Coughlan Diarmuid, Saint-Maurice Pedro F, Carlson Susan A, Fulton Janet, Matthews Charles E
Health Economics Group, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Surveillance Research Program, Division of Cancer Control & Population Sciences, National Cancer Institute, Bethesda, Maryland, USA.
BMJ Open Sport Exerc Med. 2021 Mar 5;7(1):e001038. doi: 10.1136/bmjsem-2021-001038. eCollection 2021.
There is limited information about the association between long-term leisure time physical activity (LTPA) participation and healthcare costs. The purpose of this study was to investigate the association between LTPA over adulthood with later life healthcare costs in the USA.
Using Medicare claims data (between 1999 and 2008) linked to the National Institutes of Health-American Association of Retired Persons (NIH-AARP) Diet and Health Study, we examined associations between nine trajectories of physical activity participation throughout adulthood with Medicare costs.
Compared with adults who were consistently inactive from adolescence into middle age, average annual healthcare costs were significantly lower for maintainers, adults who maintained moderate (-US$1350 (95% CI: -US$2009 to -US$690) or -15.9% (95% CI: -23.6% to -8.1%)) or high physical activity levels (-US$1200 (95% CI: -US$1777 to -US$622) or -14.1% (95% CI: -20.9% to -7.3%)) and increasers, adults who increased physical activity levels in early adulthood (-US$1874 (95% CI: US$2691 to -US$1057) or -22.0% (95% CI: -31.6% to -12.4%)) or in middle age (-US$824 (95% CI: -US$1580 to -US$69 or -9.7% (95% CI -18.6% to -0.8%)). For the four trajectories where physical activity decreased, the only significant difference was for adults who increased physical activity levels during early adulthood with a decline in middle age (-US$861 (95% CI:-US$1678 to -US$45) or -10.1% (95% CI: -19.7% to -0.5%)).
Our analyses suggest the healthcare cost burden in later life could be reduced through promotion efforts supporting physical activity participation throughout adulthood.
关于长期休闲时间体育活动（LTPA）参与与医疗保健成本之间的关联信息有限。本研究的目的是调查美国成年期的LTPA与晚年医疗保健成本之间的关联。
利用与美国国立卫生研究院 - 美国退休人员协会（NIH - AARP）饮食与健康研究相关联的医疗保险索赔数据（1999年至2008年），我们研究了成年期体育活动参与的九种轨迹与医疗保险成本之间的关联。
与从青少年期到中年一直不活动的成年人相比，保持者（即保持中等（-1350美元（95%置信区间：-2009美元至-690美元）或-15.9%（95%置信区间：-23.6%至-8.1%））或高体育活动水平的成年人（-1200美元（95%置信区间：-1777美元至-622美元）或-14.1%（95%置信区间：-20.9%至-7.3%））以及增加者（即在成年早期增加体育活动水平的成年人（-1874美元（95%置信区间：-2691美元至-1057美元）或-22.0%（95%置信区间：-31.6%至-12.4%））或在中年增加体育活动水平的成年人（-824美元（95%置信区间：-1580美元至-69美元或-9.7%（95%置信区间 -18.6%至-0.8%）））的平均年度医疗保健成本显著更低。对于体育活动减少的四种轨迹，唯一显著的差异是在成年早期增加体育活动水平但在中年下降的成年人（-861美元（95%置信区间：-1678美元至-45美元）或-10.1%（95%置信区间：-19.7%至-0.5%））。
我们的分析表明，通过支持成年期体育活动参与的促进措施，可以减轻晚年的医疗保健成本负担。
