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The Trends of Medical Care Expenditure with Adjustment of Lifestyle Habits and Medication; 10-Year Retrospective Follow-Up Study

Author

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  • Haruko Ono

    (Department of Community Health Nursing, Oita University of Nursing and Health Science, Oita 870-1201, Japan)

  • Kotomi Akahoshi

    (Department of Community Health Nursing, Oita University of Nursing and Health Science, Oita 870-1201, Japan)

  • Michiaki Kai

    (Department of Environmental Health Science, Oita University of Nursing and Health Science, Oita 870-1201, Japan)

Abstract

In Japan, the prevention of lifestyle-related diseases is the most important issue for the optimization of medical expenditure. This study aimed to analyze the impact of lifestyle and medication status on medical expenditure. Health checkup data and medical expenditure records of a retrospective cohort of 1463 people aged between 40 and 65 years old who underwent specific health checks at least three times between 2008 and 2017 were analyzed. Regression analysis was performed with medical expenditure as the dependent variable and age, gender, waist ratio, medication status, and lifestyle habits as independent variables using a Tobit model. Focusing on the factors that increase medical expenditure, the regression coefficients of age, medication status, weight gain of 10 kg or more since the age of 20, and walking more than 1 h per day were 0.048 (95% CI 0.04 to 0.06), 1.020 (95% CI 0.88 to 1.16), 0.210 (95% CI 0.06 to 0.36), and −0.208 (95% CI −0.35 to −0.07), respectively. The estimate of 5-year cumulative medical expenditure showed that those with walking habits without medication had the lowest medical expenditure. The result of this study suggests that walking more than 1 h a day may lower health expenditure in the general population.

Suggested Citation

  • Haruko Ono & Kotomi Akahoshi & Michiaki Kai, 2020. "The Trends of Medical Care Expenditure with Adjustment of Lifestyle Habits and Medication; 10-Year Retrospective Follow-Up Study," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9546-:d:465445
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    References listed on IDEAS

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    1. John Cawley & Chad Meyerhoefer & Adam Biener & Mette Hammer & Neil Wintfeld, 2015. "Savings in Medical Expenditures Associated with Reductions in Body Mass Index Among US Adults with Obesity, by Diabetes Status," PharmacoEconomics, Springer, vol. 33(7), pages 707-722, July.
    2. Hatziandreu, E.I. & Koplan, J.P. & Weinstein, M.C. & Caspersen, C.J. & Warner, K.E., 1988. "A cost-effectiveness analysis of exercise as a health promotion activity," American Journal of Public Health, American Public Health Association, vol. 78(11), pages 1417-1421.
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