Relationship Between Physical Activity Level and Primary Care Costs in Older Diabetic Patients From a Middle-Size Brazilian City: An Eight-Year Follow-Up Study

ObjectivesPhysical activity and costs have been consistently related each other, but mostly in cross-sectional investigations. This study aims to investigate the relationship between changes in physical activity level and changes in healthcare costs among older diabetic adults in an 8-year follow-up...

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Main Authors: Kelly Akemi Kikuti Koyama, Monique Yndawe Castanho Araujo, Luana Carolina de Morais, Italo Ribeiro Lemes, Rômulo Araújo Fernandes, Bruna Camilo Turi-Lynch, Flávia Mori Sarti, Thais Cristina Delacosta, Henrique Luiz Monteiro, Jamile Sanches Codogno
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:International Journal of Public Health
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Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607605/full
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author Kelly Akemi Kikuti Koyama
Monique Yndawe Castanho Araujo
Luana Carolina de Morais
Italo Ribeiro Lemes
Rômulo Araújo Fernandes
Bruna Camilo Turi-Lynch
Flávia Mori Sarti
Thais Cristina Delacosta
Henrique Luiz Monteiro
Jamile Sanches Codogno
author_facet Kelly Akemi Kikuti Koyama
Monique Yndawe Castanho Araujo
Luana Carolina de Morais
Italo Ribeiro Lemes
Rômulo Araújo Fernandes
Bruna Camilo Turi-Lynch
Flávia Mori Sarti
Thais Cristina Delacosta
Henrique Luiz Monteiro
Jamile Sanches Codogno
author_sort Kelly Akemi Kikuti Koyama
collection DOAJ
description ObjectivesPhysical activity and costs have been consistently related each other, but mostly in cross-sectional investigations. This study aims to investigate the relationship between changes in physical activity level and changes in healthcare costs among older diabetic adults in an 8-year follow-up study.MethodsThe study followed 151 diabetic adults ≥50 years of age, for a period of 8 years, who were patients of Basic Health Care Units in the city of Bauru (Brazil). Medical records were consulted to obtain information on healthcare costs. Physical activity level was assessed through an interview. Data analysis included descriptive statistics, analysis of variance, and linear regression.ResultsParticipants who increased leisure-time physical activity from 2010 to 2018 accumulated less healthcare costs from 2020 to 2018. The magnitude of the relationship was small (r = −0.233 [95% CI: −0.379 to −0.076]).ConclusionIn summary, among diabetic patients, to increase leisure-time physical activity from 2010 to 2018 was inversely related to the amount of healthcare costs spent over the same period of 8 years.
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publisher Frontiers Media S.A.
record_format Article
series International Journal of Public Health
spelling doaj-art-4fd1000d621a4f4f8812d363466ce4752025-01-29T04:11:09ZengFrontiers Media S.A.International Journal of Public Health1661-85642025-01-017010.3389/ijph.2025.16076051607605Relationship Between Physical Activity Level and Primary Care Costs in Older Diabetic Patients From a Middle-Size Brazilian City: An Eight-Year Follow-Up StudyKelly Akemi Kikuti Koyama0Monique Yndawe Castanho Araujo1Luana Carolina de Morais2Italo Ribeiro Lemes3Rômulo Araújo Fernandes4Bruna Camilo Turi-Lynch5Flávia Mori Sarti6Thais Cristina Delacosta7Henrique Luiz Monteiro8Jamile Sanches Codogno9Laboratory of Investigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University -UNESP, Sao Paulo, BrazilLaboratory of Investigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University -UNESP, Sao Paulo, BrazilLaboratory of Investigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University -UNESP, Sao Paulo, BrazilDepartment of Physical Therapy, Sao Paulo State University -UNESP, Sao Paulo, BrazilLaboratory of Investigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University -UNESP, Sao Paulo, BrazilPhysical Education and Exercise Science Department, Lander University, Greenwood, SC, United StatesUniversity of Sao Paulo, USP East, School of Arts, Sciences and Humanities, São Paulo, BrazilDepartment of Physical Education, Sao Paulo State University -UNESP, Bauru, Sao Paulo, BrazilDepartment of Physical Education, Sao Paulo State University -UNESP, Bauru, Sao Paulo, BrazilLaboratory of Investigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University -UNESP, Sao Paulo, BrazilObjectivesPhysical activity and costs have been consistently related each other, but mostly in cross-sectional investigations. This study aims to investigate the relationship between changes in physical activity level and changes in healthcare costs among older diabetic adults in an 8-year follow-up study.MethodsThe study followed 151 diabetic adults ≥50 years of age, for a period of 8 years, who were patients of Basic Health Care Units in the city of Bauru (Brazil). Medical records were consulted to obtain information on healthcare costs. Physical activity level was assessed through an interview. Data analysis included descriptive statistics, analysis of variance, and linear regression.ResultsParticipants who increased leisure-time physical activity from 2010 to 2018 accumulated less healthcare costs from 2020 to 2018. The magnitude of the relationship was small (r = −0.233 [95% CI: −0.379 to −0.076]).ConclusionIn summary, among diabetic patients, to increase leisure-time physical activity from 2010 to 2018 was inversely related to the amount of healthcare costs spent over the same period of 8 years.https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607605/fulldiabetes mellitusphysical activityprimary carehealth care costsepidemiology
spellingShingle Kelly Akemi Kikuti Koyama
Monique Yndawe Castanho Araujo
Luana Carolina de Morais
Italo Ribeiro Lemes
Rômulo Araújo Fernandes
Bruna Camilo Turi-Lynch
Flávia Mori Sarti
Thais Cristina Delacosta
Henrique Luiz Monteiro
Jamile Sanches Codogno
Relationship Between Physical Activity Level and Primary Care Costs in Older Diabetic Patients From a Middle-Size Brazilian City: An Eight-Year Follow-Up Study
International Journal of Public Health
diabetes mellitus
physical activity
primary care
health care costs
epidemiology
title Relationship Between Physical Activity Level and Primary Care Costs in Older Diabetic Patients From a Middle-Size Brazilian City: An Eight-Year Follow-Up Study
title_full Relationship Between Physical Activity Level and Primary Care Costs in Older Diabetic Patients From a Middle-Size Brazilian City: An Eight-Year Follow-Up Study
title_fullStr Relationship Between Physical Activity Level and Primary Care Costs in Older Diabetic Patients From a Middle-Size Brazilian City: An Eight-Year Follow-Up Study
title_full_unstemmed Relationship Between Physical Activity Level and Primary Care Costs in Older Diabetic Patients From a Middle-Size Brazilian City: An Eight-Year Follow-Up Study
title_short Relationship Between Physical Activity Level and Primary Care Costs in Older Diabetic Patients From a Middle-Size Brazilian City: An Eight-Year Follow-Up Study
title_sort relationship between physical activity level and primary care costs in older diabetic patients from a middle size brazilian city an eight year follow up study
topic diabetes mellitus
physical activity
primary care
health care costs
epidemiology
url https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607605/full
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