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Table 4 Multivariable generalized linear models for annual medical service utilization and expenditure stratified by the SMMIa and physical activity (n = 1337) (exp, β coefficients and 95% confidence intervals)

From: Medical costs of a low skeletal muscle mass are modulated by dietary diversity and physical activity in community-dwelling older Taiwanese: a longitudinal study

 

SMMI high riska

SMMI low risk

P for trend

 

<1.5 MET/day

≥1.5 MET/day

<1.5 MET/day

≥1.5 MET/day

 

exp (β) (95% CI)

exp (β) (95% CI)

exp (β) (95% CI)

 

n (%)

209 (15.6)

121 (9.05)

586 (43.8)

421 (31.5)

 

Deceased n (%)

114 (54.6)

51 (42.2)

188 (32.1)

117 (27.8)

 

Medical service utilization

 Ambulatory care visits, timesb

  Outpatient services

0.91 (0.88, 0.94) ***

0.90 (0.86, 0.94) ***

0.96 (0.94, 0.99) **

Reference

<0.001

  Preventive care

0.86 (0.72, 1.02)

0.88 (0.72, 1.08)

0.93 (0.82, 1.04)

Reference

0.054

  Dental services

0.60 (0.48, 0.75) ***

0.80 (0.65, 1.00)

0.93 (0.82, 1.06)

Reference

<0.001

  Emergency

1.53 (1.23, 1.90) ***

1.03 (0.77, 1.37)

1.19 (0.99, 1.43)

Reference

<0.001

 Hospitalization, daysb

1.84 (1.73, 1.95) ***

1.73 (1.61, 1.85) ***

1.15 (1.10, 1.21) ***

Reference

<0.001

Medical service expenditure, 1000 NT$c

 Ambulatory cared

  Outpatient services

0.84 (0.73, 0.98) *

0.86 (0.72, 1.02)

1.02 (0.91, 1.14)

Reference

0.008

  Preventive care

0.82 (0.71, 0.93) **

0.88 (0.76, 1.03)

0.92 (0.84, 1.01)

Reference

0.002

  Dental services

0.68 (0.53, 0.88) **

0.92 (0.71, 1.19)

1.01 (0.86, 1.19)

Reference

0.012

  Emergency

1.24 (0.96, 1.59)

1.46 (1.08, 1.97)*

1.04 (0.87, 1.27)

Reference

0.018

 Hospitalization

2.34 (1.74, 3.19) ***

2.26 (1.64, 3.40) ***

1.41 (1.13, 1.76)**

Reference

<0.001

Total medical expenditure

1.51 (1.23, 1.86) ***

1.37 (1.08, 1.74) **

1.12 (0.96, 1.26)

Reference

<0.001

  1. aThe high-risk group comprises participants with a lower SMMI (<11.4 kg/m2 for men and 8.50 kg/m2 for women). The low-risk group comprises participants with a normal SMMI
  2. bOutcome was assessed using GLMs with Poisson distribution
  3. cNT$, with an exchange rate of approximately NT$31 to US$1 in 2017
  4. dOutcome was assessed using GLMs with gamma distribution
  5. Models were adjusted for age, gender, region of residence, ethnicity, education level, living status, self-reported financial status, household income (NT$/mo), perceived health status, ADL, CCI, energy (kcal/d), protein (g/d), and DDS (≤4 or >4)
  6. * P < 0.05, ** P < 0.01, *** P < 0.001