Sports Participation and Health Care Costs in Older Adults Aged 50 Years or Older

in Journal of Aging and Physical Activity
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The objective of the study was to analyze the relationship between sports participation and health care costs in older adults. The sample was composed of 556 participants (145 men and 411 women) who were followed from 2010 to 2014. The engagement in sports considered three different components (intensity, volume, and previous time). Health care costs were assessed annually through medical records. Structural equation modeling (longitudinal relationship between sport and costs) and analysis of variance for repeated measures (comparisons over time) were used. Health care costs increased significantly from 2010 to 2014 (analysis of variance; p value = .001). Higher baseline scores for intensity were related to lower health care costs (r = −.223, 95% confidence interval [−.404, −.042]). Similar results were found to volume (r = −.216, 95% confidence interval [−.396, −.036]) and time of engagement (r = −.218, 95% confidence interval [−.402, −.034]). In conclusion, higher sports participation is related to lower health care costs in older adults.

Codogno and Fernandes are with the Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil. Monteiro is with the Department of Physical Education, São Paulo State University (UNESP), Bauru, São Paulo, Brazil. Turi-Lynch is with the Department of Physical Education & Exercise Science, Lander University, Greenwood, SC, USA. Pokhrel and Anokye are with the Health Economics Research Group, Brunel University, London, United Kingdom.

Codogno (jamile.codogno@unesp.br) is corresponding author.
  • Aoyagi, Y., & Shephard, R.J. (2011). A model to estimate the potential for a physical activity-induced reduction in healthcare costs for the elderly, based on pedometer/accelerometer data from the Nakanojo Study. Sports Medicine, 41(9), 695708. doi:10.2165/11590530-000000000-00000

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Baecke, J.A., Burema, J., & Frijters, J.E. (1982). A short questionnaire for the measurement of habitual physical activity in epidemiological studies. The American Journal of Clinical Nutrition, 36(5), 936942. PubMed ID: 7137077

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Balish, S.M., Rainham, D., & Blanchard, C. (2015). Community size and sport participation across 22 countries. Scandinavian Journal of Medicine & Science in Sports, 25(6), e57681. PubMed ID: 25487738 doi:10.1111/sms.12375

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bertoldi, A.D., Hallal, P.C., & Barros, A.J.D. (2006). Physical activity and medicine use: Evidence from a population-based study. BMC Public Health, 6, 224. PubMed ID: 16956396 doi:10.1186/1471-2458-6-224

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bielemann, R.M., Silva, B.G., Coll, C.de V., Xavier, M.O., & Silva, S.G. (2015). Burden of physical inactivity and hospitalization costs due to chronic diseases. Revista de Saude Publica, 49, pii: S0034-89102015000100307. doi:10.1590/S0034-8910.2015049005650

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Blauwet, C., Lexell, J., Derman, W., Idrisova, G., Kissick, J., Stomphorst, J., . . . Webborn, N. (2016). The road to Rio: Medical and scientific perspectives on the 2016 Paralympic Games. PM & R : The Journal of Injury, Function, and Rehabilitation, 8(8), 798801. PubMed ID: 31774628 doi:10.1016/j.pmrj.2016.07.004

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chief Medical Officer Annual Report. (2009). On the state of the public health. Annual report of the chief medical officer 2009. Department for Health and Social Care (DHSC), National Health Service England (NHSE) and Public Health England (PHE). Retrieved from http://www.sthc.co.uk/Documents/CMO_Report_2009.pdf

    • Export Citation
  • Codogno, J.S., Fernandes, R.A., Sarti, F.M., Freitas Junior, I.F., & Monteiro, H.L. (2011). The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: A retrospective study. BMC Public Health, 11, 275. PubMed ID: 21542924 doi:10.1186/1471-2458-11-275

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Codogno, J.S., Turi, B.C., Kemper, H.C.G., Fernandes, R.A., Christofaro, D.G.D., & Monteiro, H.L. (2015). Physical inactivity of adults and 1-year health care expenditures in Brazil. International Journal of Public Health, 60(3), 309316. PubMed ID: 25680327 doi:10.1007/s00038-015-0657-z

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Davis, J.C., Verhagen, E., Bryan, S., Liu-Ambrose, T., Borland, J., Buchner, D., . . . Khan, K.M. (2014). 2014 consensus statement from the first Economics of Physical Inactivity Consensus (EPIC) conference (Vancouver). British Journal of Sports Medicine, 48(12), 947951. PubMed ID: 24859181 doi:10.1136/bjsports-2014-093575

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Drenowatz, C., Prasad, V.K., Hand, G.A., Shook, R.P., & Blair, S.N. (2016). Effects of moderate and vigorous physical activity on fitness and body composition. Journal of Behavioral Medicine, 39(4), 624632. PubMed ID: 27055817 doi:10.1007/s10865-016-9740-z

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Eime, R.M., Harvey, J.T., Charity, M.J., Casey, M.M., Westerbeek, H., & Payne, W.R. (2016). Age profiles of sport participants. BMC Sports Science, Medicine and Rehabilitation, 8, 6. PubMed ID: 26973792 doi:10.1186/s13102-016-0031-3

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fernandes, R.A., & Zanesco, A. (2010). Early physical activity promotes lower prevalence of chronic diseases in adulthood. Hypertension Research : Official Journal of the Japanese Society of Hypertension, 33(9), 926931. PubMed ID: 31778945 doi:10.1038/hr.2010.106

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fernandes, R.A., & Zanesco, A. (2015). Early sport practice is related to lower prevalence of cardiovascular and metabolic outcomes in adults independently of overweight and current physical activity. Medicina, 51(6), 336342. doi:10.1016/j.medici.2015.10.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Freitas, C.F., Osorio-de-Castro, C.G.S., Shoaf, K.I., Silva, R.S.da, & Miranda, E.S. (2016). Preparedness for the Rio 2016 Olympic Games: Hospital treatment capacity in georeferenced areas. Cadernos de Saúde Pública, 32(7), e00087116. doi:10.1590/0102-311X00087116

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fussenich, L.M., Boddy, L.M., Green, D.J., Graves, L.E.F., Foweather, L., Dagger, R.M., . . . Hopkins, N.D. (2016). Physical activity guidelines and cardiovascular risk in children: A cross sectional analysis to determine whether 60 minutes is enough. BMC Public Health, 16, 67. PubMed ID: 26801090 doi:10.1186/s12889-016-2708-7

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Garber, C.E., Blissmer, B., Deschenes, M.R., Franklin, B.A., Lamonte, M.J., Lee, I.-M., . . . Swain, D.P. (2011). American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Medicine & Science in Sports & Exercise, 43(7), 13341359. PubMed ID: 21694556 doi:10.1249/MSS.0b013e318213fefb

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hallal, P.C., Andersen, L.B., Bull, F.C., Guthold, R., Haskell, W., & Ekelund, U. (2012). Global physical activity levels: Surveillance progress, pitfalls, and prospects. The Lancet, 380(9838), 247257. doi:10.1016/S0140-6736(12)60646-1

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Katzmarzyk, P.T., Gledhill, N., & Shephard, R.J. (2000). The economic burden of physical inactivity in Canada. CMAJ : Canadian Medical Association Journal, 163(11), 14351440. PubMed ID: 31767712

    • Search Google Scholar
    • Export Citation
  • Lee, I.-M., Shiroma, E.J., Lobelo, F., Puska, P., Blair, S.N., & Katzmarzyk, P.T. (2012). Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy. The Lancet, 380(9838), 219229. doi:10.1016/S0140-6736(12)61031-9

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Li, Q., Blume, S.W., Huang, J.C., Hammer, M., & Ganz, M.L. (2015). Prevalence and healthcare costs of obesity-related comorbidities: Evidence from an electronic medical records system in the United States. Journal of Medical Economics, 18(12), 10201028. PubMed ID: 26134917 doi:10.3111/13696998.2015.1067623

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Marlier, M., Van Dyck, D., Cardon, G., De Bourdeaudhuij, I., Babiak, K., & Willem, A. (2015). Interrelation of sport participation, physical activity, social capital and mental health in disadvantaged communities: A SEM-analysis. PLoS One, 10(10), e0140196. PubMed ID: 26451731 doi:10.1371/journal.pone.0140196

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Marques, A., Sarmento, H., Martins, J., & Saboga Nunes, L. (2015). Prevalence of physical activity in European adults—Compliance with the World Health Organization’s physical activity guidelines. Preventive Medicine, 81, 333338. PubMed ID: 26449407 doi:10.1016/j.ypmed.2015.09.018

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Miot, H.A. (2011). Sample size in clinical and experimental trials. Jornal Vascular Brasileiro, 10, 275278. doi:10.1590/S1677-54492011000400001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Narayan, S.W., Tordoff, J.M., & Nishtala, P.S. (2016). Temporal trends in the utilisation of preventive medicines by older people: A 9-year population-based study. Archives of Gerontology and Geriatrics, 62, 103111. PubMed ID: 26522969 doi:10.1016/j.archger.2015.10.007

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Peels, D.A., Hoogenveen, R.R., Feenstra, T.L., Golsteijn, R.H., Bolman, C., Mudde, A.N., . . . Lechner, L. (2014). Long-term health outcomes and cost-effectiveness of a computer-tailored physical activity intervention among people aged over fifty: Modelling the results of a randomized controlled trial. BMC Public Health, 14, 1099. PubMed ID: 25342517 doi:10.1186/1471-2458-14-1099

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Pratt, M., Norris, J., Lobelo, F., Roux, L., & Wang, G. (2014). The cost of physical inactivity: Moving into the 21st century. British Journal of Sports Medicine, 48(3), 171173. PubMed ID: 23134760 doi:10.1136/bjsports-2012-091810

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Pronk, N.P., Goodman, M.J., O’Connor, P.J., & Martinson, B.C. (1999). Relationship between modifiable health risks and short-term health care charges. JAMA, 282(23), 22352239. PubMed ID: 10605975

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Reichert, F.F., Barros, A.J., Domingues, M.R., & Hallal, P.C. (2007). The role of perceived personal barriers to engagement in leisure-time physical activity. American Journal of Public Health, 97(3), 515519. PubMed ID: 17267731

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sallis, J.F., Bull, F., Guthold, R., Heath, G.W., Inoue, S., Kelly, P., . . . Hallal, P.C. (2016). Progress in physical activity over the Olympic quadrennium. The Lancet, 388(10051), 13251336. doi:10.1016/S0140-6736(16)30581-5

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Shiroma, E.J., Sesso, H.D., Moorthy, M.V, Buring, J.E., & Lee, I.-M. (2014). Do moderate-intensity and vigorous-intensity physical activities reduce mortality rates to the same extent? Journal of the American Heart Association, 3(5), e000802. PubMed ID: 25326527 doi:10.1161/JAHA.114.000802

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Turi, B.C., Codogno, J.S., Fernandes, R.A., & Monteiro, H.L. (2015). Walking and health care expenditures among adult users of the Brazilian public healthcare system: Retrospective cross-sectional study. Ciência & Saúde Coletiva, 20(11), 35613568. PubMed ID: 26602733 doi:10.1590/1413-812320152011.00092015

    • Crossref
    • Search Google Scholar
    • Export Citation
  • World Health Organization. (2014). Global status report noncommunicable diseases 2014. Geneva, Switzerland: Author.

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