Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults

Abstract

A B S T R A C T ObjectiveTo analyze the association between excess abdominal fat and healthcare costs related to hypertension and diabetes Mellitus in older adults. MethodsThese cross-sectional analyses are part of the Health, Wellbeing and Aging Study conducted in São Paulo, Brazil, with 806 older adults with self-reported hypertension and diabetes Mellitus. The study included the annual costs with medicines, hospital admissions, and outpatient services for hypertension and diabetes Mellitus control. Excess abdominal fat was diagnosed based on waist circumference. Level of physical activity, age, and gender were considered covariates. The sample was divided into two groups according to waist circumference. Multiple logistic regression analyzed the associations between annual costs and waist circumference. ResultsThe cost of services and hospitalizations (R$551.05; 95%CI=418.27-683.83) and total costs (R$817.77; 95%CI=669.21-966.33) were higher in the excess abdominal fat group. Older adults with high waist

Impacts of bariatric surgery on costs and health outcomes of patients in Brazil: Interrupted time series analysis of multi-panel data

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“…In our country, the annual expenditure per patient with treatment for T2DM with medicines reach US$ 259.36 and in the rest of the world range from US$ 1.937 to US$ 13.243 or US$ 63.722 in 35-year lifetime. 6,33,[66][67][68] Considering cardiovascular risk, with is high related to very expensive costs to health systems, our study has found costs from US$ 102.64 to US$ 982.41 (for triglycerides and Vldl, respectively) per one unit of fall in the blood exam. In our country, the average annual cost in medicines for dyslipidemia is US$ 1.417 to US$ 2.300 and the nutritional and laboratory follow-up is nearly US$ 848.…”

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