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The economic burden of physical inactivity: a global analysis of major non-communicable diseases.

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Title: The economic burden of physical inactivity: a global analysis of major non-communicable diseases.
Authors: Ding, Ding, Lawson, Kenny D., Kolbe-Alexander, Tracy L., Finkelstein, Eric A., Katzmarzyk, Peter T., van Mechelen, Willem, Pratt, Michael, Lancet Physical Activity Series 2 Executive Committee (CORPORATE AUTHOR)
Source: Lancet. 9/24/2016, Vol. 388 Issue 10051, p1311-1324. 14p. 3 Charts.
Subjects: Sedentary behavior, Non-communicable diseases, Medical care costs, Coronary disease, Public health, Economics
Abstract: Background: The pandemic of physical inactivity is associated with a range of chronic diseases and early deaths. Despite the well documented disease burden, the economic burden of physical inactivity remains unquantified at the global level. A better understanding of the economic burden could help to inform resource prioritisation and motivate efforts to increase levels of physical activity worldwide.Methods: Direct health-care costs, productivity losses, and disability-adjusted life-years (DALYs) attributable to physical inactivity were estimated with standardised methods and the best data available for 142 countries, representing 93·2% of the world's population. Direct health-care costs and DALYs were estimated for coronary heart disease, stroke, type 2 diabetes, breast cancer, and colon cancer attributable to physical inactivity. Productivity losses were estimated with a friction cost approach for physical inactivity related mortality. Analyses were based on national physical inactivity prevalence from available countries, and adjusted population attributable fractions (PAFs) associated with physical inactivity for each disease outcome and all-cause mortality.Findings: Conservatively estimated, physical inactivity cost health-care systems international $ (INT$) 53·8 billion worldwide in 2013, of which $31·2 billion was paid by the public sector, $12·9 billion by the private sector, and $9·7 billion by households. In addition, physical inactivity related deaths contribute to $13·7 billion in productivity losses, and physical inactivity was responsible for 13·4 million DALYs worldwide. High-income countries bear a larger proportion of economic burden (80·8% of health-care costs and 60·4% of indirect costs), whereas low-income and middle-income countries have a larger proportion of the disease burden (75·0% of DALYs). Sensitivity analyses based on less conservative assumptions led to much higher estimates.Interpretation: In addition to morbidity and premature mortality, physical inactivity is responsible for a substantial economic burden. This paper provides further justification to prioritise promotion of regular physical activity worldwide as part of a comprehensive strategy to reduce non-communicable diseases.Funding: None. [ABSTRACT FROM AUTHOR]
Copyright of Lancet is the property of Lancet and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The economic burden of physical inactivity: a global analysis of major non-communicable diseases.
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  Data: <searchLink fieldCode="AR" term="%22Ding%2C+Ding%22">Ding, Ding</searchLink><br /><searchLink fieldCode="AR" term="%22Lawson%2C+Kenny+D%2E%22">Lawson, Kenny D.</searchLink><br /><searchLink fieldCode="AR" term="%22Kolbe-Alexander%2C+Tracy+L%2E%22">Kolbe-Alexander, Tracy L.</searchLink><br /><searchLink fieldCode="AR" term="%22Finkelstein%2C+Eric+A%2E%22">Finkelstein, Eric A.</searchLink><br /><searchLink fieldCode="AR" term="%22Katzmarzyk%2C+Peter+T%2E%22">Katzmarzyk, Peter T.</searchLink><br /><searchLink fieldCode="AR" term="%22van+Mechelen%2C+Willem%22">van Mechelen, Willem</searchLink><br /><searchLink fieldCode="AR" term="%22Pratt%2C+Michael%22">Pratt, Michael</searchLink><br /><searchLink fieldCode="AR" term="%22Lancet+Physical+Activity+Series+2+Executive+Committee%22">Lancet Physical Activity Series 2 Executive Committee</searchLink> (CORPORATE AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Lancet%22">Lancet</searchLink>. 9/24/2016, Vol. 388 Issue 10051, p1311-1324. 14p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Sedentary+behavior%22">Sedentary behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Non-communicable+diseases%22">Non-communicable diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink><br /><searchLink fieldCode="DE" term="%22Coronary+disease%22">Coronary disease</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Economics%22">Economics</searchLink>
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  Data: <bold>Background: </bold>The pandemic of physical inactivity is associated with a range of chronic diseases and early deaths. Despite the well documented disease burden, the economic burden of physical inactivity remains unquantified at the global level. A better understanding of the economic burden could help to inform resource prioritisation and motivate efforts to increase levels of physical activity worldwide.<bold>Methods: </bold>Direct health-care costs, productivity losses, and disability-adjusted life-years (DALYs) attributable to physical inactivity were estimated with standardised methods and the best data available for 142 countries, representing 93·2% of the world's population. Direct health-care costs and DALYs were estimated for coronary heart disease, stroke, type 2 diabetes, breast cancer, and colon cancer attributable to physical inactivity. Productivity losses were estimated with a friction cost approach for physical inactivity related mortality. Analyses were based on national physical inactivity prevalence from available countries, and adjusted population attributable fractions (PAFs) associated with physical inactivity for each disease outcome and all-cause mortality.<bold>Findings: </bold>Conservatively estimated, physical inactivity cost health-care systems international $ (INT$) 53·8 billion worldwide in 2013, of which $31·2 billion was paid by the public sector, $12·9 billion by the private sector, and $9·7 billion by households. In addition, physical inactivity related deaths contribute to $13·7 billion in productivity losses, and physical inactivity was responsible for 13·4 million DALYs worldwide. High-income countries bear a larger proportion of economic burden (80·8% of health-care costs and 60·4% of indirect costs), whereas low-income and middle-income countries have a larger proportion of the disease burden (75·0% of DALYs). Sensitivity analyses based on less conservative assumptions led to much higher estimates.<bold>Interpretation: </bold>In addition to morbidity and premature mortality, physical inactivity is responsible for a substantial economic burden. This paper provides further justification to prioritise promotion of regular physical activity worldwide as part of a comprehensive strategy to reduce non-communicable diseases.<bold>Funding: </bold>None. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Lancet is the property of Lancet and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: 9/24/2016
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