Universidade Federal de Pelotas, Pelotas, Brasil.
The University of Queensland, St. Lucia, Australia.
Cad Saude Publica. 2021 Feb 5;37(1):e00046520. doi: 10.1590/0102-311X00046520. eCollection 2021.
Our study aimed at determining the economic burden of leisure-time physical inactivity in hospitalizations due to dementia in Brazil. In this national-wide descriptive study, we used secondary data from the Brazilian Health Informatics Department and from the latest Brazilian National Health Survey (2013). Rate of hospitalization and economic cost were extracted from 2013. Leisure-time physical inactivity prevalence was used to estimate its population attributable fraction for dementia. Outcomes were stratified into sex (man/woman), age groups (< 50, 50-59, 60-69, 70-79, 80+), ethnicity (white, black, mixed race, other), and region (South, Southeast, North, Northeast, and Central). In 2013, 3,724 people were hospitalized due to dementia in Brazil resulting in a total cost of BRL 17,971,833.85 (USD 7,673,973.05). More than half of cost among men was spent with individuals younger than 59 years, white and mixed-race, and from Southeast region. Proportion of cost was higher in women older than 60 years and white. In 2013, 37% of all hospitalization from dementia in Brazil were attributable to physical inactivity, with values reaching 42.9% and 43.8% for men and women aged 80 or older, respectively. Physical inactivity cost BRL 6,994,254.75 (USD 2,986,546.78) in 2013 on hospitalizations due to dementia in Brazil. Higher attributable-cost was found for patients younger than 50 years and women older than 80. Strategies to preserve the quality of life of these patients are needed to reduce the burden for the patients, their family, and on the healthcare system.
我们的研究旨在确定巴西因痴呆症住院的休闲时间身体活动不足的经济负担。在这项全国性描述性研究中，我们使用了巴西卫生信息部门和最新的巴西全国健康调查（2013 年）的二级数据。2013 年提取了住院率和经济成本。休闲时间身体活动不足的患病率用于估计其对痴呆症的人群归因分数。结果按性别（男/女）、年龄组（<50 岁、50-59 岁、60-69 岁、70-79 岁、80 岁以上）、种族（白种人、黑种人、混血儿、其他人）和地区（南部、东南部、北部、东北部和中部）进行分层。2013 年，巴西有 3724 人因痴呆症住院，总费用为 17971833.85 雷亚尔（7673973.05 美元）。男性费用的一半以上用于 59 岁以下、白人和混血儿以及来自东南部地区的人。女性中年龄较大者（60 岁以上）和白人的费用比例较高。2013 年，巴西所有因痴呆症住院的病例中，有 37%归因于身体活动不足，80 岁及以上男性和女性的比例分别达到 42.9%和 43.8%。2013 年，因痴呆症住院导致的身体活动不足导致巴西的住院费用为 6994254.75 雷亚尔（2986546.78 美元）。发现在年龄小于 50 岁和 80 岁以上的女性中，归因成本更高。需要采取策略来维护这些患者的生活质量，以减轻患者、其家庭和医疗保健系统的负担。
