June 10, 2003
(American Heart Association) -- Baby boomers, it's not too
late - adopting a healthy diet now can lower health care costs
when you're older. Research reported at the American Heart
Association's Second Asia Pacific Scientific Forum looked at
eating behavior in midlife and found that high intake of
fruits and vegetables translates to lower health care costs
later.
Previous studies have shown that adopting a healthy diet
and reducing risk factors such as smoking and lack of exercise
early in life can help protect against long-term risk of death
from coronary heart disease, stroke and cancer. Few studies
have described the economic consequences of these risk
factors.
"To our knowledge, no other study has linked eating
patterns to health care cost," says lead researcher Martha L.
Daviglus, M.D., Ph.D., associate professor, department of
preventive medicine, Feinberg School of Medicine, Northwestern
University, Chicago.
Researchers with the Chicago Western Electric (WE) study
evaluated middle-aged men who were employed at the Chicago
Western Electric Company in 1957-58. Participants included
1,070 men, 40-55 years old and who were free of heart disease
at baseline examination.
More than 25 years later, Medicare expenditures identified
in the Health Care Financing Administration (HCFA) inpatient
and outpatient databases (1984-2000) were examined to estimate
average annual health care costs for Medicare-eligible (65+
years) surviving participants in the study. To account for
inflation, all charges were adjusted to the year 2000 dollars
on the basis of the hospital services component of the
Consumer Price Index.
Participants were classified into three groups according to
their fruit and vegetable intake in 1959: low (less than 14
cups per month), middle (14-42 cups per month) and high (more
than 42 cups per month).
The 237 men in the high-consumption group had the lowest
total annual Medicare charges ($11,416) and the lowest charges
related to coronary heart disease and cardiovascular disease.
The 290 men in the lowest group had annual medical charges
of $14,655. The 543 men in the middle group had annual charges
of $12,622. "These associations were not influenced by
cardiovascular risk factors such as age, obesity, blood
cholesterol, blood pressure, smoking, or by other dietary
factors," Daviglus says.
"Our findings suggest that high intake of fruits and
vegetables - which may reflect healthy eating habits in middle
age - have a beneficial impact not only on future health but
also on health care costs in older age," she says. "They also
support current dietary guidelines, which advocate consumption
of five or more servings of fruits and vegetables per day -
much higher levels than those consumed in the average American
diet.
"With 20 percent of the U.S. population estimated to be 65
years or older by the year 2030, the potential to contain
health care costs by implementing healthy lifestyles and
healthy eating habits earlier in life has important
implications for future health care expenditures."