Type 2 diabetes, healthcare expenditures and its correlation with anthropometric factors and physical activity: 18-month follow-up in a Brazilian city

Abstract

To compare the profile of adults attended at primary care level of the Brazilian National Health System according to occurrence of T2DM during 18 months of follow-up. Method: Longitudinal study carried out with 316 adults. T2DM and PA were assessed by questionnaires. Measurements of weight, height and waist circumference (WC) were also performed. Healthcare expenditures were based on the demand of services registered in medical records. Analysis of variance (ANOVA) with Tukey's post hoc test was used, as well as their similar for non-parametric variables. Spearman's correlation coefficient analyzed the relationship between variables. All analyzes were performed using the statistical software BioEstat (release 5.0) and the significance level was set at p-value < 0.05. Results: Patients with T2DM at baseline showed higher values of WC, BMI, nursing appointments, customer services, medication, total cost and lower values of PA when compared to patients T2DM-free. Patients who developed T2DM during the follow-up presented higher values of WC, screening, pharmacy frequency, medications and total cost when compared to individuals without T2DM. Being in the highest quartile of PA did not change the costs of health services among patients T2DM-free. Healthcare expenditures were positively correlated to BMI among participants T2DM-free and with T2DM at baseline. Conclusion: Participants with T2DM and participants who developed T2DM during the follow-up showed higher values of BMI, WC, healthcare expenditures and were less active when compared to participants T2DM-free. Healthcare expenditures were positively correlated with BMI among participants with T2DM at baseline and T2DM-free.

Relationships between the Physical Activity Intensity and the Medical Expenditure of Middle-Aged and Elderly People: Parsing from the CHARLS Database

“…Inpatient expenditure was reduced by 17.4% (p = 0.035) for moderate-intensity weekly exercisers and 28.7% (p = 0.001) for high-intensity weekly exercisers. This conclusion is supported by previous literature such as Araujo et al (2018) [30] and Wang et al (2019) [33].…”

“…The same is true for people at high risk of cardiovascular disease [29]. Araujo et al (2018) [30] found a positive correlation between physical activity and medical expenses for diabetes in 316 elderly people in a Brazilian city who were followed for 18 months. Thirdly, the impact of physical activity (PA) on medical expenditure also has gender differences.…”

Síndrome Metabólica, Atividade Física E Custos Com Saúde Entre Usuários Do Sus

“…No ano de 2015, a hipertensão atingiu ~31,2% da população brasileira (44.526.201 pessoas) e foi responsável por ~1 milhão de reais em despesas diretas com saúde e ~7 milhões de reais com perda de produtividade por absenteísmo e mortes prematuras (STEVENS et al, 2018). Pesquisa realizada com adultos com idade ≥ 50 anos verificou que despesas médias anuais da atenção primária à saúde, para indivíduos com diabetes, foram ~ 1,39 vezes maior quando comparado aos indivíduos sem a doença (ARAUJO et al, 2018). Ademais, em 2011, despesas relacionadas à obesidade totalizaram US$ 269,6 milhões, o que correspondeu a 1,86% de todas as despesas com atendimento de média e alta complexidade no país (DE OLIVEIRA;SANTOS;DA SILVA, 2015).…”

Impacto e aderência de indivíduos com diabetes no Programa Academia da Cidade

“…Porém, ao final de 12 meses de participação no PAC, a diferença significativa entre os grupos não prevaleceu para P e IMC. Avaliando-se dados de UBS em Presidente Prudente (SP), após 18 meses, Araujo et al 25 concluíram que os participantes com DM2 e participantes que desenvolveram DM2 durante o acompanhamento, mostraram maiores valores de IMC, circunferência da cintura, gastos com saúde e foram menos ativos quando comparados aos participantes sem diagnóstico de DM2.…”