PDF(Pubmed)
Abstract：
BACKGROUND: The impact of metabolic syndrome (MetS) on healthcare costs remains unclear in the literature.
OBJECTIVE: To determine the impact of MetS on primary healthcare costs of adults, as well as to identify the impact of physical activity and other covariates on this phenomenon.
METHODS: This cross-sectional study was conducted in the city of Presidente Prudente, State of São Paulo/Brazil, in 2016.
METHODS: The sample comprised 159 older adults (> 50 years) of both sexes (110 women) who were identified from their medical records in the Brazilian National Health Service. Healthcare costs (US$) were assessed through medical records and divided into medical consultations, medications, laboratory tests, and total costs. MetS was assessed using medical records.
RESULTS: The Brazilian National Health Service spent more on consultations (US$ 22.75 versus US$ 19.39; + 17.3%) and medication (US$ 19.65 versus US$ 8.32; + 136.1%) among adults with MetS than among those without MetS, but the costs for laboratory tests were similar (P = 0.343). Total costs were 53.9% higher in adults with MetS than in those without the diagnosis of the disease (P = 0.001). Regarding total costs, there was an increase of US$ 38.97 when five components of MetS were present (P = 0.015), representing an increase of approximately 700%, even after adjusting for sex, age, and physical activity.
CONCLUSIONS: In conclusion, the presence of the MetS is responsible for increasing primary care costs among older adults, especially in those related to medicines.
OBJECTIVE: To determine the impact of MetS on primary healthcare costs of adults, as well as to identify the impact of physical activity and other covariates on this phenomenon.
METHODS: This cross-sectional study was conducted in the city of Presidente Prudente, State of São Paulo/Brazil, in 2016.
METHODS: The sample comprised 159 older adults (> 50 years) of both sexes (110 women) who were identified from their medical records in the Brazilian National Health Service. Healthcare costs (US$) were assessed through medical records and divided into medical consultations, medications, laboratory tests, and total costs. MetS was assessed using medical records.
RESULTS: The Brazilian National Health Service spent more on consultations (US$ 22.75 versus US$ 19.39; + 17.3%) and medication (US$ 19.65 versus US$ 8.32; + 136.1%) among adults with MetS than among those without MetS, but the costs for laboratory tests were similar (P = 0.343). Total costs were 53.9% higher in adults with MetS than in those without the diagnosis of the disease (P = 0.001). Regarding total costs, there was an increase of US$ 38.97 when five components of MetS were present (P = 0.015), representing an increase of approximately 700%, even after adjusting for sex, age, and physical activity.
CONCLUSIONS: In conclusion, the presence of the MetS is responsible for increasing primary care costs among older adults, especially in those related to medicines.
摘要：
背景：代谢综合征（MetS）对医疗费用的影响在文献中仍不清楚。
目的：为了确定MetS对成年人初级医疗保健费用的影响，以及确定身体活动和其他协变量对这一现象的影响。
方法：这项横断面研究是在Prudente总统市进行的，圣保罗州/巴西，2016年。
方法：样本包括159名老年人（>50岁）的男女（110名女性），他们从巴西国家卫生服务机构的医疗记录中确定。医疗费用（美元）通过医疗记录进行评估，并分为医疗咨询，药物,实验室测试,和总成本。使用医疗记录评估MetS。
结果：巴西国家卫生服务在患有MetS的成年人中的咨询费用（22.75美元对19.39美元；+17.3％）和药物治疗费用（19.65美元对8.32美元；+136.1％）高于没有MetS的成年人，但实验室检查的费用相似(P=0.343).患有MetS的成年人的总费用比没有诊断该疾病的成年人高53.9％（P=0.001）。关于总成本，当MetS的五个组成部分存在时，增加了38.97美元(P=0.015)，代表大约700%的增长，即使在适应性爱之后，年龄,和身体活动。
结论：结论：MetS的存在导致老年人的初级保健费用增加，尤其是那些与药物有关的。
目的：为了确定MetS对成年人初级医疗保健费用的影响，以及确定身体活动和其他协变量对这一现象的影响。
方法：这项横断面研究是在Prudente总统市进行的，圣保罗州/巴西，2016年。
方法：样本包括159名老年人（>50岁）的男女（110名女性），他们从巴西国家卫生服务机构的医疗记录中确定。医疗费用（美元）通过医疗记录进行评估，并分为医疗咨询，药物,实验室测试,和总成本。使用医疗记录评估MetS。
结果：巴西国家卫生服务在患有MetS的成年人中的咨询费用（22.75美元对19.39美元；+17.3％）和药物治疗费用（19.65美元对8.32美元；+136.1％）高于没有MetS的成年人，但实验室检查的费用相似(P=0.343).患有MetS的成年人的总费用比没有诊断该疾病的成年人高53.9％（P=0.001）。关于总成本，当MetS的五个组成部分存在时，增加了38.97美元(P=0.015)，代表大约700%的增长，即使在适应性爱之后，年龄,和身体活动。
结论：结论：MetS的存在导致老年人的初级保健费用增加，尤其是那些与药物有关的。
