Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 9

Physical Activity Program Can Mitigate Public Health Expenses with Hospitalization for Osteoporotic Femur Fractures: An Econometric analysis of Health Gym Program - Brazil

Flávio Renato Barros da Guarda1*, Rafaela Niels da Silva2-4, Kátia Elaine de Vasconcelos e Silva4 and Luiza Feitosa Cordeiro de Souza2,4

1Department of Public Health, Federal University of Pernambuco, Brazil

2Postgraduate Program (PhD) in Therapeutic Innovation, Center for Biological Sciences, Federal University of Pernambuco, Brazil

3Physical Education Department, Tabosa de Almeida University Center, Faculty ASCES, Brazil

4Study Group on Health, Sport and Leisure Policies, Federal University of Pernambuco, Brazil

*Corresponding Author: Flávio Renato Barros da Guarda, Department of Public Health, Federal University of Pernambuco, Brazil.

Received: May 26, 2022; Published: August 29, 2022


Objective: This paper aimed to evaluate the impact of the Health Gym Program on public health expenses with hospital admissions for osteoporotic femur fractures in the state of Pernambuco, Brazil.

Method: This public policy impact evaluation had used econometric modeling which combined the Propensity Score Matching and Difference-in-difference with fixed effects. Data referring to the population over 50 years old were collected in official databases and contain demographic, socioeconomic, and health care information to the 185 municipalities in Pernambuco for the period from 2009 to 2019. Pre- and post-estimation tests were carried out in order to verify the fulfillment of the estimators' assumptions and the robustness of the models used.

Result: There were 37,334 hospitalizations for osteoporotic femur fracture in the state of Pernambuco in the period from 2009 to 2019 and the cost of these hospitalizations was US$ 2,102,565.12 (annual average = US$ 175,213.76). It represented 1.65% of expenses with all hospital admissions during the study period. The municipalities that implemented the Health Gym Program spent, on average, 16.54% less on hospitalizations for osteoporotic femur fractures than those that did not adhere to this intervention (ATET = - 0.1654; EP = 0.081) and this result was statistically significant at the 5% level.

Conclusion: The Health Gym Program impacted by reducing public spending on hospital admissions for osteoporotic femur fractures when comparing the municipalities that implemented this intervention with those that did not.


Keywords: Osteoporosis; Physical Activity; Health Evaluation; Economic Analysis; Chronic Disease; Health Economics


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Citation: Flávio Renato Barros da Guarda., et al. “Physical Activity Program Can Mitigate Public Health Expenses with Hospitalization for Osteoporotic Femur Fractures: An Econometric analysis of Health Gym Program - Brazil" Acta Scientific Orthopaedics 5.9 (2022): 115-125.


Copyright: © 2022 Flávio Renato Barros da Guarda., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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