Burden of physical inactivity and hospitalization costs due to chronic diseases

Bielemann, Renata Moraes; Silva, Bruna Gonçalves Cordeiro da; Coll, Carolina de Vargas Nunes; Xavier, Mariana Otero; Silva, Shana Ginar da

doi:10.1590/s0034-8910.2015049005650

Cited by 41 publications

(36 citation statements)

References 18 publications

(36 reference statements)

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“…Almost all studies included a broad range of healthcare expenditure, such as inpatient, outpatient, pharmaceutical and physician care costs. One study included inpatient costs only 29. In estimating direct healthcare costs, studies included between four and eight health conditions, nearly all of which included ischaemic heart disease, diabetes, breast cancer and colon cancer.…”

Section: Resultsmentioning

confidence: 99%

The economic burden of physical inactivity: a systematic review and critical appraisal

et al. 2017

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Objective To summarise the literature on the economic burden of physical inactivity in populations, with emphases on appraising the methodologies and providing recommendations for future studies. Design Systematic review following the Preferred Reporting Items for Systematic Reviews and MetaAnalyses guidelines (PROSPERO registration number CRD42016047705). Data sources Electronic databases for peer-reviewed and grey literature were systematically searched, followed by reference searching and consultation with experts. Eligibility criteria Studies that examined the economic consequences of physical inactivity in a population/population-based sample, with clearly stated methodologies and at least an abstract/summary written in English. Results Of the 40 eligible studies, 27 focused on direct healthcare costs only, 13 also estimated indirect costs and one study additionally estimated household costs. For direct costs, 23 studies used a population attributable fraction (PAF) approach with estimated healthcare costs attributable to physical inactivity ranging from 0.3% to 4.6% of national healthcare expenditure; 17 studies used an econometric approach, which tended to yield higher estimates than those using a PAF approach. For indirect costs, 10 studies used a human capital approach, two used a friction cost approach and one used a value of a statistical life approach. Overall, estimates varied substantially, even within the same country, depending on analytical approaches, time frame and other methodological considerations. Conclusion Estimating the economic burden of physical inactivity is an area of increasing importance that requires further development. There is a marked lack of consistency in methodological approaches and transparency of reporting. Future studies could benefit from cross-disciplinary collaborations involving economists and physical activity experts, taking a societal perspective and following best practices in conducting and reporting analysis, including accounting for potential confounding, reverse causality and comorbidity, applying discounting and sensitivity analysis, and reporting assumptions, limitations and justifications for approaches taken. We have adapted the Consolidated Health Economic Evaluation Reporting Standards checklist as a guide for future estimates of the economic burden of physical inactivity and other risk factors. InTRODuCTIOnPhysical inactivity is a global pandemic. Every year, physical inactivity causes more than 5 million deaths 1 and costs billions of dollars to societies around the world.2 To date, many countries have developed national physical activity plans; however, few have been fully implemented. 3 The substantial gap between policy and implementation may be due to a lack of resources, cross-sectoral partnership and clear strategies. Public health responses to address the pandemic of physical inactivity remain inadequate, uncoordinated and underfunded. 3 Economic analysis is essential to bridging the policy-implementation gap, increasing politica...

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Section: Resultsmentioning

confidence: 99%

The economic burden of physical inactivity: a systematic review and critical appraisal

et al. 2017

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“…Physical inactivity has become pandemic since, nowadays, sedentary behavior is becoming more prevalent, bringing significant financial and social burden for the society 8,30 . In Brazil, for example, of the total number of hospitalizations in 2013 by the Brazilian Unified Health System (SUS), 15% was attributed to physical inactivity, resulting in a total estimated cost of R$ 275.646.877.64 (US$ 8.591.454.674,43) 31 . Considering the benefits already known of physical exercises on physical and mental health and social life of the population in general, we believe it is necessary to investigate and furthermore implement interventions that aim not only to increase the physical activity level in patients with chronic LBP, but also encouraging these patients to be involved in physical exercise programs.…”

mentioning

confidence: 99%

Association between Physical Activity and Disability in patients with low back pain

Sousa

Nunes

Jesus-Moraleida

2017

Motriz: rev. educ. fis.

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-Aims: Physical activity levels could be related to chronic low back pain (LBP) in those who suffer from it; thus the purpose of this study was yo describe the physical activity levels in patients with chronic LBP, and to investigate whether physical activity levels are associated with LBP related disability and pain intensity in them. Methods: This is a cross-sectional study with 36 patients with chronic LBP, both sexes, aged between 18 and 70 years. The main outcomes evaluated in this study were physical activity levels, LBP-related disability and pain intensity. Results: Participants were predominantly classified as active (53%) and irregularly active (42%). Mean pain intensity was 4.81 (± 2.72) points, while mean LBP-related disability was 13.19 (± 6.95). Physical activity and disability were negative and moderately correlated. Conclusion: Physical activity and disability were inversely associated, indicating that patients with chronic LBP that have lower physical activity levels had higher levels of disability with chronic LBP lower physical activity levels are associated with higher levels of disability.

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“…Physical inactivity is a major challenge of the 21st century in terms of its aftereffects and the financial / health burden which it imposes on the individual, family, society, and the nation [4,5]. Further, physical inactivity has been recognized as one of the important predisposing risk factors in causation of more than twenty diseases or conditions [4,5].…”

Section: Editorialmentioning

confidence: 99%

“…However, the worst part is that despite the availability of confirmatory evidence that physical activity benefits in delaying the onset of diabetes/complications, very low proportion of people (including children), actually perform sufficient physical activity to extract its advantages [4,6]. In-fact, estimates from the European nation suggest that 33% of adults and 66% of adolescents are insufficiently active, and thus almost 8.3 million disability-adjusted life years are lost per year in the region [6].…”

Section: Editorialmentioning

confidence: 99%

See 1 more Smart Citation

Physical Inactivity and Development of Diabetes: An Association Worth to be Explored

Shrivastava¹

2016

Biol Med (Aligarh)

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Burden of physical inactivity and hospitalization costs due to chronic diseases

Cited by 41 publications

References 18 publications

The economic burden of physical inactivity: a systematic review and critical appraisal

The economic burden of physical inactivity: a systematic review and critical appraisal

Association between Physical Activity and Disability in patients with low back pain

Physical Inactivity and Development of Diabetes: An Association Worth to be Explored

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