesso de gordura abdominal e custos com saúde relacionados à hipertensão arterial sistêmica e ao diabetes Mellitus em idosos. MétodosEstudo transversal que faz parte do Estudo Saúde, Bem-estar e Envelhecimento realizado em São Paulo, São Paulo, incluindo 806 idosos com autorreferência à hipertensão arterial sistêmica e ao diabetes Mellitus. Os custos anuais com medicamentos, internações e serviços ambulatoriais para o controle dessas patologias foram considerados. O excesso de gordura abdominal foi diagnosticado segundo os valores de circunferência da cintura. Nível de atividade física, sexo e idade foram considerados como covariáveis. Os idosos foram divididos em dois grupos segundo a circunferência da cintura, sendo que a análise de regressão logística múltipla verificou associações entre essa medida e custos anuais. ResultadosOs custos com serviços e hospitalizações (R$551,05; IC95%=418,27–683,83) e custos totais (R$817,77; IC95%=669,21–966,33) foram maiores no grupo de idosos com excesso de gordura abdominal. Os idosos com maior circunferência da cintura apresentaram maior risco para custos anuais superiores devido ao uso de medicamentos (OR=2.06; IC95%=1.13–3.77), independentemente do sexo, idade ou nível de atividade física. ConclusãoOs custos com saúde para hipertensão arterial sistêmica e diabetes Mellitus em idosos são superiores quando existe excesso de gordura abdominal. Núcleo de Editoração – PUC-Campinas2023-03-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/7846Brazilian Journal of Nutrition; Vol. 30 No. 2 (2017): Revista de NutriçãoRevista de Nutrição; Vol. 30 Núm. 2 (2017): Revista de NutriçãoRevista de Nutrição; v. 30 n. 2 (2017): Revista de Nutrição1678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPenghttps://periodicos.puc-campinas.edu.br/nutricao/article/view/7846/5373Copyright (c) 2023 Denise Rodrigues BUENO, Maria de Fátima Nunes MARUCCI, Luiza Antoniazzi GOUVEIA, Yeda Aparecida de Oliveira DUARTE, Maria Lúcia LEBRÃOhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRodrigues BUENO, Denise Nunes MARUCCI, Maria de Fátima GOUVEIA, Luiza Antoniazzi Aparecida de Oliveira DUARTE, Yeda LEBRÃO, Maria Lúcia2023-03-16T13:38:33Zoai:ojs.periodicos.puc-campinas.edu.br:article/7846Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2023-03-16T13:38:33Revista 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 Obesidade abdominal e custos com saúde relacionados à hipertensão e diabetes em idosos |
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 Rodrigues BUENO, Denise Aging Health care costs Obesity abdominal Public health Envelhecimento Custos de cuidados de saúde Obesidade abdominal Saúde pública |
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 |
Rodrigues BUENO, Denise |
author_facet |
Rodrigues BUENO, Denise Nunes MARUCCI, Maria de Fátima GOUVEIA, Luiza Antoniazzi Aparecida de Oliveira DUARTE, Yeda LEBRÃO, Maria Lúcia |
author_role |
author |
author2 |
Nunes MARUCCI, Maria de Fátima GOUVEIA, Luiza Antoniazzi Aparecida de Oliveira DUARTE, Yeda LEBRÃO, Maria Lúcia |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Rodrigues BUENO, Denise Nunes MARUCCI, Maria de Fátima GOUVEIA, Luiza Antoniazzi Aparecida de Oliveira DUARTE, Yeda LEBRÃO, Maria Lúcia |
dc.subject.por.fl_str_mv |
Aging Health care costs Obesity abdominal Public health Envelhecimento Custos de cuidados de saúde Obesidade abdominal Saúde pública |
topic |
Aging Health care costs Obesity abdominal Public health Envelhecimento Custos de cuidados de saúde Obesidade abdominal Saúde pública |
description |
ObjectiveTo analyze the association between excess abdominal fat and healthcare costs related to hypertension and diabetes Mellitus in older adults. MethodsThese 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 waistcircumference. ResultsThe 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 waistcircumference 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. ConclusionHealthcare costs for treating hypertension and diabetes Mellitus in older adults are higher in the presence of excess abdominal fat. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-03-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/7846 |
url |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/7846 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/7846/5373 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Nutrition; Vol. 30 No. 2 (2017): Revista de Nutrição Revista de Nutrição; Vol. 30 Núm. 2 (2017): Revista de Nutrição Revista de Nutrição; v. 30 n. 2 (2017): Revista de Nutrição 1678-9865 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_ |
1799126068337049600 |