Department of Physical Education, Laboratory of InVestigation in Exercise - LIVE, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, Brazil.
Department of Physical Education & Exercise Science, Lander University, Greenwood, USA.
BMC Pediatr. 2022 Mar 17;22(1):141. doi: 10.1186/s12887-022-03201-9.
The relationship between physical activity and health care costs among adolescents is not yet clear in the literature.
To analyze the relationship between physical activity and annual health care costs among adolescents.
The present sample was composed of 85 adolescents of both sexes with ages ranging from 11 to 18 years (mean age 15.6 ± 2.1). Health care costs were self-reported every month for 12 months, and information on health care values was verified with local pharmacies, private health care plans, and the National Health Service. The time spent in different physical activity intensities was objectively measured by accelerometers. Confounding variables were: sex, age, somatic maturation, body fatness, blood pressure, and components of dyslipidemia and insulin resistance. Multivariate models were generated using generalized linear models with gamma distribution and a log-link function.
The overall annual health care cost was US$ 733.60/ R$ 2,342.38 (medication: US$ 400.46 / R$ 1,278.66; primary and secondary care: US$ 333.14 / R$ 1,063.70). The time spent in vigorous physical activity (minutes/day) was negatively related to health care costs (r = -0.342 [95% CI: -0.537,-0.139]; β = -0.06 cents (95% CI: -0.089, -0.031).
Vigorous physical activity seems to be associated with lower health care costs among adolescents.
在文献中，青少年的身体活动与医疗保健费用之间的关系尚不清楚。
分析青少年身体活动与年度医疗保健费用之间的关系。
本研究样本由 85 名 11 至 18 岁（平均年龄 15.6 ± 2.1 岁）的男女青少年组成。医疗保健费用每月报告 12 个月，医疗保健费用信息通过当地药店、私人医疗保健计划和国家卫生服务机构进行验证。不同身体活动强度所花费的时间通过加速度计进行客观测量。混杂变量为：性别、年龄、躯体成熟度、体脂肪量、血压以及血脂异常和胰岛素抵抗的组成部分。使用具有伽马分布和对数链接函数的广义线性模型生成多变量模型。
总的年医疗保健费用为 733.60 美元/2342.38 雷亚尔（药物：400.46 美元/1278.66 雷亚尔；初级和二级保健：333.14 美元/1063.70 雷亚尔）。剧烈身体活动（分钟/天）时间与医疗保健费用呈负相关（r = -0.342[95%置信区间：-0.537，-0.139]；β= -0.06 美分（95%置信区间：-0.089，-0.031）。
剧烈身体活动似乎与青少年的医疗保健费用较低有关。
