Sedentary behavior, abdominal obesity and healthcare costs in Brazilian adults with cardiovascular diseases: a cross-sectional study
ABSTRACT BACKGROUND: Research on the economic burden of sedentary behavior and abdominal obesity on health expenses associated with cardiovascular diseases is scarce. OBJECTIVE: The objective of this study was to verify whether sedentary behavior, isolated and combined with abdominal obesity, infl...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
2023-12-01
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| Series: | São Paulo Medical Journal |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802024000300206&lng=en&tlng=en |
| _version_ | 1827595474099503104 |
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| author | Maria Carolina Castanho Saes Norberto Monique Yndawe Castanho Araujo Suelen Jane Ricardo Charles Rodrigues Junior Juziane Teixeira Guiça Bruna Camilo Turi-Lynch Jamile Sanches Codogno |
| author_facet | Maria Carolina Castanho Saes Norberto Monique Yndawe Castanho Araujo Suelen Jane Ricardo Charles Rodrigues Junior Juziane Teixeira Guiça Bruna Camilo Turi-Lynch Jamile Sanches Codogno |
| author_sort | Maria Carolina Castanho Saes Norberto |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND: Research on the economic burden of sedentary behavior and abdominal obesity on health expenses associated with cardiovascular diseases is scarce. OBJECTIVE: The objective of this study was to verify whether sedentary behavior, isolated and combined with abdominal obesity, influences the medication expenditure among adults with cardiovascular diseases. DESIGN AND SETTING: This cross-sectional study was conducted in the city of President Prudente, State of São Paulo, Brazil in 2018. METHODS: The study included adults with cardiovascular diseases, aged 30-65 years, who were treated by the Brazilian National Health Services. Sedentary behavior was assessed using a questionnaire. Abdominal obesity was defined by waist circumference. Medication expenditures were verified using the medical records of each patient. RESULTS: The study included a total of 307 adults. Individuals classified in the group with risk factor obesity combined (median [IQ] USD$ 29.39 [45.77]) or isolated (median [IQ] USD$ 27.17 [59.76]) to sedentary behavior had higher medication expenditures than those belonging to the non-obese with low sedentary behavior group (median [IQ] USD$ 13.51 [31.42]) (P = 0.01). The group with combined obesity and sedentary behavior was 2.4 (95%CI = 1.00; 5.79) times more likely to be hypertensive. CONCLUSION: Abdominal obesity was a determining factor for medication expenses, regardless of sedentary behavior, among adults with cardiovascular diseases. |
| first_indexed | 2024-03-09T02:54:05Z |
| format | Article |
| id | doaj.art-602df2c31f5e42a0b3c03354e4fb35fc |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-03-09T02:54:05Z |
| publishDate | 2023-12-01 |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-602df2c31f5e42a0b3c03354e4fb35fc2023-12-05T07:53:32ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602023-12-01142310.1590/1516-3180.2023.0029.140823Sedentary behavior, abdominal obesity and healthcare costs in Brazilian adults with cardiovascular diseases: a cross-sectional studyMaria Carolina Castanho Saes Norbertohttps://orcid.org/0000-0003-0326-3677Monique Yndawe Castanho Araujohttps://orcid.org/0000-0001-8131-8202Suelen Jane Ricardohttps://orcid.org/0000-0002-8933-6250Charles Rodrigues Juniorhttps://orcid.org/0000-0001-8311-4617Juziane Teixeira Guiçahttps://orcid.org/0000-0002-7443-9919Bruna Camilo Turi-Lynchhttps://orcid.org/0000-0002-2803-1058Jamile Sanches Codognohttps://orcid.org/0000-0003-4273-9375ABSTRACT BACKGROUND: Research on the economic burden of sedentary behavior and abdominal obesity on health expenses associated with cardiovascular diseases is scarce. OBJECTIVE: The objective of this study was to verify whether sedentary behavior, isolated and combined with abdominal obesity, influences the medication expenditure among adults with cardiovascular diseases. DESIGN AND SETTING: This cross-sectional study was conducted in the city of President Prudente, State of São Paulo, Brazil in 2018. METHODS: The study included adults with cardiovascular diseases, aged 30-65 years, who were treated by the Brazilian National Health Services. Sedentary behavior was assessed using a questionnaire. Abdominal obesity was defined by waist circumference. Medication expenditures were verified using the medical records of each patient. RESULTS: The study included a total of 307 adults. Individuals classified in the group with risk factor obesity combined (median [IQ] USD$ 29.39 [45.77]) or isolated (median [IQ] USD$ 27.17 [59.76]) to sedentary behavior had higher medication expenditures than those belonging to the non-obese with low sedentary behavior group (median [IQ] USD$ 13.51 [31.42]) (P = 0.01). The group with combined obesity and sedentary behavior was 2.4 (95%CI = 1.00; 5.79) times more likely to be hypertensive. CONCLUSION: Abdominal obesity was a determining factor for medication expenses, regardless of sedentary behavior, among adults with cardiovascular diseases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802024000300206&lng=en&tlng=enSedentary behaviorPublic healthHealth care costsFat bodyWaist circumferenceBrazilChronic diseaseMedicinesAdult patients |
| spellingShingle | Maria Carolina Castanho Saes Norberto Monique Yndawe Castanho Araujo Suelen Jane Ricardo Charles Rodrigues Junior Juziane Teixeira Guiça Bruna Camilo Turi-Lynch Jamile Sanches Codogno Sedentary behavior, abdominal obesity and healthcare costs in Brazilian adults with cardiovascular diseases: a cross-sectional study São Paulo Medical Journal Sedentary behavior Public health Health care costs Fat body Waist circumference Brazil Chronic disease Medicines Adult patients |
| title | Sedentary behavior, abdominal obesity and healthcare costs in Brazilian adults with cardiovascular diseases: a cross-sectional study |
| title_full | Sedentary behavior, abdominal obesity and healthcare costs in Brazilian adults with cardiovascular diseases: a cross-sectional study |
| title_fullStr | Sedentary behavior, abdominal obesity and healthcare costs in Brazilian adults with cardiovascular diseases: a cross-sectional study |
| title_full_unstemmed | Sedentary behavior, abdominal obesity and healthcare costs in Brazilian adults with cardiovascular diseases: a cross-sectional study |
| title_short | Sedentary behavior, abdominal obesity and healthcare costs in Brazilian adults with cardiovascular diseases: a cross-sectional study |
| title_sort | sedentary behavior abdominal obesity and healthcare costs in brazilian adults with cardiovascular diseases a cross sectional study |
| topic | Sedentary behavior Public health Health care costs Fat body Waist circumference Brazil Chronic disease Medicines Adult patients |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802024000300206&lng=en&tlng=en |
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