Sedentary behavior, abdominal obesity and healthcare costs in Brazilian adults with cardiovascular diseases: a cross-sectional study.

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Sao Paulo Medical Journal Pub Date : 2023-12-04 eCollection Date: 2023-01-01 DOI:10.1590/1516-3180.2023.0029.140823

Maria Carolina Castanho Saes Norberto, Monique Yndawe Castanho Araujo, Suelen Jane Ricardo, Charles Rodrigues Junior, Juziane Teixeira Guiça, Bruna Camilo Turi-Lynch, Jamile Sanches Codogno

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Abstract

Background: Research on the economic burden of sedentary behavior and abdominal obesity on health expenses associated with cardiovascular diseases is scarce.

Objective: The objective of this study was to verify whether sedentary behavior, isolated and combined with abdominal obesity, influences the medication expenditure among adults with cardiovascular diseases.

Design and setting: This cross-sectional study was conducted in the city of President Prudente, State of São Paulo, Brazil in 2018.

Methods: The study included adults with cardiovascular diseases, aged 30-65 years, who were treated by the Brazilian National Health Services. Sedentary behavior was assessed using a questionnaire. Abdominal obesity was defined by waist circumference. Medication expenditures were verified using the medical records of each patient.

Results: The study included a total of 307 adults. Individuals classified in the group with risk factor obesity combined (median [IQ] USD$ 29.39 [45.77]) or isolated (median [IQ] USD$ 27.17 [59.76]) to sedentary behavior had higher medication expenditures than those belonging to the non-obese with low sedentary behavior group (median [IQ] USD$ 13.51 [31.42]) (P = 0.01). The group with combined obesity and sedentary behavior was 2.4 (95%CI = 1.00; 5.79) times more likely to be hypertensive.

Conclusion: Abdominal obesity was a determining factor for medication expenses, regardless of sedentary behavior, among adults with cardiovascular diseases.

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巴西成人心血管疾病患者的久坐行为、腹部肥胖和医疗费用:一项横断面研究

背景:关于久坐行为和腹部肥胖对心血管疾病相关医疗费用的经济负担的研究很少。目的:本研究的目的是验证久坐行为(单独或合并腹部肥胖)是否会影响心血管疾病成人患者的药物支出。设计和环境:这项横断面研究于2018年在巴西圣保罗州普吕登特总统市进行。方法:该研究纳入了年龄在30-65岁之间、接受巴西国家卫生服务中心治疗的心血管疾病患者。久坐行为通过问卷调查进行评估。腹部肥胖由腰围来定义。使用每位患者的医疗记录验证药物支出。结果:该研究共包括307名成年人。危险因素肥胖合并组(中位数[IQ] $ 29.39[45.77])或单独组(中位数[IQ] $ 27.17[59.76])与低久坐行为非肥胖组(中位数[IQ] $ 13.51[31.42])相比，用药支出较高(P = 0.01)。合并肥胖和久坐行为的组为2.4 (95%CI = 1.00;5.79)患高血压的可能性高1倍。结论:在患有心血管疾病的成年人中，腹部肥胖是药物费用的决定因素，与久坐行为无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sao Paulo Medical Journal 医学-医学：内科

CiteScore

2.20

自引率

7.10%

发文量

210

审稿时长

6-12 weeks

期刊介绍： Published bimonthly by the Associação Paulista de Medicina, the journal accepts articles in the fields of clinical health science (internal medicine, gynecology and obstetrics, mental health, surgery, pediatrics and public health). Articles will be accepted in the form of original articles (clinical trials, cohort, case-control, prevalence, incidence, accuracy and cost-effectiveness studies and systematic reviews with or without meta-analysis), narrative reviews of the literature, case reports, short communications and letters to the editor. Papers with a commercial objective will not be accepted.