Key result
Physical inactivity in treated hypertensives is linked to ~$72 higher primary care costs versus active normotensives.
Why the study?
Arterial hypertension is highly prevalent, increases healthcare costs, and affects physical activity levels, but the interrelationship between these factors and therapeutic treatment in cardiovascular disease was unclear.
Does physical activity combined with treatment adherence reduce healthcare costs in patients with arterial hypertension?
Cross-Sectional (n=306)
No
Does physical activity combined with treatment adherence reduce healthcare costs in patients with arterial hypertension?
Mean Difference: 71.6 (95% CI 19.2–123.9)
p-value: p=<0.01
Physical activity combined with hypertension treatment adherence is associated with lower healthcare costs, comparable to normotensive active individuals.
Physical activity with adherence may equalize costs to normotensives in CVD patients; leaves open whether it reduces costs prospectively.
BACKGROUND: Arterial hypertension is a high prevalence disease that increase healthcare costs and affects physical activity level. This study aimed to analyse the interrelationship between arterial hypertension, health service costs, therapeutic treatment, and physical activity in patients with cardiovascular diseases. METHOD: Cross-sectional study that evaluated 306 patients from a hospital in Presidente Prudente-Brazil. Based on their medical diagnosis, they were classified into multiple groups to access primary care and hospital-related costs variations. Then, using data from medical records and face to face interviews, they were examined on their treatment adherence and physical activity practice. Healthcare costs were accessed using medical records. Finally, the generalised linear model was used to analyse the interrelationship between treatment adherence, physical activity, health care costs and arterial hypertension. The data were analysed with Stata/MP4 16, and a p-value of less than 5% was used to determine statistical significance. RESULTS: The group that adhered to the arterial hypertension treatments but were physically inactive presented higher costs with consultation (US$=24.1, 95%CI = 1.90;46,3) medication (US$=56.60, 95%CI = 1.65; 111.5) and total primary health care costs (US$=71.60, 95%CI = 19.2; 123.9) even after adjusting for confounding variables, meanwhile those participants that adhered to the treatments and were physical active did not present difference in healthcare cost when compared to normotensive and physical active participants. CONCLUSION: To be adherent to hypertension treatment were related to higher health care costs meanwhile been physical activity were related to lower health care costs and the combination of both showed that be adherent and physical activity represent the same cost with health than those normotensive and active emphasizing the importance of adherence and physical activity in the hypertensive treatment.
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Santos et al. (2023) conducted a cross-sectional in Arterial hypertension (n=306). Hypertension treatment adherence combined with physical inactivity vs. Normotensive and physically active participants was evaluated on Total primary health care costs (US$ 71.60, 95% CI 19.2; 123.9, p=<0.01). Patients who adhered to arterial hypertension treatments but were physically inactive incurred significantly higher total primary health care costs (marginal increase of US$ 71.60) compared to normotensive, physically active individuals.
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