Laboratory of InVestigation in Exercise-LIVE, Department of Physical Education, School of Sciences and Technology, São Paulo State University-UNESP, Presidente Prudente, Brazil.
Physiotherapy Department, School of Sciences and Technology, São Paulo State University-UNESP, Presidente Prudente, Brazil.
Int J Health Plann Manage. 2019 Oct;34(4):e1774-e1782. doi: 10.1002/hpm.2892. Epub 2019 Aug 22.
The high prevalence of diabetes mellitus leads to high costs of medication for treatment and the practice of physical activity, as well as reducing the risks of diabetes mellitus is able to substantially mitigate costs. To investigate the impact of diabetes mellitus on costs of medication and identify whether physical activity can influence the relationship between diabetes mellitus and costs of medication.
The sample consisted of adults enrolled in five basic healthcare units. The presence of diabetes mellitus and habitual physical activity were assessed by a questionnaire, the quantity of medication used was evaluated according to the medical records, and medication costs, through receipts.
Individuals with diabetes mellitus from baseline presented higher body weight (P value = .001) and lower levels of physical activity (P value = .014). The presence of diabetes mellitus was positively related to costs of medication for diseases of the circulatory system (β = 4.89), endocrine, nutritional, and metabolic diseases (β = 109.72), and total costs of medication (β = 113.41). The impact of diabetes mellitus was attenuated by physical activity.
It was identified that diabetes mellitus has a significant impact on public costs with medication, and physical activity was effective in reducing health costs independently of diabetes mellitus by less than 1%.
糖尿病的高患病率导致了治疗药物和体育锻炼的高成本，而减少糖尿病的风险能够显著降低成本。本研究旨在探讨糖尿病对药物成本的影响，并确定体育锻炼是否会影响糖尿病与药物成本之间的关系。
该研究的样本由五个基层医疗单位的成年人组成。通过问卷调查评估糖尿病和习惯性体育锻炼的存在情况，根据医疗记录评估药物使用量，通过收据评估药物成本。
基线时患有糖尿病的个体体重更高（P 值 =.001），体育活动水平更低（P 值 =.014）。糖尿病的存在与循环系统疾病（β = 4.89）、内分泌、营养和代谢疾病（β = 109.72）以及总药物成本（β = 113.41）的药物成本呈正相关。体育锻炼可减弱糖尿病的影响。
本研究发现糖尿病对药物治疗的公共成本有重大影响，而体育锻炼能够独立于糖尿病，以不到 1%的幅度有效降低医疗成本。
