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Type 2 diabetes, healthcare expenditures and its correlation with anthropometric factors and physical activity: 18-month follow-up in a Brazilian city
Araujo, Monique Yndawe Castanho; Turi, Bruna Camilo; Queiroz, Dayane Cristina; Ferro, Izabela dos Santos; Bortolatto, Carolina Rodrigues; Codogno, Jamile Sanches.
  • Araujo, Monique Yndawe Castanho; Universidade Estadual Paulista - UNESP. Rio Claro. BR
  • Turi, Bruna Camilo; Universidade Estadual Paulista - UNESP. Presidente Prudente. BR
  • Queiroz, Dayane Cristina; Universidade Estadual Paulista - UNESP. Presidente Prudente. BR
  • Ferro, Izabela dos Santos; Universidade Estadual Paulista - UNESP. Presidente Prudente. BR
  • Bortolatto, Carolina Rodrigues; Universidade Estadual Paulista. Rio Claro. BR
  • Codogno, Jamile Sanches; Universidade Estadual Paulista. Rio Claro. BR
Motriz (Online) ; 24(1): e101867, 2018. tab
Article Dans Anglais | LILACS | ID: biblio-895047
ABSTRACT

AIMS:

To compare the profile of adults attended at primary care level of the Brazilian National Health System according to occurrence of T2DM during 18 months of follow-up.

METHOD:

Longitudinal study carried out with 316 adults. T2DM and PA were assessed by questionnaires. Measurements of weight, height and waist circumference (WC) were also performed. Healthcare expenditures were based on the demand of services registered in medical records. Analysis of variance (ANOVA) with Tukey's post hoc test was used, as well as their similar for non-parametric variables. Spearman's correlation coefficient analyzed the relationship between variables. All analyzes were performed using the statistical software BioEstat (release 5.0) and the significance level was set at p-value <0.05.

RESULTS:

Patients with T2DM at baseline showed higher values of WC, BMI, nursing appointments, customer services, medication, total cost and lower values of PA when compared to patients T2DM-free. Patients who developed T2DM during the follow-up presented higher values of WC, screening, pharmacy frequency, medications and total cost when compared to individuals without T2DM. Being in the highest quartile of PA did not change the costs of health services among patients T2DM-free. Healthcare expenditures were positively correlated to BMI among participants T2DM-free and with T2DM at baseline.

CONCLUSION:

Participants with T2DM and participants who developed T2DM during the follow-up showed higher values of BMI, WC, healthcare expenditures and were less active when compared to participants T2DM-free. Healthcare expenditures were positively correlated with BMI among participants with T2DM at baseline and T2DM-free.(AU)
Sujets)


Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Exercice physique / Indice de masse corporelle / Santé publique / Diabète de type 2 Type d'étude: Évaluation en économique de la santé / Étude observationnelle Limites du sujet: Adulte très âgé / Femelle / Humains / Mâle Pays comme sujet: Amérique du Sud / Brésil langue: Anglais Texte intégral: Motriz (Online) Thème du journal: Educa‡Æo F¡sica e Treinamento / Medicina Esportiva / Medicina F¡sica e Reabilita‡Æo Année: 2018 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: Universidade Estadual Paulista - UNESP/BR / Universidade Estadual Paulista/BR

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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Exercice physique / Indice de masse corporelle / Santé publique / Diabète de type 2 Type d'étude: Évaluation en économique de la santé / Étude observationnelle Limites du sujet: Adulte très âgé / Femelle / Humains / Mâle Pays comme sujet: Amérique du Sud / Brésil langue: Anglais Texte intégral: Motriz (Online) Thème du journal: Educa‡Æo F¡sica e Treinamento / Medicina Esportiva / Medicina F¡sica e Reabilita‡Æo Année: 2018 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: Universidade Estadual Paulista - UNESP/BR / Universidade Estadual Paulista/BR