Exercise Effects on Risk Factors and Health Care Costs in the Elderly. Final Results of the Senior Fitness and Prevention Study (SEFIP)

2011 ◽  
Vol 2011 ◽  
pp. 381-382
Author(s):  
R.J. Shephard
F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 303
Author(s):  
Douglas G. Manuel ◽  
Carol Bennett ◽  
Richard Perez ◽  
Andrew S. Wilton ◽  
Adrian Rohit Dass ◽  
...  

Background: Smoking, unhealthy alcohol consumption, poor diet and physical inactivity are leading risk factors for morbidity and mortality, and contribute substantially to overall healthcare costs. The availability of health surveys linked to health care provides population-based estimates of direct healthcare costs. We estimated health behaviour and socioeconomic-attribute healthcare costs, and how these have changed during a period when government policies have aimed to reduce their burden.  Methods: The Ontario samples of the Canadian Community Health Surveys (conducted in 2003, 2005, and 2007-2008) were linked at the individual level to all records of health care use of publicly funded healthcare. Generalized linear models were estimated with a negative binomial distribution to ascertain the relationship of health behaviours and socioeconomic risk factors on health care costs. The multivariable cost model was applied to unlinked, Ontario CCHS samples for each year from 2004 to 2013 to examine the evolution of health behaviour and socioeconomic-attributable direct health care expenditures over a 10-year period. Results: We included 80,749 respondents, aged 25 years and older, and 312,952 person-years of follow-up. The cost model was applied to 200,324 respondents aged 25 years and older (CCHS 2004 to 2013). During the 10-year period from 2004 to 2013, smoking, unhealthy alcohol consumption, poor diet and physical inactivity attributed to 22% of Ontario’s direct health care costs. Ontarians in the most disadvantaged socioeconomic position contributed to 15% of the province’s direct health care costs. Combined, these health behaviour and socioeconomic risk factors were associated with 34% ($134 billion) of direct health care costs (2004 to 2013). Over this time period, we estimated a 1.9% reduction in health care expenditure ($5.0 billion) attributable to improvements in some health behaviours, most importantly reduced rates of smoking. Conclusions: Adverse health behaviours and socioeconomic position cause a large direct health care system cost burden.


2020 ◽  
Vol 34 (5) ◽  
pp. 490-499 ◽  
Author(s):  
Ron Z. Goetzel ◽  
Rachel Mosher Henke ◽  
Michael A. Head ◽  
Richele Benevent ◽  
Kyu Rhee

Purpose: To estimate the relationship between employees’ health risks and health-care costs to inform health promotion program design. Design: An observational study of person-level health-care claims and health risk assessment (HRA) data that used regression models to estimate the relationship between 10 modifiable risk factors and subsequent year 1 health-care costs. Setting: United States. Participants: The sample included active, full-time, adult employees continuously enrolled in employer-sponsored health insurance plans contributing to IBM MarketScan Research Databases who completed an HRA. Study criteria were met by 135 219 employees from 11 employers. Measures: Ten modifiable risk factors and individual sociodemographic and health characteristics were included in the models as independent variables. Five settings of health-care costs were outcomes in addition to total expenditures. Analysis: After building the analytic file, we estimated generalized linear models and conducted postestimation bootstrapping. Results: Health-care costs were significantly higher for employees at higher risk for blood glucose, obesity, stress, depression, and physical inactivity (all at P < .0001) than for those at lower risk. Similar cost differentials were found when specific health-care services were examined. Conclusion: Employers may achieve cost savings in the short run by implementing comprehensive health promotion programs that focus on decreasing multiple health risks.


2006 ◽  
Vol 9 (6) ◽  
pp. A255
Author(s):  
S Heinrich ◽  
M Luppa ◽  
MC Angermeyer ◽  
SG Riedel-Heller ◽  
HH Koenig

2019 ◽  
Vol 8 (1) ◽  
pp. 27-35
Author(s):  
Burkay Yakar ◽  
Mehtap Gömleksiz ◽  
Edibe Pirinççi

Aim: It is known that increasing health literacy can increase people's quality of life, enable them to benefit from health services more effectively and contribute to reducing health care costs. Inadequate health literacy has been reported to lead to insufficient health information, high risk of ill health, low level of understanding of treatment methods and increase in health care costs. Today, increasing number of chronic diseases, increasing the elderly population and increasing the budget allocated to health services have also increased the importance of health literacy levels. In this context, it is aimed to investigate health literacy levels and factors affecting our country. Methods: Our cross-sectional study was conducted in voluntary patients who applied to the family medicine outpatient clinic of a university. In our study, sociodemographic questionnaire form and Turkish Health Literacy Scale were used for data collection. Chi-square test was used for statistical analysis and p Results: 225 volunteers were included in our study. 62,1% of them were women. The mean score of the health literacy scale was 25.5±10.2. 50.6% of the participants were inadequate, and 25.1% of them had problematic health literacy level. The level of health literacy was found to be significantly lower in women, who had low education level, who were married and had children and who had vision problems. Conclusion: The data obtained from our study showed that our health literacy levels are low. We need to develop policies that increase our levels


2020 ◽  
Vol 30 (4) ◽  
pp. 628-632
Author(s):  
Sören Dallmeyer ◽  
Pamela Wicker ◽  
Christoph Breuer

Abstract Background Increasing health care costs represent an economic burden placed on individuals across many European countries. Against this backdrop, the aim of this study was to examine the relationship between participation in physical activity and out-of-pocket health care costs in Europe. Methods Individual data from the cross-national Survey of Health, Ageing and Retirement (n = 94 267) including 16 European countries were utilized. Two-part models were estimated to investigate how different levels of participation frequency in physical activity are related to out-of-pocket costs (OOPC) for people aged 50 years and older. Results Only participation in physical activity more than once a week significantly decreases the probability of incurring any OOPC. However, all frequencies of physical activity significantly reduce the level of costs, with the highest savings being generated by participation once a week. The results reveal higher savings for men compared to women. Conclusion Physical activity can be a useful policy instrument to reduce the economic burden of out-of-pocket health care costs for an aging population in Europe. Public officials should primarily promote physical activity interventions targeting older people who are not active at all.


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