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Objectively Measured Physical Activity and Healthcare Expenditures Related to Arterial Hypertension and Diabetes Mellitus in Older People: SABE Study.

Objectively Measured Physical Activity and Healthcare Expenditures Related to Arterial Hypertension and Diabetes Mellitus in Older People: SABE Study.
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Bueno DR, de Fátima Nunes Marucci M, da Costa Rosa CS, Fernandes RA, de Oliveira Duarte YA, Lebrão ML,


Bueno DR, de Fátima Nunes Marucci M, da Costa Rosa CS, Fernandes RA, de Oliveira Duarte YA, Lebrão ML, (click to view)

Bueno DR, de Fátima Nunes Marucci M, da Costa Rosa CS, Fernandes RA, de Oliveira Duarte YA, Lebrão ML,

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Journal of aging and physical activity 2017 02 09() 1-22 doi 10.1123/japa.2016-0023
Abstract
BACKGROUND
Research using questionnaires has shown that physical activity level (PAL) is associated with healthcare costs.

OBJECTIVE
To examine the association between objectively measured PAL and healthcare costs among hypertensive and diabetic non-institutionalized Brazilian older people.

METHODS
Cross-sectional study forming part of the SABE Study, composed of 377 older people interviewed in 2010. Expenditures were estimated taking into account self-reported medicine prescription, outpatient service and hospitalizations, with the highest quartile of expenditures considered as a risk category. PAL was estimated using an Actigraph accelerometer. Associations were expressed as odds ratios and 95% confidence intervals, adjusted for covariates.

RESULTS
Overall expenditures were higher in the sedentary group. The insufficiently active group presented greater odds for higher total, outpatient and hospitalization expenditure.

CONCLUSIONS
Healthcare expenditures were lower in more active hypertensive and diabetic older people. The promotion of physical activity could be relevant in the attenuation of the burden of chronic diseases in economic losses.

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