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Exercise intervention of 65+-year-old men and women: functional ability and health care costs

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Abstract

Background and aims: Physical activity has been demonstrated to prevent physical impairment in elderly people. Physical impairment often leads to dependency and the need for help or health services. Therefore, participation in physical activity programs (PAP) may reduce health care costs. The aim of this study was to evaluate: i) the effect of a PAP on functional ability and the use of health care services; ii) the possible association between level of functional ability and public health care costs. Methods: 185 participants aged 65+ (mean: 74.7yrs) were recruited. The intervention consisted of a group-based multi-component PAP, 1.5 hours, once a week, for 5 months. Functional ability was assessed by questionnaire and physical performance tests before and after the PAP. Economic analyses were based on data collected retrospectively from public registers and questionnaires describing the use of health care services (e.g., public home care, GPs, hospitals). Results: Participants revealed a high level of functional ability. Only a few significant differences between pre- and post-tests were observed. Many participants incurred no or very low public health care costs. The probability of using health care services decreased with better functional ability scores and lower age. Conclusions: Participants in this study maintained their level of functional ability in the intervention period with unaltered use of health care resources.

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References

  1. Singh MA. Exercise comes of age: rationale and recommendations for a geriatric exercise prescription. J Gerontol 2002; 57: M262–82.

    Article  Google Scholar 

  2. Leveille SG, Guralnik JM, Ferrucci L, Langlois JA. Aging successfully until death in old age: opportunities for increasing active life expectancy. Am J Epidemiol 1999; 149: 654–64.

    Article  PubMed  CAS  Google Scholar 

  3. McNamee P, Gregson BA, Buck D, Bamford CH, Bond J, Wright K. Costs of formal care for frail older people in England: the resource implications study of the MRC cognitive function and ageing study (RIS MRC CFAS). Soc Sci Med 1999; 48: 331–41.

    Article  PubMed  CAS  Google Scholar 

  4. Reuben DB, Seeman TE, Keeler E, et al. The effect of self-reported and performance-based functional impairment on future hospital costs of community-dwelling older persons. Gerontolo- gist 2004; 44: 401–7.

    Article  Google Scholar 

  5. Pronk NP, Goodman MJ, O’Connor PJ, Martinson BC. Relationship between modifiable health risks and short-term health care charges. JAMA 1999; 282: 2235–9.

    Article  PubMed  CAS  Google Scholar 

  6. Ackermann RT, Cheadle A, Sandhu N, Madsen L, Wagner EH, LoGerfo JP. Community exercise program use and changes in healthcare costs for older adults. Am J Prev Med 2003; 25: 232–7.

    Article  PubMed  Google Scholar 

  7. StatBank Denmark. http://www.statistikbanken.dk/. Accessed Aug 2004.

  8. Database under the National Board of Health in Denmark. http://www.medinfo.dk/sks/brows.php?.s_nod=7824. Accessed Aug 1, 2004.

  9. Rantanen T, Masaki K, Foley D, Izmirlian G, White L, Guralnik JM. Grip strength changes over 27 yr in Japanese-American men. J Appl Physiol 1998; 85: 2047–53.

    PubMed  CAS  Google Scholar 

  10. Vestergaard S. Changes in simple and complex measures of psychomotor speed after 8 months of physical activity programme: A study of 75 year-old Danish men and women. University of Southern Denmark — Odense University, Denmark. 2000

  11. Guralnik JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 1994; 49: M85–94.

    Article  PubMed  CAS  Google Scholar 

  12. Worm CH, Vad E, Puggaard L, Stovring H, Lauritsen J, Kragstrup J. Effects of a multicomponent exercise program on functional ability in community-dwelling, frail older adults. J Aging Phys Act 2001; 9: 414–24.

    Google Scholar 

  13. Reuben DB, Siu AL, Kimpau S. The predictive validity of self-report and performance-based measures of function and health. J Gerontol 1992; 47: M106–10.

    Article  PubMed  CAS  Google Scholar 

  14. Reuben DB, Siu AL. An objective measure of physical function of elderly outpatients. The Physical Performance Test. J Am Geri- atr Soc 1990; 38: 1105–12.

    CAS  Google Scholar 

  15. Avlund K, Kreiner S, Schultz-Larsen K. Functional ability scales for the elderly: a validation study. Eur J Public Health 1996 Mar; 6(1): 35–42.

    Article  Google Scholar 

  16. Vass M, Avlund K, Hendriksen C, Andersen CK, Keiding N. Preventive home visits to older people in Denmark: methodology of a randomized controlled study. Aging Clin Exp Res 2002; 14: 509–15.

    PubMed  Google Scholar 

  17. Database under the National Board of Health in Denmark. http://www.sst.dk/Planlaegning_og_behandling/DRG/Tak-ster.aspx?lang=da. Accessed Aug 2002.

  18. Arendt J, Hansen E, Thrane T. Functional capacity of older people and public expenditure on social and health services. AKF Forlaget. 2002. (in Danish, English summary: http://www.akf.dk/udgivelser_en/2002/aeldre).

  19. Database under the National Board of Social Services in Denmark. http://www.fritvalgsdatabasen.dk/sogning/Statistik.aspx. Accessed Aug 1, 2004.

  20. Numbers on time — debate about time. A standard on registration of time in the home care sector. First edition. Schultz Eeg P. (Ed.). The National Association of Local Authorities in Denmark, Kom- muneinformation. 2001 (in Danish).

  21. Puggaard L, Larsen JB, Stovring H, Jeune B. Maximal oxygen uptake, muscle strength and walking speed in 85-year-old women: effects of increased physical activity. Aging Clin Exp Res 2000; 12: 180–9.

    CAS  Google Scholar 

  22. Fody-Urias BM, Fillit H, Hill J. The effect of a fitness program on health status and health care consumption in Medicare MCOs. Manag Care Interface 2001; 14: 58–64.

    PubMed  CAS  Google Scholar 

  23. Avlund K, Damsgaard MT, Sakari-Rantala R, Laukkanen P, Schroll M. Tiredness in daily activities among nondisabled old people as determinant of onset of disability. J Clin Epidemiol 2002; 55: 965–73.

    Article  PubMed  Google Scholar 

  24. Andersen-Ranberg K, Christensen K, Jeune B, Skytthe A, Vasegaard L, Vaupel JW. Declining physical abilities with age: a cross-sectional study of older twins and centenarians in Denmark. Age Ageing 1999; 28: 373–7.

    Article  PubMed  CAS  Google Scholar 

  25. Avlund K, Schultz-Larsen K. What do 70-year-old men and women actually do? And what are they able to do? From the Glostrup survey in 1984. Aging Clin Exp Res 1991; 3: 39–49.

    Article  CAS  Google Scholar 

  26. Leveille SG, Resnick HE, Balfour J. Gender differences in disability: evidence and underlying reasons. Aging Clin Exp Res 2000; 12: 106–12.

    CAS  Google Scholar 

  27. Kjoller M, Rasmussen N. Health and morbidity in Denmark 2000... & Trends since 1987. National Institute of Public Health, Copenhagen, Denmark. 2002 (in Danish, English summary: http:/www.si-folkesundhed.dk/susy/).

  28. Vad E, Worm C, Lauritsen JM, et al. [Physical training as treatment of reduced functional ability in frail 75+ year-olds living at home. A randomized intervention study in general practice with technological assessment elements]. Ugeskr Laeger 2002; 164: 5140–4 (in Danish).

    PubMed  Google Scholar 

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Correspondence to Sonja Vestergaard.

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Vestergaard, S., Andersen, C.K., Korsholm, L. et al. Exercise intervention of 65+-year-old men and women: functional ability and health care costs. Aging Clin Exp Res 18, 227–234 (2006). https://doi.org/10.1007/BF03324653

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