Effect of Physical Activity on Hospital Service Use and Expenditures of Patients with Coronary Heart Disease: Results from Dongfeng-Tongji Cohort Study in China
- 17 June 2019
- journal article
- research article
- Published by Springer Science and Business Media LLC in Journal of Huazhong University of Science and Technology [Medical Sciences]
- Vol. 39 (3), 483-492
- https://doi.org/10.1007/s11596-019-2063-x
Abstract
The intervention of behaviors, including physical activity (PA), has become a strategy for many hospitals dealing with patients with chronic diseases. Given the limited evidence available about PA and healthcare use with chronic diseases, this study explored the association between different levels of PA and annual hospital service use and expenditure for inpatients with coronary heart disease (CHD) in China. We analyzed PA information from the first follow-up survey (2013) of the Dongfeng-Tongji cohort study of 1460 CHD inpatients. We examined factors such as PA exercise volume and years of PA and their associations with the number of inpatient visits, number of hospital days, and inpatient costs and total medical costs. We found that the number of hospital days and the number of inpatient visits were negatively associated with intensity of PA level. Similarly, total inpatient and outpatient costs declined when the PA exercise volume levels increased. Furthermore, there were also significant associations between the number of hospital days, inpatient costs or total medical costs and levels of PA years. This study provides the first empirical evidence about the effects of the intensity and years of PA on hospital service use and expenditure of CHD in China. It suggests that the patients’ PA, especially the vigorous PA, should be promoted widely to the public and patients in order to relieve the financial burden of CHD.Keywords
This publication has 49 references indexed in Scilit:
- Clinical and laboratory features, and quality of life assessment in wheat dependent exercise-induced anaphylaxis patients from central ChinaJournal of Huazhong University of Science and Technology [Medical Sciences], 2016
- Non-Exercise Physical Activity and SurvivalAmerican Journal of Preventive Medicine, 2014
- Objectively Assessed Physical Activity and Subsequent Health Service Use of UK Adults Aged 70 and Over: A Four to Five Year Follow Up StudyPLOS ONE, 2014
- Household physical activity and mortality in older adults: A national cohort study in SpainPreventive Medicine, 2014
- Physical Activity in Older Men: Longitudinal Associations with Inflammatory and Hemostatic Biomarkers, N‐Terminal Pro‐Brain Natriuretic Peptide, and Onset of Coronary Heart Disease and MortalityJournal of the American Geriatrics Society, 2014
- Relationship of Sedentary Behavior and Physical Activity to Incident Cardiovascular DiseaseJournal of the American College of Cardiology, 2013
- The pandemic of physical inactivity: global action for public healthThe Lancet, 2012
- Exercise, physical activity and healthcare utilization: A review of literature for older adultsMaturitas, 2011
- Trends in health services utilization, medication use, and health conditions among older adults: a 2-year retrospective chart review in a primary care practiceBMC Health Services Research, 2009
- International physical activity policy development: a commentary.Public Health Reports, 2004