G M E E Geeske Peeters1, Paul A Gardiner2, Annette J Dobson3, Wendy J Brown4. 1. The University of Queensland, School of Public Health, Australia; Global Brain Health Institute, University of California, San Francisco, Trinity College Dublin, Ireland. Electronic address: geeske.peeters@gbhi.org. 2. The University of Queensland, School of Medicine, Australia; The University of Queensland, Mater Research Institute, Australia. 3. The University of Queensland, School of Public Health, Australia. 4. The University of Queensland, School of Human Movement and Nutrition Sciences, Australia.
Abstract
OBJECTIVES: The aim was to examine the associations between level of physical activity (PA) and non-hospital medical costs, and between physical activity and hospitalisations in older women from 1999 to 2013. DESIGN: Longitudinal observational study. METHODS: Data were collected from participants in the Australian Longitudinal Study on Women's Health, who completed surveys in 1999 (aged 73-78 years), 2002, 2005, 2008 and 2011. Annual cost data (from the Medicare Benefits Schedule) were available for 1999-2013 and hospital admissions data were available for 2002-2010. Costs were expressed in 2013 Australian dollars (AUD). Prospective associations between self-reported physical activity (categorised as inactive, low, moderate or high) and costs/admissions were examined using quantile regression (for costs) and logistic regression fitted with generalised estimating equations (for hospitalisation). RESULTS: Median annual costs were AUD122 (95% confidence interval [CI]=199, 45), AUD284 (CI=363, 204) and AUD316 (CI=385, 247) lower in low, moderate and highly active women, respectively, than in those who were inactive [AUD1890 (interquartile range=1107-3296)]. Odds of hospitalisation were also lower in the low (odds ratio [OR]=0.88, CI=0.80-0.96), moderate (OR=0.77, CI=0.70-0.85) and highly active (OR=0.78, CI=0.71-0.85) women, than in the inactive group. CONCLUSIONS: In inactive older Australian women, a small increase in physical activity may be sufficient to obtain substantial cost savings for the health system and to reduce hospital admissions.
OBJECTIVES: The aim was to examine the associations between level of physical activity (PA) and non-hospital medical costs, and between physical activity and hospitalisations in older women from 1999 to 2013. DESIGN: Longitudinal observational study. METHODS: Data were collected from participants in the Australian Longitudinal Study on Women's Health, who completed surveys in 1999 (aged 73-78 years), 2002, 2005, 2008 and 2011. Annual cost data (from the Medicare Benefits Schedule) were available for 1999-2013 and hospital admissions data were available for 2002-2010. Costs were expressed in 2013 Australian dollars (AUD). Prospective associations between self-reported physical activity (categorised as inactive, low, moderate or high) and costs/admissions were examined using quantile regression (for costs) and logistic regression fitted with generalised estimating equations (for hospitalisation). RESULTS: Median annual costs were AUD122 (95% confidence interval [CI]=199, 45), AUD284 (CI=363, 204) and AUD316 (CI=385, 247) lower in low, moderate and highly active women, respectively, than in those who were inactive [AUD1890 (interquartile range=1107-3296)]. Odds of hospitalisation were also lower in the low (odds ratio [OR]=0.88, CI=0.80-0.96), moderate (OR=0.77, CI=0.70-0.85) and highly active (OR=0.78, CI=0.71-0.85) women, than in the inactive group. CONCLUSIONS: In inactive older Australian women, a small increase in physical activity may be sufficient to obtain substantial cost savings for the health system and to reduce hospital admissions.
Authors: Juan Luis Sanchez-Sanchez; Mikel Izquierdo; Jose Antonio Carnicero-Carreño; Fransico José García-García; Leocadio Rodríguez-Mañas Journal: J Cachexia Sarcopenia Muscle Date: 2020-03-12 Impact factor: 12.910
Authors: Asier Mañas; Borja Del Pozo Cruz; Ulf Ekelund; José Losa Reyna; Irene Rodríguez Gómez; José Antonio Carnicero Carreño; Leocadio Rodríguez Mañas; Francisco J García García; Ignacio Ara Journal: J Sport Health Sci Date: 2021-05-23 Impact factor: 13.077