Comparison of medical care expenditure between participants and non-participants of exercise class for middle-aged and elderly women

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  • TERAUCHI Yumi
    Graduate School of Health and Social Services, Saitama Prefectural University
  • HAYASHI Hiroe
    Department of Nursing, School of Health and Social Services, Saitama Prefectural University
  • SEKI Miyuki
    Department of Nursing, School of Health and Social Services, Saitama Prefectural University
  • NOBUHARA Hiroaki
    Department of Health Sciences, School of Health and Social Services, Saitama Prefectural University
  • SHIBATA Aki
    Department of Nursing, Faculty of Health Science Technology, Bunkyo Gakuin University

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Other Title
  • 女性における中高年向け運動教室の参加者と非参加者の医療費の比較
  • ジョセイ ニ オケル チュウコウネン ムケ ウンドウ キョウシツ ノ サンカシャ ト ヒサンカシャ ノ イリョウヒ ノ ヒカク

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Abstract

<p>Objectives　This study aimed to compare and verify the medical care expenditure of participants and non-participants of exercise classes for middle-aged and elderly women.</p><p>Methods　This study compares and analyzes the medical care expenditure of two groups. The total amount of outpatient treatment, pharmacies, and hospitalization expenditures will be referred to as medical care expenditure. The participating and control groups were 6,576 women aged between 60 and 69 years with a 4-year insurance by the National Health Insurance. The participating group composed 416 women who participated in the exercise class for 2 years and whose hospitalization and outpatient treatment expenditures for 1 year before the exercise class were 0 yen and <500,000 yen, respectively. The control group were matched with the participating group for 1:1 in age and medical care expenditure. Wilcoxon's signed rank test was used to compare the medical costs of the groups. The significance level was set at <5%.</p><p>Result　In comparing the medical care expenditure between years, both groups had increased medical care expenditure and there was no significant difference in the medical care expenditure between the groups within each year; however, the increased medical care expenditure was lower in the participating group than that in the control group.</p><p>　The outpatient treatment and pharmacies expenditures for aged <65 years who participated in ≥15 exercise classes in both years was significantly lower for the participating group compared to that of the control group of the same age group.</p><p>　The hospitalization expenditure was significantly lower in the participating group for all age groups and aged <65 years group after participating in exercise classes.</p><p>Conclusion　Women who continually participate in exercise classes could further reduce their medical care expenditure, especially for those aged ≤65 years.</p>

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