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50岁及以上老年人的体育活动与医疗保健成本

Sports Participation and Health Care Costs in Older Adults Aged 50 Years or Older.

作者信息

Codogno Jamile S, Monteiro Henrique L, Turi-Lynch Bruna C, Fernandes Romulo A, Pokhrel Subhash, Anokye Nana

出版信息

J Aging Phys Act. 2020 Feb 12;28(4):634-640. doi: 10.1123/japa.2019-0219. Print 2020 Aug 1.

DOI:10.1123/japa.2019-0219
PMID:32053793
Abstract

The objective of the study was to analyze the relationship between sports participation and health care costs in older adults. The sample was composed of 556 participants (145 men and 411 women) who were followed from 2010 to 2014. The engagement in sports considered three different components (intensity, volume, and previous time). Health care costs were assessed annually through medical records. Structural equation modeling (longitudinal relationship between sport and costs) and analysis of variance for repeated measures (comparisons over time) were used. Health care costs increased significantly from 2010 to 2014 (analysis of variance; p value = .001). Higher baseline scores for intensity were related to lower health care costs (r = -.223, 95% confidence interval [-.404, -.042]). Similar results were found to volume (r = -.216, 95% confidence interval [-.396, -.036]) and time of engagement (r = -.218, 95% confidence interval [-.402, -.034]). In conclusion, higher sports participation is related to lower health care costs in older adults.

摘要

该研究的目的是分析老年人体育参与与医疗保健成本之间的关系。样本由556名参与者(145名男性和411名女性)组成,他们在2010年至2014年期间接受跟踪。体育参与情况考虑了三个不同的组成部分(强度、运动量和之前的参与时间)。每年通过医疗记录评估医疗保健成本。使用了结构方程模型(体育与成本之间的纵向关系)和重复测量方差分析(随时间的比较)。2010年至2014年期间,医疗保健成本显著增加(方差分析;p值 = 0.001)。强度的基线得分较高与较低的医疗保健成本相关(r = -0.223,95%置信区间[-0.404,-0.042])。运动量(r = -0.216,95%置信区间[-0.396,-0.036])和参与时间(r = -0.218,95%置信区间[-0.402,-0.034])也发现了类似结果。总之,老年人较高的体育参与度与较低的医疗保健成本相关。

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