Trends and Costs Associated With Suboptimal Physical Activity Among US Women With Cardiovascular Disease

ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)

Victor,Benson,Eve-Marie A.,Tibuakuu,Martin,Zhao,Di,Ogunmoroti,Oluseye,Vale Okunrintemi (Creator)

Institution

East Carolina University (ECU )

Web Site: http://www.ecu.edu/lib/

Abstract: IMPORTANCE: Cardiovascular disease (CVD) is the leading cause of death and disability amongwomen. Achievement of recommended physical activity (PA) levels is an essential component ofCVD management.OBJECTIVE: To describe trends, sociodemographic factors, and health care expenditures associatedwith suboptimal PA among a nationally representative sample of US women with CVD.DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study used serial data from theMedical Expenditure Panel Survey from 2006 through 2015. The analyses were conducted in August2018. Women who had self-reported and/or International Classification of Diseases, Ninth Revision,diagnosis of CVD were included.MAIN OUTCOMES AND MEASURES: Recommended PA was defined as 30 minutes or more ofmoderate- to vigorous-intensity exercise, 5 or more days per week. Weighted logistic regression wasused to examine the associations of various sociodemographic factors with suboptimal PA, adjustedfor comorbidities. A 2-part econometric model was used to assess health care expenditures.RESULTS: A total of 18 027 women were included in this study. The results were weighted to provideestimates for approximately 19.5 million adult women in the United States with CVD (mean [SD] age,60.4 [16.9] years). More than half of the women with CVD reported suboptimal PA, a trend thatincreased during the 10-year period, with 58.2% (95% CI, 55.9%-60.5%) of participants reportingsuboptimal PA in 2006-2007 vs 61.9% (95% CI, 59.7%-64.2%) in 2014-2015 (P = .004). Theproportion of women with suboptimal PA differed by sociodemographic factors. In adjusted models,compared with non-Hispanic white women, African American women (odds ratio, 1.22; 95% CI,1.08-1.38) and Hispanic women (odds ratio, 1.33; 95% CI, 1.13-1.58) were more likely to havesuboptimal PA. Women from low- or very low-income strata (compared with high-income strata),enrolled in public insurance (compared with private insurance), and with less than high schooleducation (compared with at least some college education) were more likely to have suboptimal PA.Health care costs among women with CVD with suboptimal PA were higher compared with thoseamong women who met the recommended PA, and this increased through time, from a mean totalhealth care expenditure of $12 724 (95% CI, $11 627-$13 821) in 2006-2007 to $14 820 (95% CI,$13 521-$16 119) in 2014-2015.CONCLUSIONS AND RELEVANCE: The proportion of women with CVD not meeting recommendedPA is high and increasing, particularly among certain racial/ethnic and socioeconomic groups, and isassociated with significant health care costs. More must be done to improve PA for secondaryprevention and reduction of expenditures among women with CVD.

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Other

Language: English

Date: 2019

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