The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study

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dc.contributor.authorCodogno, Jamile S. [UNESP]
dc.contributor.authorFernandes, Romulo A.
dc.contributor.authorSarti, Flavia Medeiros [UNESP]
dc.contributor.authorFreitas Junior, Ismael F. [UNESP]
dc.contributor.authorMonteiro, Henrique Luiz [UNESP]
dc.contributor.institutionUniversidade do Oeste Paulista (UNOESTE)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2013-09-30T18:09:10Z
dc.date.accessioned2014-05-20T13:58:22Z
dc.date.available2013-09-30T18:09:10Z
dc.date.available2014-05-20T13:58:22Z
dc.date.issued2011-05-04
dc.description.abstractBackground: 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.en
dc.description.affiliationUniv Oeste Paulista UNOESTE, Dept Phys Educ, Presidente Prudente, Brazil
dc.description.affiliationUNESP Univ Estadual Paulista, Dept Phys Educ, Rio Claro, Brazil
dc.description.affiliationUniv São Paulo, Sch Arts Sci & Humanities, São Paulo, Brazil
dc.description.affiliationUNESP Univ Estadual Paulista, Dept Phys Educ, Presidente Prudente, Brazil
dc.description.affiliationUnespUNESP Univ Estadual Paulista, Dept Phys Educ, Rio Claro, Brazil
dc.description.affiliationUnespUNESP Univ Estadual Paulista, Dept Phys Educ, Presidente Prudente, Brazil
dc.format.extent7
dc.identifierhttp://dx.doi.org/10.1186/1471-2458-11-275
dc.identifier.citationBmc Public Health. London: Biomed Central Ltd., v. 11, p. 7, 2011.
dc.identifier.doi10.1186/1471-2458-11-275
dc.identifier.fileWOS000290849800001.pdf
dc.identifier.issn1471-2458
dc.identifier.lattes7561935549573966
dc.identifier.urihttp://hdl.handle.net/11449/20733
dc.identifier.wosWOS:000290849800001
dc.language.isoeng
dc.publisherBiomed Central Ltd.
dc.relation.ispartofBMC Public Health
dc.relation.ispartofjcr2.420
dc.relation.ispartofsjr1,337
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectDiabetes Mellitus expendituresen
dc.subjectphysical activityen
dc.titleThe burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective studyen
dc.typeArtigo
dcterms.licensehttp://www.biomedcentral.com/about/license
dcterms.rightsHolderBiomed Central Ltd.
unesp.author.lattes7561935549573966
unesp.author.orcid0000-0001-6639-1532[5]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Ciências e Tecnologia, Presidente Prudentept
unesp.campusUniversidade Estadual Paulista (Unesp), Instituto de Biociências, Rio Claropt

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Artigos - Educação Física - IBRC
Artigos - Educação Física - FCT