Daily Energy Expenditure and Its Relation to Health Care Costs in Patients Undergoing Ambulatory Electrocardiographic Monitoring.
The American journal of cardiology
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
George J, Abdulla RK, Yeow R, Aggarwal A, Boura J, Wegner J, Franklin BA. Daily Energy Expenditure and Its Relation to Health Care Costs in Patients Undergoing Ambulatory Electrocardiographic Monitoring. Am J Cardiol. 2017 Feb 15;119(4):658-663. doi: 10.1016/j.amjcard.2016.10.055. Epub 2016 Nov 23. PubMed PMID: 27986262.