Economic Impact of Moderate‐Vigorous Physical Activity Among Those With and Without Established Cardiovascular Disease: 2012 Medical Expenditure Panel Survey

Authors

Javier Valero‐Elizondo, Baptist Health South Florida
Joseph A. Salami, Baptist Health South Florida
Chukwuemeka U. Osondu, Department of Epidemiology, Florida International University; Baptist Health South FloridaFollow
Oluseye Ogunmoroti, Department of Epidemiology, Florida International University; Baptist Health South FloridaFollow
Alejandro Arrieta, Department of Health Policy and Management, Florida International UniversityFollow
Erica S. Spatz, Yale University
Adnan Younus, Baptist Health South Florida
Jamal S. Rana, Kaiser Permanente Northern California; University of California, San Francisco
Salim S. Virani, Baylor College of Medicine
Ron Blankenstein, Brigham and Women's Hospital
Michael J. Blaha, The Johns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease
Emir Veledar, Department of Biostatistics, Florida International University; Baptist Health South Florida; Emory UniversityFollow
Khurram Nasir, Department of Epidemiology and the Herbert Wertheim College of Medicine, Florida International University; Baptist Health Medical Group; The Johns Hopkins Ciccarone Center for the Prevention of Heart DiseaseFollow

Date of this Version

9-7-2016

Document Type

Article

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.

Comments

Originally published in the Journal of the American Heart Association.

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

Recommended Citation

Valero‐Elizondo, Javier; Salami, Joseph A.; Osondu, Chukwuemeka U.; Ogunmoroti, Oluseye; Arrieta, Alejandro; Spatz, Erica S.; Younus, Adnan; Rana, Jamal S.; Virani, Salim S.; Blankenstein, Ron; Blaha, Michael J.; Veledar, Emir; and Nasir, Khurram, "Economic Impact of Moderate‐Vigorous Physical Activity Among Those With and Without Established Cardiovascular Disease: 2012 Medical Expenditure Panel Survey" (2016). Department of Biostatistics Faculty Publications. 13.
https://digitalcommons.fiu.edu/biostatistics_fac/13