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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Impact of type 2 diabetes mellitus and physical activity on medication costs in older adults

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Author(s):
Kikuti-Koyama, Kelly Akemi [1] ; Monteiro, Henrique Luiz [2] ; Lemes, Italo Ribeiro [2] ; de Morais, Luana Carolina [1] ; Fernandes, Romulo [1] ; Turi-Lynch, Bruna [1] ; Codogno, Jamile [1]
Total Authors: 7
Affiliation:
[1] Sao Paulo State Univ UNESP, Sch Sci & Technol, Dept Phys Educ, Lab InVestigat Exercise LIVE, 305 Roberto Simonsen, BR-19060900 Presidente Prudente - Brazil
[2] Sao Paulo State Univ UNESP, Sch Sci & Technol, Physiotherapy Dept, Presidente Prudente - Brazil
Total Affiliations: 2
Document type: Journal article
Source: INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT; AUG 2019.
Web of Science Citations: 0
Abstract

Introduction The high prevalence of diabetes mellitus leads to high costs of medication for treatment and the practice of physical activity, as well as reducing the risks of diabetes mellitus is able to substantially mitigate costs. To investigate the impact of diabetes mellitus on costs of medication and identify whether physical activity can influence the relationship between diabetes mellitus and costs of medication. Methods The sample consisted of adults enrolled in five basic healthcare units. The presence of diabetes mellitus and habitual physical activity were assessed by a questionnaire, the quantity of medication used was evaluated according to the medical records, and medication costs, through receipts. Findings Individuals with diabetes mellitus from baseline presented higher body weight (P value = .001) and lower levels of physical activity (P value = .014). The presence of diabetes mellitus was positively related to costs of medication for diseases of the circulatory system (beta = 4.89), endocrine, nutritional, and metabolic diseases (beta = 109.72), and total costs of medication (beta = 113.41). The impact of diabetes mellitus was attenuated by physical activity. Conclusion It was identified that diabetes mellitus has a significant impact on public costs with medication, and physical activity was effective in reducing health costs independently of diabetes mellitus by less than 1%. (AU)

FAPESP's process: 15/17777-3 - Physical activity, risk factors for metabolic syndrome and healthcare expenditures among users of the Brazilian national health system: 8-year longitudinal study
Grantee:Ítalo Ribeiro Lemes
Support type: Scholarships in Brazil - Doctorate
FAPESP's process: 16/11140-6 - Physical activity, obesity and risk factors for metabolic syndrome in the brazilian public health system: a longitudinal study
Grantee:Ítalo Ribeiro Lemes
Support type: Scholarships abroad - Research Internship - Doctorate
FAPESP's process: 18/01744-7 - Burden of physical activity on reduction of mortality risk and mitigation of health care costs of patients from National Health Service: 8-years follow-up
Grantee:Jamile Sanches Codogno
Support type: Regular Research Grants