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Ding 2016 Lancet

From Bioblast
Publications in the MiPMap
Ding D, Lawson KD, Kolbe-Alexander TL, Finkelstein EA, Katzmarzyk PT, van Mechelen W, Pratt M, Lancet Physical Activity Series 2 Executive Committee (2016) The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet 388:1311-24.

PMID:27475266 Open Access

Ding D, Lawson KD, Kolbe-Alexander TL, Finkelstein EA, Katzmarzyk PT, van Mechelen W, Pratt M, Lancet Physical Activity Series 2 Executive Committee (2016) Lancet

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路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路8 billion worldwide in 2013, of which $31路2 billion was paid by the public sector, $12路9 billion by the private sector, and $9路7 billion by households. In addition, physical inactivity related deaths contribute to $13路7 billion in productivity losses, and physical inactivity was responsible for 13路4 million DALYs worldwide. High-income countries bear a larger proportion of economic burden (80路8% of health-care costs and 60路4% of indirect costs), whereas low-income and middle-income countries have a larger proportion of the disease burden (75路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.


Labels: MiParea: Exercise physiology;nutrition;life style 


Organism: Human