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Impact of Level of Physical Activity on Healthcare Utilization among Korean Adults

성인의 신체활동 정도가 의료이용에 미치는 영향

  • Kim, Ji-Yun (Department of Nursing, Gachon University) ;
  • Park, Seung-Mi (Department of Nursing & Research Institute for Basic Science, Hoseo University)
  • Received : 2011.04.19
  • Accepted : 2012.04.26
  • Published : 2012.04.30

Abstract

Purpose: This study was done to identify the impact of physical activity on healthcare utilization among Korean adults. Methods: Drawing from the 2008 Korean National Health and Nutrition Examination Survey (NHANES IV-2), data from 6,521 adults who completed the Health Interview and Health Behavior Surveys were analyzed. Association between physical activity and healthcare utilization was tested using the $X^2$-test. Multiple logistic regression analysis was used to calculate the odds ratios of using outpatient and inpatient healthcare for different levels of physical activity after adjusting for predisposing, enabling, and need factors. A generalized linear model applying a negative binomial distribution was used to determine how the level of physical activity was related to use of outpatient and inpatient healthcare. Results: Physically active participants were 16% less likely to use outpatient healthcare (OR, 0.84; 95% CI, 0.74-0.97) and 23% less likely to use inpatient healthcare (OR, 0.77; 95% CI, 0.63-0.93) than physically inactive participants. Levels of outpatient and inpatient healthcare use decreased as levels of physical activity increased, after adjusting for relevant factors. Conclusion: An independent association between being physically active and lower healthcare utilization was ascertained among Korean adults indicating a need to develop nursing intervention programs that encourage regular physical activity.

Keywords

References

  1. Ahn, Y., Park, Y. J., Park, S. J., Min, H., Kwak, H. K., Oh, K. S., et al. (2007). Dietary pattern and prevalence odds ration in middle-aged adults of rural mid-size city in Korean genome epidemiology study. The Korean Journal of Nutrition, 40(3), 259-269.
  2. Anderson, L. H., Martinson, B. C., Crain, A. L., Pronk, N. P., Whitebird, R. R., Fine, L. J., et al. (2005). Health care charges associated with physical inactivity, overweight, and obesity. Preventing Chronic Disease, 2(4), 1-12. http://www.cdc.gov/pcd/issues/2005/oct/04_0118.htm
  3. Ashe, M. C., Miller, W. C., Eng, J. J., Noreau, L., & Physical Activity and Chronic Conditions Research Team. (2009). Older adults, chronic disease and leisure-time physical activity. Gerontology, 55, 64-72. http:// dx.doi.org/10.1159/000141518
  4. Charlson, M. E., Sax, F. L., MacKenzie, C. R., Fields, S. D., Braham, R. L., & Dougals, R. G. Jr. (1986). Assessing illness severity: Does clinical judgment work? Journal of Chronic Diseases, 39, 439-452. http://dx.doi. org/10.1016/0021-9681(86)90111-6
  5. Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., et al. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise, 35, 1381-1395. http://dx.doi.org/10.1249/01. MSS.0000078924.61453.FB
  6. Fonseca, V. R., Nobre, M. R. C., Pronk, N. P., & Santos, L. A. (2010). The association between physical activity, productivity, and health care utilization among employees in Brazil. Journal of Occupational and Environmental Medicine, 52, 706-712. http://dx.doi.org/10.1097/ JOM.0b013e3181e41cda
  7. Hardin, J. W., & Hilbe, J. M. (2007). Generalized linear models and extensions (2nd ed.). College Station, Texas: Stata Press.
  8. Jeon, B. Y., Kwon, S. M., Lee, H. J., & Kim, H. S. (2011). Factors associated with health service utilization of the disabled elderly in Korea. Journal of the Korean Gerontological Society, 31(1), 171-188.
  9. Katzmarzyk, P. T., Gledhill, N., & Shephard, R. J. (2000). The economic burden of physical inactivity in Canada. Canadian Medical Association Journal, 163, 1435-1440.
  10. Kim, J., Ko, S., & Yang, B. (2005). The effects of patient cost sharing on ambulatory utilization in South Korea. Health Policy, 72, 293-300. http://dx.doi.org/10.1016/j.healthpol.2004.09.002
  11. Kim, K. W. (2007). Sport political approach to cut down on social medical cost. Health & Sports Medicine, 9(1), 133-146.
  12. Koh, K. W. (2006). Medical cost of physical inactivity. Health & Sports Medicine, 8(2), 57-62.
  13. Lee, D. T., Seo, Y. S., Son, Y. S., Moon, E. M., & Jin, Y. J. (2007). Estimation of physical activity levels using international physical activity questionnaire (IPAQ) and its reliability for overweight middle aged women. Journal of the Korean Society of Living Environment System, 14, 1-8.
  14. Leis, K. S., Reeder, B. A., Chad, K. E., Spink, K. S., Fisher, K. L., & Bruner, B. G. (2010). The relationship of chronic disease and demographic variables to physical activity in a sample of women aged 65 to 79 years. Women & Health, 50, 459-474. http://dx.doi.org/10.1080/03630242. 2010.506150
  15. Martin, M. Y., Powell, M. P., Peel, C., Zhu, S., & Allman, R. (2006). Leisure time physical activity and health-care utilization in older adults. Journal of Aging and Physical Activity, 14, 392-410. https://doi.org/10.1123/japa.14.4.392
  16. Ministry of Health, Welfare and Family Affairs . Korea Centers for Disease Control & Prevention. (2008, December). 2007 statistics of national health. Seoul: Author.
  17. Ministry of Health, Welfare and Family Affairs . Korea Centers for Disease Control & Prevention. (2009, December). 2008 statistics of national health. Seoul: Author.
  18. Myers, R. H., Montgomery, D. C., & Vining, G. G. (2002). Generalized linear models: With applications in engineering and the sciences. New York, NY: J. Wiley.
  19. Park, C. (2007). Gender, cohort and organizational factors on academic productivity: The case of Korean biochemists. Korean Journal of Population Studies, 30(1), 97-124.
  20. Park, S. K., & Park, S. H. (2006). Effects of cultural capital on leisure consumption. Journal of Tourism Sciences, 30, 241-258.
  21. Perkins, A. J., & Clark, D. O. (2001). Assessing the association of walking with health services use and costs among socioeconomically disadvantaged older adults. Preventive Medicine, 32, 492-501. http://dx.doi. org/10.1006/pmed.2001.0832
  22. Sari, N. (2009). Physical inactivity and its impact on healthcare utilization. Health Economics, 18, 885-901. http://dx.doi.org/10.1002/hec.1408
  23. Yang, G., Niu, K., Fujita, K., Hozawa, A., Ohmori-Matsuda, K., Kuriyama, S., et al. (2011). Impact of physical activity and performance on medical care costs among the Japanese elderly. Geriatrics & Gerontology International, 11, 157-165. http://dx.doi.org/10.1111/j.1447-0594. 2010.00651.x
  24. Wang, F., McDonald, T., Champagne, L. J., & Edington, D. W. (2004). Relationship of body mass index and physical activity to health care costs among employees. Journal of Occupational and Environmental Medicine, 46, 428-436. http://dx.doi.org/10.1097/01.jom.000012602 2.25149.bf
  25. Wang, F., McDonald, T., Reffitt, B., & Edington, D. W. (2005). BMI, physical activity, and health care utilization/costs among medicare retirees. Obesity Research, 13, 1450-1457. http://dx.doi.org/10.1038/oby. 2005.175
  26. Woolcott, J. C., Ashe, M. C., Miller, W. C., Shi, P., Marra, C. A., & PACC Research Team. (2010). Does physical activity reduce seniors' need for healthcare?: A study of 24,281 canadians. British Journal of Sports Medicine, 44, 902-904. http://dx.doi.org/10.1136/bjsm.2008.057216

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