Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Relationship Between the Physical Activity Levels and Health Care Utilization in Korean Elderly

한국 노인의 신체활동 정도와 의료이용과의 관련성

  • Kwak, Kwang-Il (Joint Research Institute, Yeosu Baek Hospital) ;
  • Baek, Chang-Hee (Joint Research Institute, Yeosu Baek Hospital) ;
  • Ryu, So-Yeon (Dept. of Preventive Medicine, College of Medicine, Chosun University)
  • Received : 2014.08.29
  • Accepted : 2015.01.08
  • Published : 2015.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study examined the relationship between the physical activity levels and health care utilization in Korean elderly based on the data from The fifth Korean National Health and Nutrition Examination Survey (K-NHANES V). As a result, physically active participants were 0.54 times (OR;95% CI, p<0.001) less likely to use inpatient health care and 0.73 times (OR;95% CI, p=0.040) less likely to use outpatient health care and 0.75 times (OR;95% CI, p<0.007) less likely to use drugstores than physically inactive participants, and the frequency of health care use was lower. In addition, physically minimal active participants were 0.64 times (OR;95% CI, p<0.001) less likely to use inpatient health care than physically inactive participants; the frequency of other health care facilities was lower. In conclusion, the relationship between being physically active and lower health care utilization among Korean elderly identified in this study. This suggests that being physically active is helpful to the elderly, not only in health promotion and improving quality of life, but also in reduced medical expenditure.

본 연구는 제 5기 전체(2010~2012)국민건강영양조사 자료를 이용하여 우리나라 노인의 신체활동 정도와 의료이용과의 관련성을 파악하기 위하여 실시하였다. 연구결과에서 비활동적인 신체활동군과 비교하여 활동적 신체활동군의 경우에 입원이용 가능성이 0.54배(OR;95% CI, p<0.001), 외래이용은 0.73배(OR;95% CI, p=0.040), 약국이용은 0.75배(OR;95% CI, p<0.007) 더 낮으것으로 나타났으며, 의료이용 횟수도 감소하는 것으로 나타났다. 또한, 최소 신체활동군의 경우에 비활동적 신체활동군과 비교하여 입원 의료이용 가능성이 0.64배(OR;95% CI, p<0.001) 낮고, 이용횟수도 감소하는 것을 확인하였다. 결론적으로 노인의 신체활동 정도에 따라서 의료이용과의 관련성을 확인하였다는 데 의의가 있으며, 신체활동을 활발하게 실천하는 것이 노인의 건강증진과 삶의 질을 향상시킬 뿐만 아니라 의료비 지출의 감소에도 도움이 될 것으로 사료된다.

Keywords

References

  1. Kim, K. W, "Sport political approach to cut down on social medical cost", Health & Sports Medicine, 9(1), pp.133-146, 2007.
  2. Statistics Korea, 2013 Statistics on the Aged, 2013.
  3. Kim, J. G, "Factors Affecting the Choice of Medical Care Use by the Elderly Person", Journal of Welfare for the Aged, 39, pp.273-302, 2008.
  4. Thomas, L., Dirk, H., Hanna, L., Sven, H., Melanie, L., Steffi, R. H., Hanns-Helmut, K., "Health care utilization and costs of elderly persons with multiple chronic conditions", Med Care Rev, 68(4), pp.387-420, 2011. DOI: http://dx.doi.org/10.1177/1077558711399580
  5. Lee, H. S, "A Study on Factors Causing Health Conditions and the Burden of Medical Expenses to the Elderly", The Korean Gerontological Society, 24(2), pp.163-179, 2004.
  6. Morimoto, T., Oguma, Y., Yamazaki, S., Sokejima, S., Naka-yama, T., & Fukuhara, S. "Gender differences in effects of physical activity on quality of life and resource utilization", Quality of Life Research, 15, pp.537-546. 2006. DOI: http://dx.doi.org/10.1007/s11136-005-3033-2
  7. U. S. Department of Health & Human Services. (2008). 2008 Physical activity guidelines for Americans, Washington, D.C.: Author.
  8. Blake, H., Mo, P., Malik, S., & Thomas, S. ."How effective are physical activity interventions for alleviating depressive symptoms in older people? A systematic review", Clinical Rehabilitation, 23, pp.873-887. 2009. DOI: http://dx.doi.org/10.1177/0269215509337449
  9. Nalin A. S, Maria A. F. "Exercise and Depression in the older Adult," Nutrition Clinical Care 3(4), pp.197-208, 2000. DOI: http://dx.doi.org/10.1046/j.1523-5408.2000.00052.x
  10. Katzmarzyk, p. T., Gledhill, N., & Shephard, R. J. "The economic burden of physical inactivity in Canad",. Canadian Medical Association Journal, 163, pp.1435-1440. 2000.
  11. Martin, M. Y., Powell, M. P., Peel, C., Zhu, S., & Allman, R. "Leisure-time physical activity and health-care utilization in older adults". Journal of Aging and Physical Activity, 14, pp.392-410, 2006. https://doi.org/10.1123/japa.14.4.392
  12. Woolcott, J. C., Ashe, M. C., Miller, W. C., Shi, P., Marra, C. A., & PACC Re-search Team. "Does physical activity reduce seniors' need for healthcare?: A study of 24,281 canadians". British Journal of Sports Medicine, 44, pp.902-904. 2010. DOI: http://dx.doi.org/10.1136/bjsm.2008.057216
  13. Sari, N. "Physical inactivity and its impact on healthcare utilization". Health Economics, 18, pp.885-901. 2009. http://dx.doi.org/10.1002/hec.1408
  14. Perkins, A. J., Clark, D. O. "Assessing the association of walking with health services use and costs among socioeconomically disadvantaged older adults". Preventive Medicine, 32, pp.492-501, 2001. DOI: http://dx.doi.org/10.1006/pmed.2001.0832
  15. Fonseca, V. R., Nobre, M. R. C., Pronk, N. P. & Santos, L. A. "The association between physical activity, productivity, and health care utilization among employees in Brazil". Journal of Occupational and En-vironmental Medicine, 52, pp.706- 712. 2010. DOI: http://dx.doi.org/10.1097/JOM.0b013e3181e41cda
  16. Ministry of Health, Welfare and Family Affairs . Korea Centers for Disease Control & prevention. (2008, December). 2007 statistics of national health. Seoul: Author.
  17. Hong, S. Y., "Determinants of Self-rated Health in Sedentary Older Adults", Journal of Korean society for Health Education and Promotion, 25(4), pp.67-82, 2008.
  18. Oh, Y. H., "An Ecometric Analysis of the Difference between Exercisers and Non-Exercisers in Medical Care Use", Health and social Welfare Review, 33(4), pp.471-496. 2013. https://doi.org/10.15709/hswr.2013.33.4.471
  19. Chae, D. H., Kim, S. H., Lee, C. Y., "A Study on Gender Differences in Influencing Factors of Office Workers' Physical Activity", Journal of Korean Academy Community Health Nursing, 24(3), pp.273-281, 2013. DOI: http://dx.doi.org/10.12799/jkachn.2013.24.3.273
  20. Ministry of Health and Welfare (2014). Korea National Health and Nutrition Examination Survey (KNHANES V). Retrieved 2014, from http://knhanes.cdc.go.kr/
  21. ACSM, "Guidelines for exercise testing and prescription. 6th ed," Philadelphia: Lippincott, Williams & Wilkins, 2000.
  22. Ainsworth, B. E., Haskell, W. L., Whitt, M. C., Irwin, M. L.,Swartz, A. M., Strath, S. J., et al., "Compendium of physical activities: an update of activity codes and MET intensities", Medicine & Science in Sports & Exercise, 32 (9), S498-S516. 2000. DOI: http://dx.doi.org/10.1097/00005768-200009001-00009
  23. Moon, H. J., Lee, I. S., "Gender-based Comparison of Physical Activity Levels of Older Korean Adults with Chronic Disease", Journal of Korean Gerontology Nursing, 13(2), pp.120-130, 2011.
  24. Bae, S. Y., Ko, D. S., Noh, J. S., Lee, B. H., Park, H. S., & Park, J. "Relation of physical activity and health-related quality of life in Korean elderly", The Journal of The Korea Contents Association, 10(10), pp.255-266, 2010. DOI: http://dx.doi.org/10.5392/JKCA.10.10.255
  25. Park, S. M., & Park, Y. H. "Predictors of physical activity in Korean older adults: Distinction between urban and rural areas", Journal of Korean Academy of Nursing, 40(2), pp.191-201. 2010. DOI: http://dx.doi.org/10.4040/jkan.2010.40.2.191
  26. Cho, M. W., Lee, S. I., Gil, S. R., Lee, J. H., Kang, W. C., Son, H. S., Yoo, C. I., "Measuring Health Related Quality of Life of General Adut Population in One Metropolitan City using EQ-5D", Korean Journal of Health Policy and Administration, 18(3), pp.18-40, 2008. DOI: http://dx.doi.org/10.4332/KJHPA.2008.18.3.018
  27. Choi, R., Moon, H. J., Hwang, B. D., "The Influence of chronic Disease on the Stress Cognition, Depression, Experience and Suicide Thoughts of the Elderly", The Korean Journal of Health Service Management, 4(2), pp.73-84, 2010.
  28. Wang, F., McDonald, T., Reffitt, B., & Edington, D. W., "BMI, physical activity, and healthcare utilization/costs among medicare retirees", Obesity Research, 13, pp.1450-1457, 2005. DOI: http://dx.doi.org/10.1038/oby.2005.175
  29. Jean, B., Raymond, B., Ravinder, S., "Reduction of Hospital Utilization in Patients with Chronic Obstructive Pulmonary Disease", Archive International Medicine, 163, pp.585-591, 2003. DOI: http://dx.doi.org/10.1001/archinte.163.5.585
  30. Anderson, L. H., Martinson, B. C., Crain, A. L., pronk, N. p., Whitebird, R. R., Fine, L. J., et al. "Health care charges associated with physical in-activity, overweight, and obesity". Preventing Chronic Disease, 2(4), pp.1-12. 2005. http://www.cdc.gov/pcd/issues/2005/oct/04_0118.htm
  31. Koh, K. W. "Medical cost of physical inactivity". Health & Sports Medicine, 8(2), pp.57-62, 2006.
  32. Ashe, M. C., Miller, W. C., Eng, J. J., Noreau, L., & physical Activity and Chronic Conditions Research Team. "Older adults, chronic disease and leisure-time physical activity. Gerontology, 55, 64-72. 2009. DOI: http://dx.doi.org/10.1159/000141518
  33. Leis, K. S., Reeder, B. A., Chad, K. E., Spink, K. S., Fisher, K. L., & Bruner, B. G. "The relationship of chronic disease and demographic variables to physical activity in a sample of women aged 65 to 79 years", Women & Health, 50(5), pp.459-474, 2010. DOI: http://dx.doi.org/10.1080/03630242.2010.506150