Shah Priyank, Shamoon Fayez, Bikkina Mahesh, Kohl Harold W
Department of Cardiology, St. Joseph's Regional Medical Center, Paterson, NJ, USA.
Department of Cardiology, St. Joseph's Regional Medical Center, Paterson, NJ, USA.
Diabetes Metab Syndr. 2017 Jan-Mar;11(1):13-17. doi: 10.1016/j.dsx.2016.06.020. Epub 2016 Jun 18.
Type 2 diabetes has grown to epidemic proportions in the U.S. and physical activity levels in the population continues to remain low, although it is one of the primary preventive strategies for diabetes. The objectives of this study were to estimate the direct medical costs of type 2 diabetes attributable to not meeting physical activity Guidelines and to physical inactivity in the U.S. in 2012.
This was a cross sectional study that used physical activity prevalence data from the Behavioral Risk Factor Surveillance System to estimate the population attributable risk percentage for type 2 diabetes. These data were combined with the prevalence and cost data of type 2 diabetes to estimate the cost of type 2 diabetes attributable to not meeting physical activity Guidelines and to inactivity in 2012.
The cost of type 2 diabetes in the U.S. in 2012, attributable to not meeting physical activity guidelines was estimated to be $18.3 billion, and that attributable to physical inactivity was estimated to be $4.65 billion. Based on sensitivity analyses, these estimates ranged from $10.19 billion to $27.43 billion for not meeting physical activity guidelines and $2.59 billion-$6.98 billion for physical inactivity in the year 2012.
This study shows that billions of dollars could be saved annually just in terms of type 2 diabetes cost in the U.S., if the entire adult population met physical activity guidelines. Physical activity promotion, particularly at the environmental and policy level should be a priority in the population.
2型糖尿病在美国已发展到流行程度，尽管体育活动是糖尿病的主要预防策略之一，但美国人群的体育活动水平持续偏低。本研究的目的是估计2012年美国因未达到体育活动指南要求以及缺乏体育活动导致的2型糖尿病直接医疗费用。
这是一项横断面研究，利用行为危险因素监测系统的体育活动流行率数据来估计2型糖尿病的人群归因风险百分比。这些数据与2型糖尿病的患病率和费用数据相结合，以估计2012年因未达到体育活动指南要求以及缺乏体育活动导致的2型糖尿病费用。
2012年美国因未达到体育活动指南要求导致的2型糖尿病费用估计为183亿美元，因缺乏体育活动导致的费用估计为46.5亿美元。基于敏感性分析，2012年这些估计值因未达到体育活动指南要求而在101.9亿美元至274.3亿美元之间，因缺乏体育活动而在25.9亿美元至69.8亿美元之间。
本研究表明，如果全体成年人口达到体育活动指南要求，仅在美国2型糖尿病费用方面每年就能节省数十亿美元。促进体育活动，特别是在环境和政策层面，应成为人群中的优先事项。
