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

Autor(es)

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]

Afiliação do(s) autor(es)

^[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

• Tipo de documento: Artigo Científico
• Fonte: JOURNAL OF PHYSICAL ACTIVITY & HEALTH; v. 16, n. 10, p. 830-835, OCT 2019.
• Citações Web of Science: 1

Resumo

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)

• Processo FAPESP: 16/11140-6 - Atividade física, obesidade e fatores de risco para síndrome metabólica no sistema público de saúde brasileiro: um estudo longitudinal
• Beneficiário: Ítalo Ribeiro Lemes
• Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Doutorado
• Processo FAPESP: 15/17777-3 - Atividade física habitual, fatores de risco para síndrome metabólica e gastos institucionais por demanda de usuários do sistema público de saúde: estudo de coorte de 8 anos
• Beneficiário: Ítalo Ribeiro Lemes
• Modalidade de apoio: Bolsas no Brasil - Doutorado
• Processo FAPESP: 18/01744-7 - Impacto da prática de atividades físicas na redução do risco de mortalidade e nos custos com saúde de pacientes do sistema único de saúde: coorte de oito anos
• Beneficiário: Jamile Sanches Codogno
• Modalidade de apoio: Auxílio à Pesquisa - Regular