본문 바로가기
KERD
논문KCI 등재

Comparison of Prevalence of Hypertension and Medical Expenses According to the Level of Physical Activity of Korean Adults

2

조회

0

다운로드

4

인용

0

참고문헌

키워드

초록

[OBJECTIVES] The purpose of this study is to compare the differences in the prevalence of hypertension in relation to the physical activity grade and to analyze differences in the days of hospitalization of hypertension patients, drug expenses and personal medical expenses. [METHODS] The Korea medical panel data was used in 2016, with a total of 13,276 adults and 3,470 hypertension patients. Physical activity was measured with IPAQ and converted to MET-minutes per week. The days of hospitalization, monthly average for hypertension drug expenses, and personal medical expenses were investigated, and frequency analysis, logistic regression, and ANOVA were performed. [RESULTS] The prevalence of hypertension based on the inactive group were decreased both minimally active group (odds ratio [OR] = 0.89) and the active group (OR = 0.77, p<0.01). The days of hospitalization, drug expenses, and personal medical expenses for hypertension were all significantly different among each physical activities group (p<.01). Days of Hospitalization and medical expenses have increased by 4.1 to 28.6 % in minimally active group compared with active group, while inactive groups have increased by 23.6 to 65.7 %, increasing more rapidly in inactive groups. [CONCLUSIONS] The prevalence of hypertension was further reduced in the order of minimally active and activity groups compared to inactive groups, and it makes lower the medical use and medical expenses associated with the level of physical activity of hypertension patients.

Abstract

[OBJECTIVES] The purpose of this study is to compare the differences in the prevalence of hypertension in relation to the physical activity grade and to analyze differences in the days of hospitalization of hypertension patients, drug expenses and personal medical expenses. [METHODS] The Korea medical panel data was used in 2016, with a total of 13,276 adults and 3,470 hypertension patients. Physical activity was measured with IPAQ and converted to MET-minutes per week. The days of hospitalization, monthly average for hypertension drug expenses, and personal medical expenses were investigated, and frequency analysis, logistic regression, and ANOVA were performed. [RESULTS] The prevalence of hypertension based on the inactive group were decreased both minimally active group (odds ratio [OR] = 0.89) and the active group (OR = 0.77, p<0.01). The days of hospitalization, drug expenses, and personal medical expenses for hypertension were all significantly different among each physical activities group (p<.01). Days of Hospitalization and medical expenses have increased by 4.1 to 28.6 % in minimally active group compared with active group, while inactive groups have increased by 23.6 to 65.7 %, increasing more rapidly in inactive groups. [CONCLUSIONS] The prevalence of hypertension was further reduced in the order of minimally active and activity groups compared to inactive groups, and it makes lower the medical use and medical expenses associated with the level of physical activity of hypertension patients.

참고문헌 (27)

  1. "Physical activity Key facts"[URL]
  2. Picon RV, "Trends in prevalence of hypertension in Brazil: a systematic review with meta-analysis", PLOS one, 7(10), pp.e48255~ (2012)
  3. American College of Sports Medicine, "ACSM's resource manual for guidelines for exercise testing and prescription", pp.2~15 (2012), Lippincott Williams &Wilkins
  4. Moraes MR, "Chronic conventional resistance exercise reduces blood pressure in stage 1 hypertensive men", J Strength Cond Res, 26(4), pp.1122~1129 (2012)
  5. Cornelissen VA, "Exercise training for blood pressure: a systematic review and meta-analysis", J Am Heart Association, 2(1), pp.e004473~ (2013)
  6. Carlson DJ, "Isometric exercise training for blood pressure management:a systematic review and meta-analysis", Mayo Clinic Proceedings, pp.327~344 (2014), Elsevier
  7. 이정아, "한국 성인의 악력과 고혈압 유병률과의 관계: 제 6기 국민건강영양조사(2015년)", 아시아 운동학 학술지, 19(3), pp.53~60 (2017), 대한운동학회[DOI]
  8. Woolcott JC, "PACC Research Team. Does physical activity reduce seniors'need for healthcare?: a study of 24 281 Canadians", Br J Sports Med, 44(12), pp.902~904 (2010)
  9. Sari N., "Physical inactivity and its impact on healthcare utilization", Health Econ, 18(8), pp.885~901 (2009)
  10. 윤난희, "비만이 의료이용과 의료비용에 미치는 영향", 보건경제와 정책연구, 19(2), pp.61~80 (2013), 한국보건경제정책학회
  11. Craig CL, "International physical activity questionnaire: 12-country reliability and validity", Med Sci Sports Exerc, 35(8), pp.1381~1395 (2003)
  12. 신성현, "자가기입식 신체활동 설문지 개발", Korean Journal of Health Promotion, 5(3), pp.178~189 (2005), 대한임상건강증진학회
  13. Palatini P, "Effect of regular physical activity on carotid intima-media thickness. Results from a 6-year prospective study in the early stage of hypertension", Blood Press, 20(1), pp.37~44 (2011)
  14. Plotnikoff RC, "Physical activity and diabetes: An application of the theory of planned behaviour to explain physical activity for Type 1 and Type 2 diabetes in an adult population sample", Psychology and Health, 25(1), pp.7~23 (2010)
  15. Plotnikoff RC, "Protection motivation theory and the prediction of physical activity among adults with type 1 or type 2 diabetes in a large population sample", British journal of health psychology, 15(3), pp.643~661 (2010)
  16. Verdaet D, "Association between leisure time physical activity and markers of chronic inflammation related to coronary heart disease", Atherosclerosis, 176(2), pp.303~310 (2004)
  17. 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)
  18. Amaral Cde A, "Association of handgrip strength with self-reported diseases in adults in Rio Branco, Acre State, Brazil: a population-based study", Cad Saude Publica, 31(6), pp.1313~1325 (2015)
  19. Silventoinen K, "Association of body size and muscle strength with incidence of coronary heart disease and cerebrovascular diseases: a population-based cohort study of one million Swedish men", Int J Epidemiol, 38(1), pp.110~118 (2008)
  20. Stessman J, "Handgrip Strength in Old and Very Old Adults: Mood, Cognition, Function, and Mortality", J Am Geriatr Soc, 65(3), pp.526~532 (2017)
  21. Oksuzyan A, "Sex differences in the level and rate of change of physical function and grip strength in the Danish 1905-cohort study", J Aging Health, 22(5), pp.589~610 (2010)
  22. Mok DH, "The effect of 12 weeks combined exercise training on inflammatory markers and antioxidant system in obese female college students", pp.2009
  23. Lackland DT, "Metabolic syndrome and hypertension:regular exercise as part of lifestyle management", Curr Hypertens Rep, 16(11), pp.492~ (2014)
  24. Brook RD, "Beyond medications and diet:alternative approaches to lowering blood pressure: a scientific statement from the american heart association", Hypertens, 61(6), pp.1360~1383 (2013)
  25. 곽광일, "한국 노인의 신체활동 정도와 의료이용과의 관련성", 한국산학기술학회논문지, 16(1), pp.617~626 (2015), 한국산학기술학회[DOI]
  26. Cho YS, "Differences in outpatients healthcare utilization by level of physical activity among middle-aged Korean women", pp.2015
  27. Koh KW, "Medical cost of physical inactivity", J Kinesiol, 8(2), pp.57~62 (2006)

관련 논문AI추천

Comparison of Prevalence of Hyperlipidemia, Medical Expenses, Inpatient, Emergency and Outpatient According to the Level of Physical Activity of Korean Adults: A Cross-Sectional Study of 2018 Korea Medical Panel이병근대한운동학회 · 아시아 운동학 학술지2021 · 제23권 제1호Prevalence of Ischemia, Health-Related Quality of Life, Medical use and Expenses by Physical Activity and Ischemia Status in Korean Adults이병근한국운동생리학회 · 운동과학2021 · 제30권 제4호Association between Meeting the Physical Activity Guidelines and Participation in ‘Sports for All’ and the Risk of Hypertension in Community-dwelling Korean Adults김정훈, 안근옥, 정덕조대한운동학회 · 아시아 운동학 학술지2018 · 제20권 제4호Comparison of Prevalence of Diabetes Mellitus, Medical Expenses, Inpatient, Emergency and Outpatient According to the Level of Physical Activity of Korean Adults: A Cross-Sectional Study이병근대한운동학회 · 아시아 운동학 학술지2019 · 제21권 제3호Optimal Frequency Intensity of Physical Activity to Reduce the Risk of Hypertension in the Korean Population김재현, 손장원, 신윤아, Minsoo Kang, Sukho Lee한국운동생리학회 · 운동과학2022 · 제31권 제1호Dose-response association between physical activity and diagnosed hypertension in 2.4 million Korean population: Korea Community Health Survey 2009–2022Hwang Jiyoung, Jang Wonwoo, Jo Hyesu, Kang Jiseung, Kim Hyeon Jin, Kim Seokjun, Kim Soeun, Kong Jaehyun, Lee Hayeon, Lee Kyeongmin, Park Jaeyu, Pizzol Damiano, Son Yejun, Woo Selin, Yim Yesol, Yon Dong Keon대한고혈압학회 · Clinical Hypertension2025 · 제31권

이 간행물의 다른 논문 (9건)