Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study

Authors: Jamile S Codogno, Rômulo A Fernandes, Flávia M Sarti, Ismael F Freitas Júnior, Henrique L Monteiro

Published in: BMC Public Health | Issue 1/2011

Login to get access

Abstract

Background

Determinants of public healthcare expenditures in type 2 diabetics are not well investigated in developing nations and, therefore, it is not clear if higher physical activity decreases healthcare costs. The purpose of this study was to analyze the relationship between physical activity and the expenditures in public healthcare on type 2 diabetes mellitus treatment.

Methods

Cross-sectional study carried out in Brazil. A total of 121 type 2 diabetics attended to in two Basic Healthcare Units were evaluated. Public healthcare expenditures in the last year were estimated using a specific standard table. Also evaluated were: socio-demographic variables; chronological age; exogenous insulin use; smoking habits; fasting glucose test; diabetic neuropathy and anthropometric measures. Habitual physical activity was assessed by questionnaire.

Results

Age (r = 0.20; p = 0.023), body mass index (r = 0.33; p = 0.001) and waist-to-hip ratio (r = 0.20; p = 0.025) were positively related to expenditures on medication for the treatment of diseases other than diabetes. Insulin use was associated with increased expenditures. Higher physical activity was associated with lower expenditure, provided medication for treatment of diseases other than diabetes (OR = 0.19; p = 0.007) and medical consultations (OR = 0.26; p = 0.029).

Conclusions

Type 2 diabetics with higher enrollment in physical activity presented consistently lower healthcare expenditures for the public healthcare system.
Appendix
Available only for authorised users
Literature
1.
Cowie CC, Rust KF, Byrd-Holt DD, Eberhardt MS, Flegal KM, Engelgau MM, Saydah SH, Williams DE, Geiss LS, Gregg WW: Prevalence of diabetes and impaired fasting glucose in adults in the U.S. population: National Health and Nutrition Examination Survey 1999-2002. Diabetes Care. 2006, 29: 1263-8. 10.2337/dc06-0062.CrossRefPubMed
2.
Gigante DP, de Moura EC, Sardinha LM: Prevalence of overweight and obesity and associated factors, Brazil, 2006. Rev Saude Publica. 2009, 43: S83-S9.CrossRef
3.
Yang J, Lu F, Zhang C, Liu Z, Zhao Y, Gao F, Sun S, Zhao Y, Zhang Y: Prevalence of prehypertension and hypertension in a Chinese rural area from 1991 to 2007. Hypertens Res. 2010, 33: 331-7. 10.1038/hr.2009.235.CrossRefPubMed
4.
American Diabetes Association: Economic costs of diabetes in the U.S. in 2002. Diabetes Care. 2003, 26: 917-932.CrossRef
5.
Barceló A, Aedo C, Rajpathak S, Robles S: The cost of diabetes in Latin America and the Caribbean. Bull World Health Organ. 2003, 81: 19-27.PubMedPubMedCentral
6.
Sichieri R, do Nascimento S, Coutinho W: The burden of hospitalization due to overweight and obesity in Brazil. Cad Saude Publica. 2007, 23: 1721-7. 10.1590/S0102-311X2007000700025.CrossRefPubMed
7.
Fernandes RA, Christofaro DG, Casonato J, Costa Rosa CS, Costa FF, Freitas Júnior IF, Luiz Monteiro H, Ramos de Oliveira A: Leisure time behaviors: prevalence, correlates and associations with overweight in Brazilian adults. A cross-sectional analysis. Rev Med Chil. 2010, 138: 29-35.CrossRefPubMed
8.
Fernandes RA, Zanesco A: Early physical activity promotes lower prevalence of chronicle diseases in adulthood. Hypertens Res. 2010, 33: 926-31. 10.1038/hr.2010.106.CrossRefPubMed
9.
10.
Chien KL, Chen MF, Hsu HC, Su TC, Lee YT: Sports activity and risk of type 2 diabetes in Chinese. Diabetes Res Clin Pract. 2009, 84: 311-8. 10.1016/j.diabres.2009.03.006.CrossRefPubMed
11.
Di Loreto C, Fanelli C, Lucidi P, Murdolo G, De Cicco A, Parlanti N, Ranchelli A, Fatone C, Taglioni C, Santeusanio F, De Feo P: Make your diabetic patients walk: long-term impact of different amounts of physical activity on type 2 diabetes. Diabetes Care. 2005, 28: 1295-302. 10.2337/diacare.28.6.1295.CrossRefPubMed
12.
Bertoldi AD, Hallal PC, Barros AJ: Physical activity and medicine use: evidence from a population-based study. BMC Public Health. 2006, 6: 224-10.1186/1471-2458-6-224.CrossRefPubMedPubMedCentral
13.
14.
15.
Ochoa-Vigo K, Pace A: Diabetic foot: strategies for prevention. Act Paul Enferm. 2005, 18: 100-8. 10.1590/S0103-21002005000100014.CrossRef
16.
Gross JL, Nehme M: Detecção e tratamento das complicações crônicas do diabetes melito: Consenso da Sociedade Brasileira de Diabetes e Conselho Brasileiro de Oftalmologia. Rev Assoc Med Bras. 1999, 45: 279-284. 10.1590/S0104-42301999000300014.CrossRefPubMed
17.
Lohman TG, Ed.: Anthropometric Standardization Reference Manual. 1988, Champaign. IL, Human Kinetics Books
18.
Pereira RA, Sichieri R, Marins VM: Waist:hips girth ratio as a predictor of arterial hypertension. Cad Saude Publica. 1999, 15: 333-44. 10.1590/S0102-311X1999000200018.CrossRefPubMed
19.
Baecke JA, Burema J, Frijters JE: A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982, 36: 936-42.PubMed
20.
Plotnikoff RC, Karunamuni ND, Johnson JA, Kotovych M, Svenson LW: Health-related behaviours in adults with diabetes: associations with health care utilization and costs. Can J Public Health. 2008, 99: 227-31.PubMed
21.
Schmidt MI, Duncan BB, Hoffmann JF, de Moura I, Malta DC, de Carvalho RM: Prevalence of diabetes and hypertension based on self-reported morbidity survey, Brazil, 2006. Rev Saude Publica. 2009, 43: S74-S82.CrossRef
22.
Cederlund RI, Thomsen N, Thrainsdottir S, Eriksson KF, Sundkvist G, Dahlin LB: Hand disorders, hand function, and activities of daily living in elderly men with type 2 diabetes. J Diabetes Complications. 2009, 23: 32-9. 10.1016/j.jdiacomp.2007.09.002.CrossRefPubMed
23.
Khattab M, Khader YS, Al-Khawaldeh A, Ajlouni K: Factors associated with poor glycemic control among patients with type 2 diabetes. J Diabetes Complications. 2010, 24: 84-9. 10.1016/j.jdiacomp.2008.12.008.CrossRefPubMed
24.
25.
Chenoweth D, Leutzinger J: The economic cost of physical inactivity and excess weight in American adults. J Phys Act Health. 2006, 3: 148-63.
26.
Zhao Y, Ye W, Boye KS, Holcombe JH, Hall JA, Swindle R: Prevalence of other diabetes-associated complications and comorbidities and its impact on health care charges among patients with diabetic neuropathy. J Diabetes Complications. 2010, 24: 9-19. 10.1016/j.jdiacomp.2008.09.001.CrossRefPubMed
27.
de Moraes C, Davel AP, Rossoni LV, Antunes E, Zanesco A: Exercise training improves relaxation response and SOD-1 expression in aortic and mesenteric rings from high caloric diet-fed rats. BMC Physiol. 2008, 8: 12-10.1186/1472-6793-8-12.CrossRefPubMedPubMedCentral
28.
Zanesco A, Antunes E: Effects of exercise training on the cardiovascular system: pharmacological approaches. Pharmacol Ther. 2007, 114: 307-17. 10.1016/j.pharmthera.2007.03.010.CrossRefPubMed
29.
Zaros PR, Pires CE, Bacci M, Moraes C, Zanesco A: Effect of 6-months of physical exercise on the nitrate/nitrite levels in hypertensive postmenopausal women. BMC Women Health. 2009, 9: 17-10.1186/1472-6874-9-17.CrossRef
30.
Kadoglou NP, Iliadis F, Angelopoulou N, Sailer N, Fotiadis G, Voliotis K, Vitta I, Liapis CD, Alevizos M: Cardiorespiratory capacity is associated with favorable cardiovascular risk profile in patients with Type 2 diabetes. J Diabetes Complications. 2009, 23: 160-6. 10.1016/j.jdiacomp.2007.12.008.CrossRefPubMed
31.
Eurenius E, Brodin N, Lindblad S, Opava CH, PARA Study Group: Predicting physical activity and general health perception among patients with rheumatoid arthritis. J Rheumatol. 2007, 34: 10-5.PubMed
Metadata
Title
The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study
Authors
Jamile S Codogno
Rômulo A Fernandes
Flávia M Sarti
Ismael F Freitas Júnior
Henrique L Monteiro
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-275

Other articles of this Issue 1/2011

BMC Public Health 1/2011 Go to the issue

Study protocol

DiAlert: a lifestyle education programme aimed at people with a positive family history of type 2 diabetes and overweight, study protocol of a randomised controlled trial

Research article

Can air pollution affect tear film stability? a cross-sectional study in the aftermath of an explosion accident

Research article

Study on Occupational Allergy Risks (SOLAR II) in Germany: Design and methods

Research article

Fatal alcohol intoxication in women: A forensic autopsy study from Slovakia

Research article

Reasons for compliance or noncompliance with advice to test for hepatitis C via an internet-mediated blood screening service: a qualitative study

Research article

Low usage of government healthcare facilities for acute respiratory infections in guatemala: implications for influenza surveillance