Economic impact of moderate-vigorous physical activity among those with and without established cardiovascular disease: 2012 medical expenditure panel survey

Javier Valero-Elizondo, Joseph A. Salami, Chukwuemeka U. Osondu, Oluseye Ogunmoroti, Alejandro Arrieta, Erica S. Spatz, Adnan Younus, Jamal S. Rana, Salim S. Virani, Ron Blankstein, Michael Blaha, Emir Veledar, Khurram Nasir

Research output: Contribution to journalArticle

Abstract

Background--Physical activity (PA) has an established favorable impact on cardiovascular disease (CVD) outcomes and quality of life. In this study, we aimed to estimate the economic effect of moderate-vigorous PA on medical expenditures and utilization from a nationally representative cohort with and without CVD. Methods and Results--The 2012 Medical Expenditure Panel Survey data were analyzed. Our study population was limited to noninstitutionalized US adults ≥18 years of age. Variables of interest included CVD (coronary artery disease, stroke, heart failure, dysrhythmias, or peripheral artery disease) and cardiovascular modifiable risk factors (CRFs; hypertension, diabetes mellitus, hypercholesterolemia, smoking, and/or obesity). Two-part econometric models were utilized to study cost data; a generalized linear model with gamma distribution and link log was used to assess expenditures per capita. The final study sample included 26 239 surveyed individuals. Overall, 47% engaged in moderate-vigorous PA ≥30 minutes, ≥5 days/week, translating to 111.5 million adults in the United States stratifying by CVD status; 32% reported moderate-vigorous PA among those with CVD versus 49% without CVD. Generally, participants reporting moderate-vigorous PA incurred significantly lower health care expenditures and resource utilization, displaying a step-wise lower total annual health care expenditure as moving from CVD to non-CVD (and each CRF category). Conclusions--Moderate-vigorous PA ≥30 minutes, ≥5 days/week is associated with significantly lower health care spending and resource utilization among individuals with and without established CVD.

Original languageEnglish (US)
Article numbere003614
JournalJournal of the American Heart Association
Volume5
Issue number9
DOIs
StatePublished - Sep 1 2016

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Health Expenditures
Cardiovascular Diseases
Economics
Health Resources
Delivery of Health Care
Econometric Models
Surveys and Questionnaires
Peripheral Arterial Disease
Hypercholesterolemia
Coronary Artery Disease
Linear Models
Diabetes Mellitus
Heart Failure
Obesity
Smoking
Stroke
Quality of Life
Hypertension
Costs and Cost Analysis
Population

Keywords

  • Cardiovascular disease
  • Cost
  • Exercise
  • Risk factors

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Economic impact of moderate-vigorous physical activity among those with and without established cardiovascular disease : 2012 medical expenditure panel survey. / Valero-Elizondo, Javier; Salami, Joseph A.; Osondu, Chukwuemeka U.; Ogunmoroti, Oluseye; Arrieta, Alejandro; Spatz, Erica S.; Younus, Adnan; Rana, Jamal S.; Virani, Salim S.; Blankstein, Ron; Blaha, Michael; Veledar, Emir; Nasir, Khurram.

In: Journal of the American Heart Association, Vol. 5, No. 9, e003614, 01.09.2016.

Research output: Contribution to journalArticle

Valero-Elizondo, J, Salami, JA, Osondu, CU, Ogunmoroti, O, Arrieta, A, Spatz, ES, Younus, A, Rana, JS, Virani, SS, Blankstein, R, Blaha, M, Veledar, E & Nasir, K 2016, 'Economic impact of moderate-vigorous physical activity among those with and without established cardiovascular disease: 2012 medical expenditure panel survey', Journal of the American Heart Association, vol. 5, no. 9, e003614. https://doi.org/10.1161/JAHA.116.003614
Valero-Elizondo, Javier ; Salami, Joseph A. ; Osondu, Chukwuemeka U. ; Ogunmoroti, Oluseye ; Arrieta, Alejandro ; Spatz, Erica S. ; Younus, Adnan ; Rana, Jamal S. ; Virani, Salim S. ; Blankstein, Ron ; Blaha, Michael ; Veledar, Emir ; Nasir, Khurram. / Economic impact of moderate-vigorous physical activity among those with and without established cardiovascular disease : 2012 medical expenditure panel survey. In: Journal of the American Heart Association. 2016 ; Vol. 5, No. 9.
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abstract = "Background--Physical activity (PA) has an established favorable impact on cardiovascular disease (CVD) outcomes and quality of life. In this study, we aimed to estimate the economic effect of moderate-vigorous PA on medical expenditures and utilization from a nationally representative cohort with and without CVD. Methods and Results--The 2012 Medical Expenditure Panel Survey data were analyzed. Our study population was limited to noninstitutionalized US adults ≥18 years of age. Variables of interest included CVD (coronary artery disease, stroke, heart failure, dysrhythmias, or peripheral artery disease) and cardiovascular modifiable risk factors (CRFs; hypertension, diabetes mellitus, hypercholesterolemia, smoking, and/or obesity). Two-part econometric models were utilized to study cost data; a generalized linear model with gamma distribution and link log was used to assess expenditures per capita. The final study sample included 26 239 surveyed individuals. Overall, 47{\%} engaged in moderate-vigorous PA ≥30 minutes, ≥5 days/week, translating to 111.5 million adults in the United States stratifying by CVD status; 32{\%} reported moderate-vigorous PA among those with CVD versus 49{\%} without CVD. Generally, participants reporting moderate-vigorous PA incurred significantly lower health care expenditures and resource utilization, displaying a step-wise lower total annual health care expenditure as moving from CVD to non-CVD (and each CRF category). Conclusions--Moderate-vigorous PA ≥30 minutes, ≥5 days/week is associated with significantly lower health care spending and resource utilization among individuals with and without established CVD.",
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T1 - Economic impact of moderate-vigorous physical activity among those with and without established cardiovascular disease

T2 - 2012 medical expenditure panel survey

AU - Valero-Elizondo, Javier

AU - Salami, Joseph A.

AU - Osondu, Chukwuemeka U.

AU - Ogunmoroti, Oluseye

AU - Arrieta, Alejandro

AU - Spatz, Erica S.

AU - Younus, Adnan

AU - Rana, Jamal S.

AU - Virani, Salim S.

AU - Blankstein, Ron

AU - Blaha, Michael

AU - Veledar, Emir

AU - Nasir, Khurram

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N2 - Background--Physical activity (PA) has an established favorable impact on cardiovascular disease (CVD) outcomes and quality of life. In this study, we aimed to estimate the economic effect of moderate-vigorous PA on medical expenditures and utilization from a nationally representative cohort with and without CVD. Methods and Results--The 2012 Medical Expenditure Panel Survey data were analyzed. Our study population was limited to noninstitutionalized US adults ≥18 years of age. Variables of interest included CVD (coronary artery disease, stroke, heart failure, dysrhythmias, or peripheral artery disease) and cardiovascular modifiable risk factors (CRFs; hypertension, diabetes mellitus, hypercholesterolemia, smoking, and/or obesity). Two-part econometric models were utilized to study cost data; a generalized linear model with gamma distribution and link log was used to assess expenditures per capita. The final study sample included 26 239 surveyed individuals. Overall, 47% engaged in moderate-vigorous PA ≥30 minutes, ≥5 days/week, translating to 111.5 million adults in the United States stratifying by CVD status; 32% reported moderate-vigorous PA among those with CVD versus 49% without CVD. Generally, participants reporting moderate-vigorous PA incurred significantly lower health care expenditures and resource utilization, displaying a step-wise lower total annual health care expenditure as moving from CVD to non-CVD (and each CRF category). Conclusions--Moderate-vigorous PA ≥30 minutes, ≥5 days/week is associated with significantly lower health care spending and resource utilization among individuals with and without established CVD.

AB - Background--Physical activity (PA) has an established favorable impact on cardiovascular disease (CVD) outcomes and quality of life. In this study, we aimed to estimate the economic effect of moderate-vigorous PA on medical expenditures and utilization from a nationally representative cohort with and without CVD. Methods and Results--The 2012 Medical Expenditure Panel Survey data were analyzed. Our study population was limited to noninstitutionalized US adults ≥18 years of age. Variables of interest included CVD (coronary artery disease, stroke, heart failure, dysrhythmias, or peripheral artery disease) and cardiovascular modifiable risk factors (CRFs; hypertension, diabetes mellitus, hypercholesterolemia, smoking, and/or obesity). Two-part econometric models were utilized to study cost data; a generalized linear model with gamma distribution and link log was used to assess expenditures per capita. The final study sample included 26 239 surveyed individuals. Overall, 47% engaged in moderate-vigorous PA ≥30 minutes, ≥5 days/week, translating to 111.5 million adults in the United States stratifying by CVD status; 32% reported moderate-vigorous PA among those with CVD versus 49% without CVD. Generally, participants reporting moderate-vigorous PA incurred significantly lower health care expenditures and resource utilization, displaying a step-wise lower total annual health care expenditure as moving from CVD to non-CVD (and each CRF category). Conclusions--Moderate-vigorous PA ≥30 minutes, ≥5 days/week is associated with significantly lower health care spending and resource utilization among individuals with and without established CVD.

KW - Cardiovascular disease

KW - Cost

KW - Exercise

KW - Risk factors

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