Expenditures of medicine use in hypertensive/diabetic elderly and physical activity and engagement in walking: cross secctional analysis of SABE Survey

BMC Geriatrics

Research Article

Maria Lucia Lebrão¹  Yeda Aparecida de Oliveira Duarte²  Maria de Fátima Nunes Marucci³  Denise Rodrigues Bueno⁴  Manuela de Almeida-Roediger⁴  Luis Alberto Gobbo⁵ 

[1] Department of Epidemiology of Faculty of Public Health, University of São Paulo, São Paulo, Brazil;Department of Nursing of School of Nursing, University of São Paulo, São Paulo, Brazil;Department of Nutrition of Faculty of Public Health, University of São Paulo, São Paulo, Brazil;Department of Nutrition, Faculty of Public Health, University of Sao Paulo, Avenida Doutor Arnaldo, 715, Cerqueira César, CEP: 01246-904, São Paulo, SP, Brazil;Department of Physical Education, Univ. Estadual Paulista, Presidente Prudente, SP, Brazil;

关键词: Expenditures;    Physical Activity;    Elderly;    Medicine use;    Hypertension;    Diabetes;   

DOI  :  10.1186/s12877-017-0437-0

 received in 2015-08-18, accepted in 2017-01-31,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe literature shows the inverse association between physical activity level (PAL) and chronic diseases that have a significant burden over health care costs. However, in upper-middle income countries and in elderly population this information are scarce.ObjectiveTo describe the annual drug expenditures for the hypertensive and diabetic elderly population in Brazil and to analyze the association with PAL and engagement in walking.MethodsThis cross sectional study is part of SABE Survey and comprised 806 hypertensive and/or diabetic elderly (≥60 years old). The annual expenditures of medicine use was estimated for all medications for hypertension and/or diabetes they were taking. The PAL was considered insufficient when moderate physical activity was <150 min/week or vigorous physical activity was < 75 min/week. Engagement in walking was considered by at least 1 day a week. All expenditures were presented through the descriptive values (in American Dollars US$) according PAL and engagement in walking. The association analysis between annual expenditures, PAL and engagement in walking were performed by multiple logistic regression models adjusted for gender, age and body mass index.ResultsThe average annual cost was higher in diabetic and insufficient physically activity elderly. The 1-year estimated.cost was US$ 73386,09 and 295% higher in insufficiently physically active. Older people who reported not walking had a higher risk to higher annual expenditures of medicine use (OR = 1.57, 95% CI 1.03–2.40).ConclusionsThe annual expenditures of medicine use for controlling hypertension and diabetes of Brazilian elderly were higher and inversely associated with physical activity level and engagement in walking.

【 授权许可】

CC BY   
© The Author(s). 2017