The cost-effectiveness of physical activity interventions: A systematic review of reviews

Abu‐Omar, Karim; Rütten, Alfred; Burlacu, Ionuţ; Schätzlein, Valentin; Messing, Sven; Suhrcke, Marc

doi:10.1016/j.pmedr.2017.08.006

Cited by 108 publications

(83 citation statements)

References 29 publications

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“…Also cost-effectiveness needs to be considered since some interventions may cost more than others, e.g. comparing the costs of a gym card and a sit-stand desk (12). Studies comparing different interventions are thus warranted.…”

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confidence: 99%

The effectiveness of multi-component interventions targeting physical activity or sedentary behaviour amongst office workers: a 3-arm cluster randomised controlled trial

Nooijen

Blom

Ekblom

et al. 2020

Preprint

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Background: Interventions to increase physical activity or reduce sedentary behaviour within the workplace setting have shown mixed effects. This cluster randomised controlled trial assessed whether multi-component interventions, focusing on changes at the individual, environmental, and organisational levels, either increased physical activity or reduced sedentary behaviour, compared to a passive control group.Methods: Teams of office-workers from two companies participated in two interventions (iPA: targeting physical activity; iSED: targeting sedentary behaviour), or a waiting list control group. Exclusion criteria was a very high physical activity level. Randomisation was done on a cluster level, and groups were randomly allocated (1:1) with stratification for company and cluster size Personnel involved in data collection and processing were blinded for group allocation. Both interventions included five sessions of cognitive behavioural therapy counselling for 6-months. iPA included counselling focused on physical activity, access to a gym, and encouragement to exercise and go for lunch walks. iSED included counselling on sedentary behaviour and encouragement to reduce sitting and increase engagement in standing- and walking-meetings. At baseline and the 6-month mark accelerometers were worn on the hip and thigh for 7 days. The primary outcomes were group differences in time spent in moderate-to-vigorous physical activity (%MVPA) and in sedentary behaviour (%), analysed for those with complete data using Bayesian multilevel modelling.Results: 263 office-workers (73% women, mean age 42±9 years, education 15±2 years) in 23 cluster teams were randomised (iPA n=84, 8 clusters; iSED n=87, 7 clusters; C n=92, 7 clusters). No significant group differences (posterior mean ratios: 95% credible interval) were found after the intervention for %MVPA or for %Sedentary. %MVPA: iPA vs C (0·04: -0·80 – 0·82); iSED vs C (0·47: -0·41 – 1·32); iPA vs iSED (0·43: -0·42 – 1·27). %Sedentary: iPA vs C (1·16: -1·66 – 4·02); iSED vs C (-0·44: -3·50 – 2·64); iPA vs iSED (-1·60: -4·72 – 1·47).Conclusions: The multi-component interventions focusing on either physical activity or sedentary behaviour were unsuccessful at increasing device-measured physical activity or reducing sedentary behaviour compared to control.Trial registration: ISRCTN92968402

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confidence: 99%

The effectiveness of multi-component interventions targeting physical activity or sedentary behaviour amongst office workers: a 3-arm cluster randomised controlled trial

Nooijen

Blom

Ekblom

et al. 2020

Preprint

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“…From the literature reviewed, the ideal interventional strategy for physical activity promotion that was identified as cost-effective is a school-based intervention for children and adolescents (Abu-Omar et al, 2017). The school environment is ideal for implementing physical activity interventions due to the possibility to reach a wide number of children who are spending most of their time in schools (Hills et al, 2015).…”

Section: Moving Forwardmentioning

confidence: 99%

School-Based Physical Activity Interventions in Southeast Asia: A Systematic Review

Rizal

Hajar

Kuan

2019

IJPHCS

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Background: This study attempts to review longitudinal school-based physical activity (PA) interventions in Southeast Asia countries Materials and Methods: ScienceDirect, PubMed and Scopus databases were used, which ranged from the years 2003 until April 2018. A total of twelve studies were included in the final review including seven from Malaysia, three from Singapore, one from Indonesia and one from Thailand. Results:The findings from Malaysian studies showed that EPaL provides students with cognitive and behavioural skills to cause changes in targeted behaviours by aiming to alter disordered eating behaviour, promoting PA, preventing sedentary lifestyle and enhancing eating behaviours. The integration of the transtheoretical framework improves participant adherence. Furthermore, circuit training was implemented during PE classes. The results showed significant improvements in the reduction of BMI, cardiovascular endurance and flexibility. In addition, MASCOT is ideal for promoting health and reducing obesity in Malaysian children as it has shown to improve BMI and total PA. In the Indonesian study, low-intensity endurance exercise of lower extremity has shown improvements in lowerextremity endurance as well as V02 max before for individuals with lower physical capacity. In Thailand, child health promotion programme has been shown to reduce the percentage of obesity of school children in the long--term. Finally, exergaming in the Singaporean studies showed improvements in attitude, self-efficacy, and perceived behavioural control. Conclusion:Limited studies were conducted on studying the cause of longitudinal PA implementation in school settings and its impact in Southeast Asia. Therefore, future studies are proposed to investigate this relationship and utilise comprehensive frameworks to identify domains for facilitating or inhibiting PA implementation.

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“…Inadequate physical activity (PA) is associated with increased risk of disease and premature death [1,2]. Support for increased PA is often used in health care as treatment or prevention, and is generally assumed to be effective and cost-effective [3]. Cost-effectiveness analyses can be performed from different perspectives, but in general a societal perspective is recommended [4,5].…”

Section: Introductionmentioning

confidence: 99%

What is the time cost of exercise? Cost of time spent on exercise in a primary health care intervention to increase physical activity

Hagberg

Lundqvist

Lindholm

2020

Cost Eff Resour Alloc

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Background: In health care interventions aimed at increased physical activity, the individual's time spent on exercise is a substantial input. Time costs should therefore be considered in cost-effectiveness analyses. The aim of this study was to estimate the cost of time spent on exercise among 333 primary health care patients with metabolic risk factors receiving physical activity on prescription. Methods: Based on a theoretical framework, a yardstick was constructed with experience of work (representing claim of salary as compensation) as the lower anchor-point, and experience of leisure activity forgone due to extended exercise time (no claim) as the higher anchor-point. Using this yardstick experience of exercise can be valued. Another yardstick was constructed with experience of cleaning at home in combination with willingness to pay for cleaning as the lowest anchor-point. Results: The estimated costs of exercise time were between 14 and 37% of net wages, with physical activity level being the most important factor in determining the cost. Among sedentary individuals, the time cost was 21-51% of net wages while among individuals performing regular exercise it was 2-10%. When estimating the cost of time spent on exercise in a cost-effectiveness analysis, experience of exercise, work, leisure activity forgone, and cleaning at home (or other household work that may be relevant to purchase) should be measured. The individual's willingness to pay for cleaning at home and their net salary should also be measured. Conclusions: When using a single valuation of cost of time spent on exercise in health care interventions, for employed participants 15-30% of net salary should be used. Among unemployed individuals, lower cost estimation should be applied. Better precision in cost estimations can be achieved if participants are stratified by physical activity levels. Trial registration The study was conducted as a survey of existing clinical physical activity on prescription work, and was approved by the Regional Ethical Review Board in Gothenburg, Sweden (ref: 678-14

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The cost-effectiveness of physical activity interventions: A systematic review of reviews

Cited by 108 publications

References 29 publications

The effectiveness of multi-component interventions targeting physical activity or sedentary behaviour amongst office workers: a 3-arm cluster randomised controlled trial

The effectiveness of multi-component interventions targeting physical activity or sedentary behaviour amongst office workers: a 3-arm cluster randomised controlled trial

School-Based Physical Activity Interventions in Southeast Asia: A Systematic Review

What is the time cost of exercise? Cost of time spent on exercise in a primary health care intervention to increase physical activity

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