Comorbidities do not mitigate the effect of habitual physical activity on the reduction of healthcare costs among adults with cardiovascular diseases: A mediation analysis.

Autor: Araujo MYC; Post-graduation Program in Movement Sciences, São Paulo State University - UNESP, Presidente Prudente, São Paulo, Brazil; Group of Studies in Health, Physical Activity, and Economy (GESAFE), São Paulo State University-UNESP, Presidente Prudente, São Paulo, Brazil. Electronic address: mo_castanho@hotmail.com., da Guarda FRB; Federal University of Pernambuco, Vitória de Santo Antão, Pernambuco, Brazil., Nakamura PM; Federal Institute of Education, Science and Technology, Muzambinho, Minas Gerais, Brazil., Dos Santos LL; Group of Studies in Health, Physical Activity, and Economy (GESAFE), São Paulo State University-UNESP, Presidente Prudente, São Paulo, Brazil., Lynch BCT; Department of Physical Education and Exercise Science, Lander University, Greenwood, SC, USA., Codogno JS; Post-graduation Program in Movement Sciences, São Paulo State University - UNESP, Presidente Prudente, São Paulo, Brazil; Group of Studies in Health, Physical Activity, and Economy (GESAFE), São Paulo State University-UNESP, Presidente Prudente, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Obesity research & clinical practice [Obes Res Clin Pract] 2023 May-Jun; Vol. 17 (3), pp. 257-263. Date of Electronic Publication: 2023 May 17.
DOI: 10.1016/j.orcp.2023.05.005
Abstrakt: Background: Habitual Physical activity (HPA) is a non-pharmacological strategy to prevent and control chronic diseases, and it plays an important role in minimizing healthcare costs.
Objectives: This study aimed to investigate the relationship between HPA and healthcare costs from the perspective of the Brazilian National Healthcare System, and to establish the mediating role of comorbidities in this relationship among patients with cardiovascular diseases (CVD).
Design and Setting: This longitudinal study was conducted in a medium-sized Brazilian city and included 278 participants assisted by the Brazilian National Healthcare System.
Methods: Information on healthcare costs were obtained from medical records and included primary, secondary, and tertiary levels. Comorbidities (diabetes, dyslipidemia, and arterial hypertension) were self-reported, and obesity was confirmed with the percentage of body fat. HPA was measured using a questionnaire (Baecke questionnaire). Face-to-face interviews provided information on sex, age, and education level. Statistical analysis included linear regression and Structural Equation Modeling, significance was set at 5 % and the Stata software (version 16.0) was used to perform the analysis.
Results: The sample included 278 adults with a mean age of 54.49 (8.32) years. For each score of HPA, there was a reduction in healthcare costs of US$ 83.99/ 24 months (95 % CI: - 159.15; - 8.84), and the sum of comorbidities did not mediate this relationship.
Conclusion: It is concluded that healthcare costs seem to be affected by HPA among patients with CVD, while this phenomenon seems not to be mediated by the sum of comorbidities.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: