Comparison of Prevalence of Diabetes Mellitus, Medical Expenses, Inpatient, Emergency and Outpatient According to the Level of Physical Activity of Korean Adults: A Cross-Sectional Study
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[OBJECTIVES] The purpose of this paper is to analyze the differences in the prevalence of diabetes mellitus, in relation to the physical activity grade and to compare differences in, personal medical expenses, the days of hospitalization, inpatient, outpatient and emergency. [METHODS] The medical panel data of Korea used in 2016, with a total of 13,523 adults and 1,404 diabetes mellitus patients. Physical activity level measured with IPAQ questionnaire, and displayed as MET-minutes per week. The days of hospitalization, personal medical expenses, using of inpatient, outpatient and emergency investigated, and frequency analysis, logistic regression, ANOVA, and Chi-square performed. [RESULTS] The prevalence of diabetes mellitus based on inactive group was reduced both minimally active group (odds ratio [OR] = 0.81) and active group (OR = 0.73, p<.01). The personal medical expenses I(p<.05) and II(p<.01) were all significantly different among each physical activities group. Medical expenses have increased by 33.3~35.1 % in minimally active group compared with active group, while inactive groups have increased rapidly by 58.8~65.6 %. There were significant differences in inpatient and emergency using depend on the level of physical activity. [CONCLUSIONS] The SEI could provide a relative evaluation of jumping performance depending on physical resources without consideration of physique.
Abstract
[OBJECTIVES] The purpose of this paper is to analyze the differences in the prevalence of diabetes mellitus, in relation to the physical activity grade and to compare differences in, personal medical expenses, the days of hospitalization, inpatient, outpatient and emergency. [METHODS] The medical panel data of Korea used in 2016, with a total of 13,523 adults and 1,404 diabetes mellitus patients. Physical activity level measured with IPAQ questionnaire, and displayed as MET-minutes per week. The days of hospitalization, personal medical expenses, using of inpatient, outpatient and emergency investigated, and frequency analysis, logistic regression, ANOVA, and Chi-square performed. [RESULTS] The prevalence of diabetes mellitus based on inactive group was reduced both minimally active group (odds ratio [OR] = 0.81) and active group (OR = 0.73, p<.01). The personal medical expenses I(p<.05) and II(p<.01) were all significantly different among each physical activities group. Medical expenses have increased by 33.3~35.1 % in minimally active group compared with active group, while inactive groups have increased rapidly by 58.8~65.6 %. There were significant differences in inpatient and emergency using depend on the level of physical activity. [CONCLUSIONS] The SEI could provide a relative evaluation of jumping performance depending on physical resources without consideration of physique.
참고문헌 (30)
- Warburton DE, "Health benefits of physical activity: the evidence", CMAJ, 174(6), pp.801~809 (2006)
- Lee I, "Effect of physical inactivity on major noncommunicable diseases worldwide : an analysis of burden of disease and life expectancy", The lancet, 380(9838), pp.219~229 (2012)
- Global recommendations on physical activity for health, "World Health Organization", ~ (2010)
- "Physical activity Key facts"[URL]
- National diabetes statistics report: estimates of diabetes and its burden in the United States, 2014, "Centers for Disease Control and Prevention", US Department of Health and Human Services, 2014~ (2014)
- Heron M, "Deaths : leading causes for 2010", Natl Vital Statistics Rep, 60(6), pp.1~96 (2013)
- Korea National Health and Nutrition Examination Survey (2017), "Ministry of Health and Welfare of Korea", ~ (2018)
- Boyle JP, "Projection of the year 2050 burden of diabetes in the US adult population : dynamic modeling of incidence, mortality, and prediabetes prevalence", Population Health Metrics, 8(1), pp.29~ (2010)
- American College of Sports Medicine, "ACSM’s resource manual for guidelines for exercise testing and prescription", pp.2~15 (2012), Lippincott Williams &Wilkins
- Moraes MR, "Chronic conventional resistance exercise reduces blood pressure in stage 1 hypertensive men", J Strength Cond Res, 26(4), pp.1122~1129 (2012)
- Dutton GR, "The Look AHEAD Trial : implications for lifestyle intervention in type 2 diabetes mellitus", Prog Cardiovasc Dis, 58(1), pp.69~75 (2015)
- Look AHEAD Research Group, "Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2diabetes mellitus : four-year results of the Look AHEAD trial", Arch Intern Med, 170(17), pp.1566~1575 (2010)
- Look AHEAD Research Group, "Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes", N Engl J Med, 369(2), pp.145~154 (2013)
- Boulé NG, "Effects of exercise on glycemic control and body mass in type 2diabetes mellitus : a meta-analysis of controlled clinical trials", JAMA, 286(10), pp.1218~1227 (2001)
- Cornelissen VA, "Exercise training for blood pressure: a systematic review and meta‐analysis", Journal of the American Heart Association, 2(1), pp.e004473~ (2013)
- Woolcott JC, "Does physical activity reduce seniors’need for healthcare? : a study of 24 281 Canadians", Br J Sports Med, 44(12), pp.902~904 (2010)
- 이정아, "한국 성인의 악력과 고혈압 유병률과의 관계: 제 6기 국민건강영양조사(2015년)", 아시아 운동학 학술지, 19(3), pp.53~60 (2017), 대한운동학회[DOI]
- Sari N, "Physical inactivity and its impact on healthcare utilization", Health Econ, 18(8), pp.885~901 (2009)
- Craig CL, "International physical activity questionnaire : 12-country reliability and validity", Med Sci Sports Exerc, 35(8), pp.1381~1395 (2003)
- 신성현, "자가기입식 신체활동 설문지 개발", Korean Journal of Health Promotion, 5(3), pp.178~189 (2005), 대한임상건강증진학회
- Laaksonen DE, "Low levels of leisure-time physical activity and cardiorespiratory fitness predict development of the metabolic syndrome", Diabetes Care, 25(9), pp.1612~1618 (2002)
- 이병근, "Comparison of Prevalence of Hypertension and Medical Expenses According to the Level of Physical Activity of Korean Adults", 아시아 운동학 학술지, 20(4), pp.43~49 (2018), 대한운동학회[DOI]
- Cho YS, "Differences in outpatients healthcare utilization by level of physical activity among middle-aged Korean women", pp.2015
- Wu J, "Real-world impact of ongoing regular exercise in overweight and obese US adults with diabetes on health care utilization and expenses", Primary care diabetes (2019)
- 곽광일, "한국 노인의 신체활동 정도와 의료이용과의 관련성", 한국산학기술학회논문지, 16(1), pp.617~626 (2015), 한국산학기술학회[DOI]
- Sevick MA, "Cost-effectiveness of lifestyle and structured exercise interventions in sedentary adults : results of project ACTIVE", Am J Prev Med, 19(1), pp.1~8 (2000)
- 오영호, "운동자와 비운동자간 의료이용차이의 계량적 분석", 보건사회연구, 33(4), pp.471~496 (2013), 한국보건사회연구원[DOI]
- Pratt M, "Higher direct medical costs associated with physical inactivity", The Physician and Sportsmedicine, 28(10), pp.63~70 (2000)
- Min J, "Excess medical care costs associated with physical inactivity among korean adults : retrospective cohort study", International Journal of Environmental Research and Public Health, 13(1), pp.136~ (2016)
- Peeters GG, "Health care costs associated with prolonged sitting and inactivity", Am J Prev Med, 46(3), pp.265~272 (2014)
