Relationship of fruit and vegetable consumption in middle-aged men to Medicare expenditures in older age: The Chicago Western Electric Study
Relationship of fruit and vegetable consumption in middle-aged men to Medicare expenditures in older age: The Chicago Western Electric Study
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DOI：
10.1016/j.jada.2005.08.008
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发表时间：
2005-11-01
影响因子：
--
通讯作者：
Stamler, J
中科院分区：
文献类型：
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作者：
Daviglus, ML;Liu, K;Stamler, J
水果和蔬菜的高摄入量与高血压、心血管疾病和癌症的低风险有关。研究目的：探讨中年人水果蔬菜摄入量与老年人医疗费用（总费用、心血管疾病费用、癌症费用）之间的关系（1958-1959）：每月少于14杯，每月14至42杯，或每月超过42杯。综合摄入量分为低、中、高。医疗保险索赔数据（1984-2000年）用于估计芝加哥西部电气研究中符合条件的幸存参与者（65岁及以上）的平均年支出：1,063名男性，年龄40 - 55岁，基线（1957-1958年）无冠心病、糖尿病和癌症。死亡前的累积费用（n=401）也counted.Results较高的水果和水果加蔬菜摄入量与较低的平均年和累积医疗费用（P值为趋势.019至.862）。例如，调整基线年龄，教育，总能量摄入量和多个基线风险因素后，每年心血管疾病相关费用为3，128美元，而水果和蔬菜摄入量高与低的男性为4，223美元。相应的数字分别为1，352元和1，640元，以及10，024元和12，211元。结果是一般相似的蔬菜intake.Conclusion这些研究结果，虽然大多没有统计学意义，表明，男性高摄入量的水果和水果加蔬菜在生命的早期不仅有可能更好的健康状况，但也为降低医疗费用在老年人。
Background High fruit and vegetable intake is associated with lower risk of hypertension, cardiovascular disease, and cancer. Little is known about the relationship of fruit and vegetable intake to health care expenditures.Objective Examine whether fruit and vegetable intake among middle-aged adults is related to Medicare charges-total, cardiovascular disease, cancer-related-in older age.Design Participants were grouped into one of three strata according to fruit and vegetable intake, determined from detailed dietary history (1958-1959): less than 14 cups per month, 14 to 42 cups per month, or more than 42 cups per month. Combined intake was classified as low, medium, or high. Medicare claims data (1984-2000) were used to estimate mean annual spending for eligible surviving participants (65 years and older) from the Chicago Western Electric Study: 1,063 men age 40 to 55 and without coronary heart disease, diabetes, and cancer at baseline (1957-1958). Cumulative charges before death (n=401) were also calculated.Results Higher fruit and fruit plus vegetable intakes were associated with lower mean annual and cumulative Medicare charges (P values for trend .019 to .862). For example, with adjustment for baseline age, education, total energy intake, and multiple baseline risk factors, annual cardiovascular disease-related charges were $3,128 vs $4,223 for men with high vs low intake of fruit plus vegetables. Corresponding figures were $1,352 vs $1,640 for cancer-related charges and $10,024 vs $12,211 for total charges. Results were generally similar for vegetable intake.Conclusion These findings, albeit mostly not statistically significant, suggest that for men high intake of fruits and fruits plus vegetables earlier in life has potential not only for better health status but also for lower health care costs in older age.