Association between exercise and health-related quality of life and medical resource use in elderly people with diabetes
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RESEARCH ARTICLE
Open Access
Association between exercise and healthrelated quality of life and medical resource use in elderly people with diabetes: a crosssectional population-based study Chien-Cheng Huang1,2,3†, Chien-Chin Hsu1,4, Chong-Chi Chiu5, Hung-Jung Lin1,6, Jhi-Joung Wang7,8 and Shih-Feng Weng9,10,11,12*†
Abstract Background: Exercise improves glycemic control and functional capacity in elderly people with diabetes; however, its effect on health-related quality of life (HRQoL) and medical resource use remains unclear. This study aims to clarify the effect of exercise. Methods: Using the data from National Health and Nutrition Examination Survey between 2007 and 2016, we identified 1572 elderly people with diabetes for this cross-sectional population-based study. Demographic characteristics, health conditions, comorbidities, HRQoL, and medical resource were compared among four groups (no exercise, low-intensity exercise, moderate-intensity exercise, and high-intensity exercise). Results: The mean age of all participants was between 71.5 and 73.3 years. Male participants with higher education performed more exercise than their counterparts. The moderate- and high-intensity groups reported better general health condition than the no exercise group. Depression and worse health were more common in the no exercise group. Participants in the moderate-intensity exercise group had lower risk for depression than those in the no exercise group (adjusted odds ratio: 0.13, 95% confidence interval: 0.02–0.92) after adjusting for demographic characteristics, health conditions, and comorbidities, whereas participants in the low- and high-intensity exercise did not have a lower risk. The no exercise group had the highest proportions of emergency, hospitalization, and total healthcare visits. Conclusions: Exercise is associated with better HRQoL, and lack of exercise is associated with higher medical resource use in elderly people with diabetes. Encouraging exercise is recommended in this population. Keywords: Diabetes, Elderly, Exercise, Medical resource use, Quality of life
* Correspondence: [email protected] † Chien-Cheng Huang and Shih-Feng Weng contributed equally to this work. 9 Department of Healthcare Administration and Medical Informatics, College of Health Sciences, Kaohsiung Medical University, 100 Shin-Chuan 1st Road, Kaohsiung 807, Taiwan 10 Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated othe
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