Custos de procedimentos de saúde e associação com nível de atividade física e estado nutricional de idosos hipertensos e diabéticos: análise do Estudo SABE - Saúde, Bem-estar e Envelhecimento, 2010

Abstract

RESUMOIntrodução -O nível de atividade física (NAF) insuficiente e estado nutricional (EN) inadequado conferem risco de desenvolvimento de hipertensão arterial e diabete, bem como dificultam o controle destas doenças. Assim, infere-se que os custos despendidos pelo Sistema Único de Saúde (SUS) com medicamentos, internações e consultas de hipertensos e diabéticos apresentem relação inversa com NAF, incluindo a prática de caminhada, e EN. Estudos epidemiológicos que descrevam estes custos e analisem essas associações na população idosa auxiliam na fundamentação para a implementação de políticas públicas para a economia de recursos. Objetivo -Descrever os custos com procedimentos de saúde de idosos hipertensos e diabéticos e verificar qual a sua associação com NAF e EN, segundo sexo e grupos etários. Métodos - ABSTRACTBackground-The insufficient physical activity level (PAL) as well the inadequate nutritional status (NS) increases the risk of hypertension and the development of diabetes, and difficult the control of theses diaseases. Thus, we can infer that the costs spent by the public health system to the management of hypertension and diabetes in the population would shows an inverse relationship with physical activity level, including engagement in walking, and nutritional status.However, epidemiological studies describing these costs and analyzing these associations among elderly population are non-existent in Brazil, which makes difficult the implementation of public and all analyzes were performed considering complex samples, using the Stata software, 10.0.Results -The average of total annual cost was R$ 732.54 and the sum of costs on 12 months was R$ 609,587.20, always higher for elderly with excess weight, insufficient PAL and the elderly who do not engage in walking. The group of elderly with excess weight showed a 50% chance of 11 being in the highest annual total cost group (OR 1:49, 95% 1:01 to 2:18) and 70% higher for the costs with medicine use (OR 1.71, IC95% 1.18 -2.47). The absence of walking had higher chance for highest costs with medication (OR 1.63, 95% CI 1:06 to 2:51) and total costs (OR 1.82, 95% CI 1.17 -2.81). All analyzes adjusted for sex and age. The PAL was not associated to the total costs and cost with medication. Conclusion-The costs related to the control of hypertension and diabetes in the elderly are high and were inversely associated to the engagement in walking and nutritional status, especially in relation to the costs with the use of antihypertensive and hypoglycemic medication.