Student, Department of Physical Education, Laboratory of InVestigation in Exercise (LIVE), Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil.
Assistant Professor, Physiotherapy Department, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil; Assistant Professor, Physiotherapy Department, Faculdade Israelita de Ciências da Saúde Albert Einstein (FICSAE), São Paulo (SP), Brazil.
Sao Paulo Med J. 2024 Jun 17;142(6):e2023241. doi: 10.1590/1516-3180.2023.0241.R2.25032024. eCollection 2024.
The magnitude of economic losses attributed to sleep problems and insufficient physical activity (PA) remains unclear. This study aimed to investigate the association between insufficient PA, sleep problems, and direct healthcare costs.
To investigate the association between insufficient physical activity (PA), sleep problems, and direct healthcare costs among adults.
Adults aged ≥ 50 years attended by the Brazilian National Health Service were tracked from 2010 to 2014.
Direct healthcare costs were assessed using medical records and expressed in US$. Insufficient PA and sleep problems were assessed through face-to-face interviews. Differences were identified using the analysis of covariance and variance for repeated measures.
In total, 454 women and 166 men were enrolled. Sleep problems were reported by 28.9% (95%CI: 25.2% to 32.4%) of the sample, while insufficient PA was reported by 84.8% (95%CI: 82.1% to 87.6%). The combination of sleep problems and insufficient PA explained 2.3% of all healthcare costs spent on these patients from 2010 to 2014, which directly accounts for approximately US$ 4,765.01.
The combination of sleep problems and insufficient PA plays an important role in increasing direct healthcare costs in adults. Public health stakeholders, policymakers, and health professionals can use these results to reinforce the need for strategies to improve sleep quality and increase PA, especially in nations that finance their National Health Systems.
与睡眠问题和身体活动不足相关的经济损失规模尚不清楚。本研究旨在调查身体活动不足、睡眠问题与直接医疗保健成本之间的关系。
调查成年人身体活动不足、睡眠问题与直接医疗保健成本之间的关系。
巴西国家卫生服务系统中年龄≥50 岁的成年人从 2010 年到 2014 年被追踪。
使用病历评估直接医疗保健成本，并以美元表示。通过面对面访谈评估身体活动不足和睡眠问题。使用协方差分析和重复测量方差分析来识别差异。
共纳入 454 名女性和 166 名男性。28.9%（95%CI：25.2%至 32.4%）的样本报告存在睡眠问题，84.8%（95%CI：82.1%至 87.6%）的样本报告存在身体活动不足。2010 年至 2014 年，睡眠问题和身体活动不足的组合解释了这些患者医疗保健费用的 2.3%，这直接导致了约 4765.01 美元的支出。
睡眠问题和身体活动不足的组合在增加成年人直接医疗保健成本方面起着重要作用。公共卫生利益相关者、政策制定者和卫生专业人员可以利用这些结果来加强改善睡眠质量和增加身体活动的必要性，尤其是在那些为国家卫生系统提供资金的国家。
