The economic burden of physical inactivity
A global analysis of major non-communicable diseases
Samenvatting
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.
Literatuurverwijzing: Ding, D., Lawson, K.D., Kolbe-Alexander, T.L., Finkelstein, E.A., Katzmarzyk, P.T., Mechelen, W. van, & Pratt, M. (2016). The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet 388 (pp. 1311-1324)