Association Between Exercise Frequency and Health Care Costs Among Employees at a Large University and Academic Medical Center.
Association Between Exercise Frequency and Health Care Costs Among Employees at a Large University and Academic Medical Center.
复制标题
大型大学和学术医疗中心员工的运动频率与医疗保健费用之间的关联。
DOI：
10.1097/jom.0000000000000882
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发表时间：
2016
影响因子：
3.2
通讯作者：
Dement,John
中科院分区：
文献类型：
--
作者：
Caretto,DavidC;Ostbye,Truls;Stroo,Marissa;Darcey,DennisJ;Dement,John
目的：本研究的目的是评估 10 年员工队列中运动频率与与医疗和药品索赔相关的医疗保健费用之间的关系。方法：使用包含 32,044 人年的综合数据库，通过负二项式回归分析自我报告的运动（天/周）与医疗保健费用之间的关系，并将员工人口统计数据、健康风险评估信息和健康保险索赔联系起来。结果：证明运动频率降低医疗保健费用的关联存在于大多数医疗和处方药类别，并且在报告每周锻炼 2 至 3 和 4 至 5 天的员工中表现最强。增加锻炼与内分泌疾病费用和胃肠道处方药费用的统计显着降低相关。结论：该队列表明，当锻炼频率增加时，员工群体的医疗保健成本较低。雇主可以通过促进员工锻炼来降低慢性病的可改变风险因素并降低医疗保健成本。
Objective:The aim of this study was to evaluate the relationship between exercise frequency and health care costs associated with medical and pharmacy claims among a 10-year employee cohort.Methods:The relationship between self-reported exercise (days/week) and health care costs was analyzed with negative binomial regression, using an integrated database involving 32,044 person-years and linking employee demographics, health risk appraisal information, and health insurance claims.Results:An association demonstrating exercise frequency lowering health care costs was present in most medical and prescription drug categories and was strongest among employees reporting 2 to 3 and 4 to 5 days/week of exercise. Increased exercise was associated with statistically significant reductions in endocrine disease costs and gastrointestinal prescription drug costs.Conclusions:This cohort demonstrates lower health care costs in employee populations when exercise frequency is increased. Employers may lower modifiable risk factors for chronic disease and reduce health care costs by promoting exercise among their employee population.