Metabolic Syndrome, Physical Activity, and Medication-Related Expenditures: A Longitudinal Analysis

Author(s)

Lemes, Italo R. ^[1] ; Fernandes, Romulo A. ^[2] ; Turi-Lynch, Bruna C. ^[3] ; Codogno, Jamile S. ^[2] ; de Morais, Luana C. ^[2] ; Koyama, Kelly A. K. ^[2] ; Monteiro, Henrique L. ^[4]

Affiliation

^[1] Sao Paulo State Univ UNESP, Dept Phys Therapy, Presidente Prudente, SP - Brazil

^[2] Sao Paulo State Univ UNESP, Dept Phys Educ, Presidente Prudente, SP - Brazil

^[3] Lander Univ, Dept Phys Educ & Exercise Sci, Greenwood, SC - USA

^[4] Sao Paulo State Univ UNESP, Dept Phys Educ, Bauru, SP - Brazil

• Document type: Journal article
• Source: JOURNAL OF PHYSICAL ACTIVITY & HEALTH; v. 16, n. 10, p. 830-835, OCT 2019.
• Web of Science Citations: 1

Abstract

Background: Metabolic syndrome (MetS) is a combination of risk factors for cardiovascular disease and type 2 diabetes mellitus. The prevalence of MetS worldwide is increasing. There is no study investigating the economic burden of MetS, especially in developing countries, on medication-related expenditure. The aim of this study was to investigate the association of medication-related expenditures with MetS and to explore how physical activity (PA) may influence this association. Methods: A total of 620 participants, 50 years or older, randomly selected in the city of Bauru, Brazil. Participants were followed from 2010 to 2014, and data on health care expenditure were collected annually. PA questionnaire was applied at baseline, 2 (2012), and 4 (2014) years later. Results: Mean age was 64.7 (95% confidence interval, 64.1-65.3). MetS was associated with higher medication expenditure related to diseases of the circulatory (P < .01) and endocrine (P < .01) systems. MetS explained 17.2% of medication-related expenditures, whereas PA slightly attenuated this association, explaining 1.1% of all health care costs. Conclusion: This study demonstrates that MetS has a significant burden on health care expenditures among adults, whereas PA seems to affect this phenomenon significantly, but in low magnitude. (AU)

• 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 Opportunities: Scholarships abroad - Research Internship - Doctorate
• 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 Opportunities: Scholarships in Brazil - 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 Opportunities: Regular Research Grants