Influência da prática de atividades físicas sobre os gastos com saúde de pacientes vinculados a uma cooperativa médica
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Data
2013-07-11
Autores
Hansen, Arina [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
Diversos estudos têm demonstrado elevada taxa de sedentarismo na população adulta, no Brasil e no mundo. Estudos que buscam verificar a relação dos gastos em tratamentos hospitalares e sua relação com nível de atividade física dos pacientes vinculados a uma cooperativa de saúde através do inquérito telefônico são escassos no Brasil. Objetivo: Explorar possíveis associações entre a prática de atividades físicas habituais, indicadores de morbidade e gastos parauma cooperativa de saúde. Metodologia: Foram avaliados 1.021 usuários com idade 50 anos vinculados a uma cooperativa médica de saúde. As variáveis analisadas foram: i) gastos com o tratamento através de registros dos prontuários de cada paciente no decorrer de um ano com consultas, exames, honorários médicos, taxa hospitalar, materiais e medicamentos, ii) prática de atividade física nos domínios lazer, trabalho, deslocamento, doméstico;iii) estado nutricional. Nos procedimentos estatísticos utilizou-se análise não paramétrica para o tratamento dos dados numéricos, sendo comparadas de acordo com a prática ou não de atividade física por meio do teste de Mann-Whitney.O coeficiente de correlação de Spearman avaliou o relacionamento entre as variáveis. Os resultados considerados significativos para valores de p< 0,05 e o software estatístico Stata (versão 8.0) foi utilizado.Resultados:Das entrevistas consolidadas, 746 eram mulheres (73,1%) e 275 homens (26,9%). A média da idade dos pacientes avaliados de 63,5± 9 anos. Em relação ao estado nutricional observou-se IMC de 23,3 ± 10,1 Kg/m² para as mulheres e de 26,3 ± 5,9 Kg/m² para os homens, sendo 365 com sobrepeso (35,7%) e 213 obesos (20,8%). Observou-se elevada ocorrência de procedimentos para o grupo de doenças osteomusculares e do tecido conjuntivo, fato este que também...
Several studies have shown high rates of physical inactivity among adults in Brazil and worldwide. A sedentary lifestyle is not only personal risk of disease, has a cost to family, society and the individual. Studies that seek to investigate the relationship between costs in hospital and their relationship with physical activity level of patients linked to a cooperative health through the telephone survey are scarce in Brazil. Objective: To explore possible associations between habitual physical activity, morbidity and costs for a health cooperative. Methodology: 1,021 users aged 50 years linked to a cooperative medical health. The variables analyzed were: i) cost of treatment through records in spreadsheet cooperative each patient during a year with appointments, tests, doctors' fees, hospital fees, materials and medicines, ii) physical activity in leisure areas, work , displacement, domestic iii) nutritional status. In statistical procedures we used non-parametric analysis for the treatment of figures, Were compared according to whether or not the practice of physical activity by means of the Mann-Whitney test. The Spearman correlation coefficient assessed the relationship between variables. The results were considered significant for p values <0.05 and Stata statistical software (version 8.0) was used. Results: Of the consolidated interviews, 746 were women (73.1%) and 275 men (26.9%). The average age of patients 63.5 ± 9 years. In relation to nutritional status was observed BMI of 23.3 ± 10.1 kg / m² for women and 26.3 ± 5.9 kg / m² for men, 365 being overweight (35.7%) and 213 obese (20.8%). There was a high occurrence of musculoskeletal diseases and connective tissue as well as the association between the occurrence of diseases of ICD-10 and higher expenses. Found a higher proportion of inactive in transportation... (Complete abstract click electronic access below)
Several studies have shown high rates of physical inactivity among adults in Brazil and worldwide. A sedentary lifestyle is not only personal risk of disease, has a cost to family, society and the individual. Studies that seek to investigate the relationship between costs in hospital and their relationship with physical activity level of patients linked to a cooperative health through the telephone survey are scarce in Brazil. Objective: To explore possible associations between habitual physical activity, morbidity and costs for a health cooperative. Methodology: 1,021 users aged 50 years linked to a cooperative medical health. The variables analyzed were: i) cost of treatment through records in spreadsheet cooperative each patient during a year with appointments, tests, doctors' fees, hospital fees, materials and medicines, ii) physical activity in leisure areas, work , displacement, domestic iii) nutritional status. In statistical procedures we used non-parametric analysis for the treatment of figures, Were compared according to whether or not the practice of physical activity by means of the Mann-Whitney test. The Spearman correlation coefficient assessed the relationship between variables. The results were considered significant for p values <0.05 and Stata statistical software (version 8.0) was used. Results: Of the consolidated interviews, 746 were women (73.1%) and 275 men (26.9%). The average age of patients 63.5 ± 9 years. In relation to nutritional status was observed BMI of 23.3 ± 10.1 kg / m² for women and 26.3 ± 5.9 kg / m² for men, 365 being overweight (35.7%) and 213 obese (20.8%). There was a high occurrence of musculoskeletal diseases and connective tissue as well as the association between the occurrence of diseases of ICD-10 and higher expenses. Found a higher proportion of inactive in transportation... (Complete abstract click electronic access below)
Descrição
Palavras-chave
Physical education and training, Educação fisica, Investimentos na saude, Saude, Exercícios físicos, Planos de saúde, Habitos de saude
Como citar
HANSEN, Arina. Influência da prática de atividades físicas sobre os gastos com saúde de pacientes vinculados a uma cooperativa médica. 2013. 94 f. Dissertação - (mestrado) - Universidade Estadual Paulista Júlio de Mesquita Filho, Instituto de Biociências de Rio Claro, 2013.