International Journal of Public Health

, Volume 60, Issue 3, pp 309–316 | Cite as

Physical inactivity of adults and 1-year health care expenditures in Brazil

  • Jamile Sanches Codogno
  • Bruna Camilo Turi
  • Han C. G. Kemper
  • Rômulo Araújo Fernandes
  • Diego G. Destro Christofaro
  • Henrique Luiz Monteiro
Original Article

Abstract

Objectives

To analyze the association between physical inactivity in different domains and direct public healthcare expenditures in adults and to identify whether the clustering of physical inactivity in different domains would contribute to increased public healthcare.

Methods

The sample composed of 963 adults randomly selected in a middle-size Brazilian city. Annual healthcare expenditure was estimated including all items registered in the medical records in the last 12 months prior to the interview. Habitual physical activity was estimated using Baecke questionnaire, which considers three components of physical activity (work, sports and leisure-time activities).

Results

Higher healthcare expenditures of medicines were associated with lower physical activity at work (OR 1.58 [1.06–2.35]), sport (OR 1.57 [1.12–2.18]) and physical inactivity in three domains (OR 2.12 [1.18–3.78]). Expenditures related to medicine (r = 0.109 [95 % CI 0.046–0.171]) and overall expenditures (r = 0.092 [95 % CI 0.029–0.155]) were related to physical inactivity, independently of age, sex, smoking, blood pressure and obesity.

Conclusions

Physically inactive subjects in different domains of physical activity have increased likelihood to be inserted at groups of higher healthcare expenditure.

Keywords

Cost control Motor activity Health expenditures Public health Adults 

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Copyright information

© Swiss School of Public Health 2015

Authors and Affiliations

  • Jamile Sanches Codogno
    • 1
    • 2
    • 3
  • Bruna Camilo Turi
    • 3
  • Han C. G. Kemper
    • 4
  • Rômulo Araújo Fernandes
    • 1
    • 2
    • 3
  • Diego G. Destro Christofaro
    • 1
    • 2
    • 3
  • Henrique Luiz Monteiro
    • 1
    • 3
  1. 1.Department of Physical EducationSao Paulo State University (UNESP)Presidente Prudente, BauruBrazil
  2. 2.Laboratory of InVestigation in Exercise (LIVE)Sao Paulo State University (UNESP)Presidente PrudenteBrazil
  3. 3.Post Graduate Program in Movement Sciences, Institute of BiosciencesUNESPRio ClaroBrazil
  4. 4.Department of Occupational Health, EMGO+ Institute for Health and Care ResearchVU University Medical CenterAmsterdamThe Netherlands

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