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.
Jamile S. Codogno, Henrique L. Monteiro, Bruna C. Turi-Lynch, Romulo A. Fernandes, Subhash Pokhrel and Nana Anokye
Diego G.D. Christofaro, Bruna C. Turi-Lynch, Kyle R. Lynch, William R. Tebar, Rômulo A. Fernandes, Fernanda G. Tebar, Gregore I. Mielke and Xuemei Sui
Background: This study investigated associations between different types of sedentary behavior (SB) and physical activity (PA) in parent and their child, including the moderating effects of parent and child sex. Methods: In total, 1231 adolescents, 1202 mothers, and 871 fathers were evaluated. The SB (TV viewing + computer + video game); different types of PA (leisure-time PA, occupational PA, and total PA); and the socioeconomic level were evaluated by questionnaire. The relationship between adolescents’ SB and PA with parental characteristics was estimated by linear regression. Results: The SB of male adolescents was correlated to the father’s SB (β = 0.26; 95% confidence interval [CI], 0.13–0.39) and mother’s SB (β = 0.18; 95% CI, 0.06–0.31). A similar relationship was observed between SB of female adolescents and the father’s SB (β = 0.31; 95% CI, 0.19–0.42) and mother’s SB (β = 0.29; 95% CI, 0.20–0.38]). The SB of girls was inversely related to mother’s occupational PA (β = −2.62; 95% CI, −3.66 to −0.53]). The PA of the boys and girls was correlated with their fathers and mothers PA. All the results were adjusted for age and parent’s socioeconomic level. Conclusions: SB and PA of parents were associated with SB and PA of their children, regardless of gender. Strategies for health promotion should consider the family environment to increase PA and reduce SB.
Ítalo R. Lemes, Rômulo A. Fernandes, Bruna C. Turi-Lynch, Jamile S. Codogno, Luana C. de Morais, Kelly A.K. Koyama and Henrique L. Monteiro
Background: Metabolic syndrome (MetS) is a combination of risk factors for cardiovascular disease and type 2 diabetes mellitus. The prevalence of MetS worldwide is increasing. There is no study investigating the economic burden of MetS, especially in developing countries, on medication-related expenditure. The aim of this study was to investigate the association of medication-related expenditures with MetS and to explore how physical activity (PA) may influence this association. Methods: A total of 620 participants, 50 years or older, randomly selected in the city of Bauru, Brazil. Participants were followed from 2010 to 2014, and data on health care expenditure were collected annually. PA questionnaire was applied at baseline, 2 (2012), and 4 (2014) years later. Results: Mean age was 64.7 (95% confidence interval, 64.1–65.3). MetS was associated with higher medication expenditure related to diseases of the circulatory (P <.01) and endocrine (P <.01) systems. MetS explained 17.2% of medication-related expenditures, whereas PA slightly attenuated this association, explaining 1.1% of all health care costs. Conclusion: This study demonstrates that MetS has a significant burden on health care expenditures among adults, whereas PA seems to affect this phenomenon significantly, but in low magnitude.