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.
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。