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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Changes in physical activity and short-term changes in health care charges: a prospective cohort study of older adults.
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Changes in physical activity and short-term changes in health care charges: a prospective cohort study of older adults.

机译：体育活动的变化和卫生保健费用的短期变化：一项针对老年人的前瞻性队列研究。

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BACKGROUND: Better understanding the impact of changes in physical activity behavior on short-term health care charges may inform resource allocation decisions to increase population levels of physical activity. This study examines the prospective relationship of changes in physical activity status on short-term changes in health care charges for older adults. METHODS: A prospective cohort study was done on a stratified random sample of 2,393 adults aged 50 and older enrolled in a Minnesota health plan, predicting changes in resource use between two periods (September 1994 to August 1995 and September 1996 to August 1997) based on billed health care charges. RESULTS: After adjustment for age, gender, comorbidity, smoking status, and body mass index, all physical activity states had declining health care charges, relative to those who were consistently inactive. Subjects who increased their physical activity from 0-1 to 3+ days/week had significant declines in their mean annualized total charges (-2,202dollars, P < 0.01) relative to those who remained inactive. CONCLUSIONS: Increased physical activity among older adults is associated with lower health care charges within 2 years, relative to charges for those who were persistently inactive. These cost savings may justify investments in effective interventions to increase physical activity in older adults.
机译：背景：更好地了解体育锻炼行为的变化对短期卫生保健费用的影响，可能会为资源分配决策提供信息，以增加体育锻炼的人口水平。这项研究探讨了体育活动状态变化与老年人健康护理费用短期变化的预期关系。方法：对一项纳入明尼苏达州健康计划的2,393名年龄在50岁及以上的成年人的分层随机样本进行了前瞻性队列研究，预测了在两个时期（1994年9月至1995年8月以及1996年9月至1997年8月）之间资源使用的变化计费的医疗保健费用。结果：在调整了年龄，性别，合并症，吸烟状况和体重指数之后，相对于一直不运动的人，所有运动状态的医疗保健费用都在下降。相对于那些仍然不运动的人，将他们的运动量从0-1周提高到每周3天以上的受试者的年均总费用显着下降（-2,202美元，P <0.01）。结论：相对于那些长期不运动的人，老年人体育锻炼的增加与2年内医疗费用的降低有关。这些成本节省可以证明对增加老年人身体活动的有效干预措施进行投资的合理性。

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