Inadequate physical activity and health care expenditures in the United States.
Inadequate physical activity and health care expenditures in the United States.
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DOI：
10.1016/j.pcad.2014.08.002
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发表时间：
2015-01
影响因子：
9.1
通讯作者：
Adams EK
中科院分区：
文献类型：
--
作者：
Carlson SA;Fulton JE;Pratt M;Yang Z;Adams EK
这项研究估计了非制度化美国(美国)医疗保健支出的百分比。与体力活动水平相关的成年人口不足以满足当前的指导方针。国民健康访谈调查(2004-2010年)的闲暇时间体力活动数据与医疗支出小组调查(2006-2011年)的医疗支出数据合并。使用计量经济学模型，将不活跃(即没有体力活动)和不够活跃的成年人(即一些体力活动但不足以达到指导方针)的医疗保健支出与活跃的成年人(即≥150分钟/周中等强度的等量活动)进行比较。总体而言，11.1%(95%可信区间：7.3，14.9)的总医疗保健支出与身体活动不足(即不活跃和不够活跃的水平)有关。剔除因健康问题导致行走困难的成年人后，8.7%(95%可信区间：5.2，12.3)的医疗保健总支出与体力活动不足有关。增加成年人的体力活动以满足指导方针，可能会减少美国的医疗支出。
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.