Inadequate Physical Activity and Health Care Expenditures in the United States

被引:300
作者
Carlson, Susan A. [1 ,2 ]
Fulton, Janet E. [1 ]
Pratt, Michael [1 ,3 ]
Yang, Zhou [2 ]
Adams, E. Kathleen [2 ]
机构
[1] Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA
[2] Emory Univ, Rollins Sch Publ Hlth, Dept Hlth Policy & Management, Atlanta, GA 30322 USA
[3] Emory Univ, Rollins Sch Publ Hlth, Hubert Dept Global Hlth, Atlanta, GA 30322 USA
关键词
Physical activity; Exercise; Health expenditures; Health care; BODY-MASS-INDEX; ECONOMIC COSTS; MEDICAL EXPENDITURES; INACTIVITY; OBESITY; BURDEN; MODELS;
D O I
10.1016/j.pcad.2014.08.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study estimates the percentage of health care expenditures in the non-institutionalized United States (U.S.) adult population associated with levels of physical activity inadequate to meet current guidelines. Leisure-time physical activity data from the National Health Interview Survey (2004-2010) were merged with health care expenditure data from the Medical Expenditure Panel Survey (2006-2011). Health care expenditures for inactive (i.e., no physical activity) and insufficiently active adults (i.e., some physical activity but not enough to meet guidelines) were compared with active adults (i.e., >= 150 minutes/week moderate-intensity equivalent activity) using an econometric model. Overall, 11.1% (95% CI: 7.3, 14.9) of aggregate health care expenditures were associated with inadequate physical activity (i.e., inactive and insufficiently active levels). When adults with any reported difficulty walking due to a health problem were excluded, 8.7% (95% CI: 5.2, 12.3) of aggregate health care expenditures were associated with inadequate physical activity. Increasing adults' physical activity to meet guidelines may reduce U.S. health care expenditures. Published by Elsevier Inc.
引用
收藏
页码:315 / 323
页数:9
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