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Effect of a physical activity intervention in Health Units in spending on drugs in diabetic and hypertensive adults

Grant number: 15/21299-0
Support type:Scholarships in Brazil - Scientific Initiation
Effective date (Start): April 01, 2016
Effective date (End): March 31, 2017
Field of knowledge:Health Sciences - Physical Education
Principal researcher:Eduardo Kokubun
Grantee:Bruno Augusto de Campos
Home Institution: Instituto de Biociências (IB). Universidade Estadual Paulista (UNESP). Campus de Rio Claro. Rio Claro , SP, Brazil

Abstract

Chronic non-communicable diseases (NCDs) are the main causes of deaths in low- and middle-income. In 2014, approximately 74% of all deaths in Brazil were related to these diseases. Among these diseases, diabetes mellitus (DM) and hypertension (HA) are the most prevalent in the world population. The prevalence of people with DM and HA increased significantly in recent years, which represents an annual cost to Brazil of R$ 12.3 billion and R$ 1.3 billion, respectively. For the prevention of these diseases, the physical activity (PA) has great influence, many studies show that PA has health benefits and influences the reduction in medicine spending, becoming a strategy implemented in primary care. Thus, the present study aims to compare participants of a physical exercise program in basic health units with the others; and the influence of the program with reducing health spending. Will participate of the study 30 diabetics and hypertensive adults men and women chosen from a Unit of Family Health of the municipality of Rio Claro, which has an Exercise Program on Health Unit (PEFUS). Participants will be divided in two groups: G1 (PEFUS) general physical exercise intervention, 2 times a week lasting 60 minutes for 6 months; G2 (control) should keep their routine activities for 6 months. All participants will be evaluated on the level of physical activity (IPAQ), anthropometric variables, medical history and health spending during the period of six months with an initial face meetings, three months and final and retrospective 6 months for costs with health. To check the difference between physical activity levels will be use ANOVA for repeated measures. To difference between spending on health by the level of physical activity, each group will be held the two-way ANOVA. The analyzes will be done in SPSS 17.0 (pd0.05).

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