Associations between physical activity, medical costs and hospitalisations in older Australian women: Results from the Australian Longitudinal Study on Women's Health.

Abstract:

OBJECTIVES:The aim was to examine the associations between level of physical activity (PA) and non-hospital medical costs, and between physical activity and hospitalisations in older women from 1999 to 2013. DESIGN:Longitudinal observational study. METHODS:Data were collected from participants in the Australian Longitudinal Study on Women's Health, who completed surveys in 1999 (aged 73-78 years), 2002, 2005, 2008 and 2011. Annual cost data (from the Medicare Benefits Schedule) were available for 1999-2013 and hospital admissions data were available for 2002-2010. Costs were expressed in 2013 Australian dollars (AUD). Prospective associations between self-reported physical activity (categorised as inactive, low, moderate or high) and costs/admissions were examined using quantile regression (for costs) and logistic regression fitted with generalised estimating equations (for hospitalisation). RESULTS:Median annual costs were AUD122 (95% confidence interval [CI]=199, 45), AUD284 (CI=363, 204) and AUD316 (CI=385, 247) lower in low, moderate and highly active women, respectively, than in those who were inactive [AUD1890 (interquartile range=1107-3296)]. Odds of hospitalisation were also lower in the low (odds ratio [OR]=0.88, CI=0.80-0.96), moderate (OR=0.77, CI=0.70-0.85) and highly active (OR=0.78, CI=0.71-0.85) women, than in the inactive group. CONCLUSIONS:In inactive older Australian women, a small increase in physical activity may be sufficient to obtain substantial cost savings for the health system and to reduce hospital admissions.

journal_name

J Sci Med Sport

authors

Peeters GMEEG,Gardiner PA,Dobson AJ,Brown WJ

doi

10.1016/j.jsams.2017.10.022

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

604-608

issue

6

eissn

1440-2440

issn

1878-1861

pii

S1440-2440(17)31672-9

journal_volume

21

pub_type

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