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

Codogno, Jamile S.; Fernandes, Rômulo A.; Sarti, Flávia M.; Júnior, Ismael F Freitas; Monteiro, Henrique L.
January 2011
BMC Public Health;2011, Vol. 11 Issue 1, p275
Academic Journal
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.


Related Articles

  • Insulin analogues dosing and costs - comparing real-life daily doses of insulin detemir and insulin glargine in type 2 diabetes patients. Jakobsen, Marie; Dalsgaard, Mette; Hørmann, Morten; Møller, Daniél Vega // BMC Endocrine Disorders;2012, Vol. 12 Issue 1, p21 

    Background: The uncertainties regarding dose similarities between basal long-acting insulin analogues remain. Recent real-world studies indicate dose similarities between insulin detemir and insulin glargine, but further studies are still warranted. The aim of this study was to compare real-life...

  • Women with type 2 diabetes perceive harder effort during exercise than nondiabetic women. Huebschmann, Amy G.; Reis, Erin N.; Emsermann, Caroline; Dickinson, L. Miriam; Reusch, Jane E. B.; Bauer, Timothy A.; Regensteiner, Judith G. // Applied Physiology, Nutrition & Metabolism;Oct2009, Vol. 34 Issue 5, p851 

    Regular exercise is a cornerstone of diabetes treatment; however, people with type 2 diabetes (T2D) are commonly sedentary. It is possible that a harder rate of perceived exertion (RPE) during exercise for those with T2D as compared with nondiabetics may be a barrier to physical activity. This...

  • Low melatonin secretion is a risk factor for type 2 diabetes.  // BMJ: British Medical Journal;4/13/2013, Vol. 346 Issue 7903, p11 

    The article reports a study conducted by researchers in the U.S., which suggested that the participants of the study who secreted the least melatonin into the bloodstream during sleep had double the risk of developing type 2 diabetes.

  • Importance of physical activity in the patients with Diabetes Dellitus type 2. Kuduzovic, Edina; Nuhbegovic, Sabina; Ljuca, Farid; Imamovic, Sanela // HealthMed;Sep2009, Vol. 3 Issue 3, p296 

    Aim of this research was to examine differences at the intensity of physical activity (IPHA) according to the gender and age, and examine connection of Body Mass Index (BMI) with intensity of physical activity, with value of blood lipids, glucose level and blood pressure. In this research was...

  • Patient behavior is the primary determinant of outcomes after bariatric surgery. KAPLAN, LEE M.; SEELEY, RANDY J.; HARRIS, JASON L. // Bariatric Times;Apr2014, Vol. 11 Issue 4, pc18 

    The article discusses various factors which contributes to the success of bariatric and metabolic surgery. Topic discussed include patient behavior, lower preoperative body mass index and absence of type 2 diabetes mellitus Other topics include the increase capacity for physical activity and...

  • A prospective assessment of dietary patterns in Muslim subjects with type 2 diabetes who undertake fasting during Ramadan. Vasan, Senthil K.; Karol, Rajani; Mahendri, N. V.; Arulappan, Nishanth; Jacob, Jubbin Jagan; Thomas, Nihal // Indian Journal of Endocrinology & Metabolism;Jul/Aug2012, Vol. 16 Issue 4, p552 

    Aims: The aim was to assess the dietary pattern during Ramadan season among type 2 diabetic Muslim subjects who underwent fasting and intensive dietary counseling. Materials and Methods: The study was conducted among 70 Muslim subjects with type 2 diabetes mellitus who undertook fasting during...

  • Screening for Type 2 Diabetes in a High-Risk Population: Effects of a Negative Screening Test After 4 Years Follow-up. Willems, Julie; Otto, Suzie; Klijs, Bart; Koning, Harry // Annals of Behavioral Medicine;Feb2014, Vol. 47 Issue 1, p102 

    Background: A negative diabetes screening test may unintentionally provide reassurance, resulting in reduced incentive to follow a healthy lifestyle. Purpose: The purpose of this study is to assess negative test result effects on lifestyle and risk perception at 4 years follow-up. Methods: Risk...

  • Is the Recent Rise in Type 2 Diabetes Incidence From 1984 to 2007 Explained by the Trend in Increasing BMI? Hardoon, Sarah L.; Morris, Richard W.; Thomas, Mary C.; Wannamethee, S. Goya; Lennon, Lucy T.; Whincup, Peter H. // Diabetes Care;Jul2010, Vol. 33 Issue 7, p1494 

    OBJECTIVE -- To estimate the extent to which increasing BMI may explain the rise in type 2 diabetes incidence in British men from 1984 to 2007. RESEARCH DESIGN AND METHODS -- A representative cohort ratio of 6,460 British men was followed-up for type 2 diabetes incidence between 1984 (aged...

  • Accelerometer-Derived Sedentary and Physical Activity Time in Overweight/Obese Adults with Type 2 Diabetes: Cross-Sectional Associations with Cardiometabolic Biomarkers. Healy, Genevieve N.; Winkler, Elisabeth A. H.; Brakenridge, Charlotte L.; Reeves, Marina M.; Eakin, Elizabeth G. // PLoS ONE;Mar2015, Vol. 10 Issue 3, p1 

    Objective: To examine the associations of sedentary time and physical activity with biomarkers of cardiometabolic health, including the potential collective impact of shifting mean time use from less- to more-active behaviours (cross-sectionally, using isotemporal substitution), in adults with...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics