Autor(es): Codogno, Jamile S. [UNESP] ; Fernandes, Romulo A. ; Sarti, Flavia Medeiros [UNESP] ; Freitas Junior, Ismael F. [UNESP] ; Monteiro, Henrique Luiz [UNESP]
Data: 2013
Identificador Persistente: http://hdl.handle.net/11449/20733
Origem: Oasisbr
Assunto(s): Diabetes Mellitus expenditures; physical activity
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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.
Univ Oeste Paulista UNOESTE, Dept Phys Educ, Presidente Prudente, Brazil
UNESP Univ Estadual Paulista, Dept Phys Educ, Rio Claro, Brazil
Univ São Paulo, Sch Arts Sci & Humanities, São Paulo, Brazil
UNESP Univ Estadual Paulista, Dept Phys Educ, Presidente Prudente, Brazil
UNESP Univ Estadual Paulista, Dept Phys Educ, Rio Claro, Brazil
UNESP Univ Estadual Paulista, Dept Phys Educ, Presidente Prudente, Brazil
