Cost Effectiveness of Community-Based Physical Activity Interventions

Larissa Roux, Michael Pratt, Tammy O. Tengs, Michelle M. Yore, Teri L. Yanagawa, Jill Van Den Bos, Candace Rutt, Ross C. Brownson, Kenneth E. Powell, Gregory Heath, Harold W. Kohl, Steven Teutsch, John Cawley, I. Min Lee, Linda West, David M. Buchner

Research output: Contribution to journalArticle

177 Citations (Scopus)

Abstract

Background: Physical inactivity is associated with the increased risk of many chronic diseases. Such risks decrease with increases in physical activity. This study assessed the cost-effectiveness of population-wide strategies to promote physical activity in adults and followed disease incidence over a lifetime. Methods: A lifetime cost-effectiveness analysis from a societal perspective was conducted to estimate the costs, health gains, and cost-effectiveness (dollars per quality-adjusted life year [QALY] gained, relative to no intervention) of seven public health interventions to promote physical activity in a simulated cohort of healthy U.S. adults stratified by age, gender, and physical activity level. Interventions exemplifying each of four strategies strongly recommended by the Task Force on Community Preventive Services were evaluated: community-wide campaigns, individually adapted health behavior change, community social-support interventions, and the creation of or enhanced access to physical activity information and opportunities. Each intervention was compared to a no-intervention alternative. A systematic review of disease burden by physical activity status was used to assess the relative risk of five diseases (coronary heart disease, ischemic stroke, type 2 diabetes, breast cancer, and colorectal cancer) across a spectrum of physical activity levels. Other data were obtained from clinical trials, population-based surveys, and other published literature. Results: Cost-effectiveness ratios ranged between $14,000 and $69,000 per QALY gained, relative to no intervention. Results were sensitive to intervention-related costs and effect size. Conclusions: All of the evaluated physical activity interventions appeared to reduce disease incidence, to be cost-effective, and-compared with other well-accepted preventive strategies-to offer good value for money. The results support using any of the seven evaluated interventions as part of public health efforts to promote physical activity.

Original languageEnglish (US)
Pages (from-to)578-588
Number of pages11
JournalAmerican Journal of Preventive Medicine
Volume35
Issue number6
DOIs
StatePublished - Dec 1 2008

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Cost-Benefit Analysis
Quality-Adjusted Life Years
Public Health
Costs and Cost Analysis
Social Welfare
Incidence
Health Behavior
Advisory Committees
Social Support
Health Care Costs
Type 2 Diabetes Mellitus
Population
Coronary Disease
Colorectal Neoplasms
Chronic Disease
Stroke
Clinical Trials
Breast Neoplasms

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Roux, L., Pratt, M., Tengs, T. O., Yore, M. M., Yanagawa, T. L., Van Den Bos, J., ... Buchner, D. M. (2008). Cost Effectiveness of Community-Based Physical Activity Interventions. American Journal of Preventive Medicine, 35(6), 578-588. https://doi.org/10.1016/j.amepre.2008.06.040

Cost Effectiveness of Community-Based Physical Activity Interventions. / Roux, Larissa; Pratt, Michael; Tengs, Tammy O.; Yore, Michelle M.; Yanagawa, Teri L.; Van Den Bos, Jill; Rutt, Candace; Brownson, Ross C.; Powell, Kenneth E.; Heath, Gregory; Kohl, Harold W.; Teutsch, Steven; Cawley, John; Lee, I. Min; West, Linda; Buchner, David M.

In: American Journal of Preventive Medicine, Vol. 35, No. 6, 01.12.2008, p. 578-588.

Research output: Contribution to journalArticle

Roux, L, Pratt, M, Tengs, TO, Yore, MM, Yanagawa, TL, Van Den Bos, J, Rutt, C, Brownson, RC, Powell, KE, Heath, G, Kohl, HW, Teutsch, S, Cawley, J, Lee, IM, West, L & Buchner, DM 2008, 'Cost Effectiveness of Community-Based Physical Activity Interventions', American Journal of Preventive Medicine, vol. 35, no. 6, pp. 578-588. https://doi.org/10.1016/j.amepre.2008.06.040
Roux, Larissa ; Pratt, Michael ; Tengs, Tammy O. ; Yore, Michelle M. ; Yanagawa, Teri L. ; Van Den Bos, Jill ; Rutt, Candace ; Brownson, Ross C. ; Powell, Kenneth E. ; Heath, Gregory ; Kohl, Harold W. ; Teutsch, Steven ; Cawley, John ; Lee, I. Min ; West, Linda ; Buchner, David M. / Cost Effectiveness of Community-Based Physical Activity Interventions. In: American Journal of Preventive Medicine. 2008 ; Vol. 35, No. 6. pp. 578-588.
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AU - Rutt, Candace

AU - Brownson, Ross C.

AU - Powell, Kenneth E.

AU - Heath, Gregory

AU - Kohl, Harold W.

AU - Teutsch, Steven

AU - Cawley, John

AU - Lee, I. Min

AU - West, Linda

AU - Buchner, David M.

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N2 - Background: Physical inactivity is associated with the increased risk of many chronic diseases. Such risks decrease with increases in physical activity. This study assessed the cost-effectiveness of population-wide strategies to promote physical activity in adults and followed disease incidence over a lifetime. Methods: A lifetime cost-effectiveness analysis from a societal perspective was conducted to estimate the costs, health gains, and cost-effectiveness (dollars per quality-adjusted life year [QALY] gained, relative to no intervention) of seven public health interventions to promote physical activity in a simulated cohort of healthy U.S. adults stratified by age, gender, and physical activity level. Interventions exemplifying each of four strategies strongly recommended by the Task Force on Community Preventive Services were evaluated: community-wide campaigns, individually adapted health behavior change, community social-support interventions, and the creation of or enhanced access to physical activity information and opportunities. Each intervention was compared to a no-intervention alternative. A systematic review of disease burden by physical activity status was used to assess the relative risk of five diseases (coronary heart disease, ischemic stroke, type 2 diabetes, breast cancer, and colorectal cancer) across a spectrum of physical activity levels. Other data were obtained from clinical trials, population-based surveys, and other published literature. Results: Cost-effectiveness ratios ranged between $14,000 and $69,000 per QALY gained, relative to no intervention. Results were sensitive to intervention-related costs and effect size. Conclusions: All of the evaluated physical activity interventions appeared to reduce disease incidence, to be cost-effective, and-compared with other well-accepted preventive strategies-to offer good value for money. The results support using any of the seven evaluated interventions as part of public health efforts to promote physical activity.

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