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dc.contributor.authorHernández-Aceituno, Ana
dc.contributor.authorPérez-Tasigchana, Raúl F.
dc.contributor.authorGuallar Castillón, María Pilar 
dc.contributor.authorLópez García, Esther 
dc.contributor.authorRodríguez Artalejo, Fernando 
dc.contributor.authorBanegas Banegas, José Ramón 
dc.contributor.otherUAM. Departamento de Medicina Preventiva y Salud Pública y Microbiologíaes_ES
dc.date.accessioned2018-01-29T11:29:53Z
dc.date.available2018-01-29T11:29:53Z
dc.date.issued2017-07-31
dc.identifier.citationAmerican Journal of Preventive Medicine 53.6 (2017): 872-881en_US
dc.identifier.issn0749-3797 (print)en_US
dc.identifier.issn1873-2607 (online)en_US
dc.identifier.urihttp://hdl.handle.net/10486/681035
dc.description.abstractData on the combined impact of healthy behaviors on healthcare use in older adults are limited. Methods Study with community-dwelling individuals aged ≥60 years from the Spanish Seniors-ENRICA cohort, recruited in 2008–2010, followed through 2012–2013, and analyzed in 2016 (N=2,021). At baseline, the following healthy behaviors were self-reported: three traditional (never smoking, being physically active, having a healthy diet) and three emerging (sleeping 7–8 hours/day, sitting < 8 hours/day, not living alone). Outcomes were self-reported polypharmacy (five or more drugs per day), primary care physician visits (one or more per month), medical specialist visits (more than one per year), and hospitalization (one or more in the last year). The associations between baseline healthy behaviors and healthcare services used in 2012–2013 were summarized with ORs and 95% CIs from multiple logistic regression, adjusting for demographics, lifestyles, comorbidities, and baseline health services used. Results Most single healthy behaviors were associated with lower use of most health services. Compared with participants with zero or one healthy behavior, those with five or six healthy behaviors showed lower risk of polypharmacy (OR=0.46, 95% CI=0.24, 0.85, p-trend=0.001), visits to the primary care physician (OR=0.50, 95% CI=0.26, 0.96, p-trend=0.013), and hospitalization (OR=0.50, 95% CI=0.24, 1.01, p-trend=0.016). No association was found with visits to the medical specialist. Conclusions The combination of five to six healthy behaviors in older adults is associated with half the risk of polypharmacy and using several healthcare services. In an era of constrained resources in most countries, this information may help inform health policy to control healthcare spending in the futureen_US
dc.description.sponsorshipSpecific funding for this study was obtained from Fondo de Investigación Sanitaria (FIS) grant PI13/02321 and PI16/ 01460 (Instituto de Salud Carlos III and FEDER/FSE). RFP-T was supported by the National Government of Ecuador through the National Institution of Higher Education, Science, Technology and Innovation (SENESCYT)en_US
dc.format.extent30 pag.es_ES
dc.format.mimetypeapplication/pdfen_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.ispartofAmerican Journal of Preventive Medicineen_US
dc.rights© 2017 American Journal of Preventive Medicine Introductiones_ES
dc.subject.otherhealthy behaviorsen_US
dc.subject.otherhealthcare servicesen_US
dc.subject.otherolder adultsen_US
dc.titleCombined healthy behaviors and healthcare services use in older adultsen_US
dc.typearticleen_US
dc.subject.ecienciaMedicinaes_ES
dc.date.embargoend2018-07-31
dc.relation.publisherversionhttp://doi.org/10.1016/j.amepre.2017.06.023es_ES
dc.identifier.doi10.1016/j.amepre.2017.06.023es_ES
dc.identifier.publicationfirstpage872es_ES
dc.identifier.publicationissue6es_ES
dc.identifier.publicationlastpage881es_ES
dc.identifier.publicationvolume53es_ES
dc.relation.projectIDGobierno de España. PI13/02321es_ES
dc.relation.projectIDGobierno de España. PI16/ 01460es_ES
dc.type.versioninfo:eu-repo/semantics/acceptedVersionen_US
dc.rights.ccReconocimiento – NoComercial – SinObraDerivadaes_ES
dc.rights.accessRightsopenAccesses_ES
dc.authorUAMBanegas Banegas, José Ramón (261477)
dc.facultadUAMFacultad de Medicina
dc.institutoUAMInstituto de Investigación Sanitaria Hospital Universitario de La Paz (IdiPAZ)


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