Sarria-Santamera Antonio, Alexeyeva Zhanna, Yen Chan Mei, Ortega Miguel A, Asunsolo-Del-Barco Angel, Navarro-García Carlos
Department of Medicine, Nazarbayev University School of Medicine, Nur-Sultan 010000, Kazakhstan.
Department of Medicine and Medical Specialities, Faculty of Medicine and Health Sciences, University of Alcalá, 28801 Alcala de Henares, Spain.
Healthcare (Basel). 2022 Apr 18;10(4):752. doi: 10.3390/healthcare10040752.
Diabetes mellitus (DM) is a global public health concern. DM is importantly linked to the modern lifestyle. Lifestyle-based interventions currently represent a critical preventive and therapeutic approach for patients with DM. Increasing physical activity has proven multiple benefits to prevent this condition; however, there is still room for further progress in this field, especially in terms of the effect of exercise in patients with already established DM. This study intends to examine the economic relationship between physical activity and direct/indirect costs in patients with DM. We analyze a national representative sample ( = 1496) of the general population of Spain, using available data from the National Health Survey of 2017 (NHS 2017). Our results show that 63.7% of the sample engaged in some degree of physical activity, being more frequent in men (67.5%), younger individuals (80.0%), and those with higher educational levels (69.7%). Conversely, lower levels of physical activity were associated with female sex, older subjects, and various comorbidities. Our study estimates that 2151 € per (51% in direct costs) patient may be saved if a minimum level of physical activity is implemented, primarily, due to a decrease in indirect costs (absenteeism and presenteeism). This study shows that physical activity will bring notable savings in terms of direct and indirect costs in patients with DM, particularly in some vulnerable groups.
糖尿病（DM）是一个全球性的公共卫生问题。糖尿病与现代生活方式密切相关。基于生活方式的干预目前是糖尿病患者重要的预防和治疗方法。增加体育活动已被证明对预防这种疾病有多种益处；然而，在这一领域仍有进一步发展的空间，特别是在已确诊糖尿病患者的运动效果方面。本研究旨在探讨体育活动与糖尿病患者直接/间接成本之间的经济关系。我们使用2017年国家健康调查（NHS 2017）的现有数据，分析了西班牙普通人群的全国代表性样本（n = 1496）。我们的结果显示，63.7%的样本进行了一定程度的体育活动，男性（67.5%）、年轻人（80.0%）和教育水平较高者（69.7%）的体育活动更为频繁。相反，体育活动水平较低与女性、老年受试者以及各种合并症相关。我们的研究估计，如果实施最低水平的体育活动，每位患者可能节省2151欧元（直接成本占51%），主要是由于间接成本（旷工和出勤主义）的降低。这项研究表明，体育活动将为糖尿病患者带来显著的直接和间接成本节省，特别是在一些弱势群体中。
