Title

Daily Energy Expenditure and Its Relation to Health Care Costs in Patients Undergoing Ambulatory Electrocardiographic Monitoring.

Document Type

Article

Publication Date

2-15-2017

Publication Title

The American journal of cardiology

ISSN

1879-1913

Abstract

Our increasingly sedentary lifestyle is associated with a heightened risk of obesity, diabetes, heart disease, and cardiovascular mortality. Using the recently developed heart rate index formula in 843 patients (mean ± SD age 62.3 ± 15.7 years) who underwent 24-hour ambulatory electrocardiographic (ECG) monitoring, we estimated average and peak daily energy expenditure, expressed as metabolic equivalents (METs), and related these data to subsequent hospital encounters and health care costs. In this cohort, estimated daily average and peak METs were 1.7 ± 0.7 and 5.5 ± 2.1, respectively. Patients who achieved daily bouts of peak energy expenditure ≥5 METs had fewer hospital encounters (p = 0.006) and median health care costs that were nearly 50% lower (p

Medical Subject Headings

Aged; Arrhythmias, Cardiac; Atrial Fibrillation; Body Mass Index; Electrocardiography, Ambulatory; Energy Metabolism; Exercise; Female; Health Care Costs; Hospitalization; Humans; Male; Metabolic Equivalent; Middle Aged; Obesity; Retrospective Studies; Sedentary Behavior; Syncope

Volume

119

Issue

4

First Page

658

Last Page

663

PubMed ID

27986262

DOI

10.1016/j.amjcard.2016.10.055

Share

COinS