The economic burden of physical inactivity: a global analysis of major non-communicable diseases

Ding, Ding, Lawson, Kenny D., Kolbe-Alexander, Tracy L., Finkelstein, Eric A., Katzmarzyk, Peter T., van Mechelen, Willem and Pratt, Michael (2016) The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet, . doi:10.1016/S0140-6736(16)30383-X


Author Ding, Ding
Lawson, Kenny D.
Kolbe-Alexander, Tracy L.
Finkelstein, Eric A.
Katzmarzyk, Peter T.
van Mechelen, Willem
Pratt, Michael
Title The economic burden of physical inactivity: a global analysis of major non-communicable diseases
Journal name Lancet   Check publisher's open access policy
ISSN 0140-6736
1474-547X
Publication date 2016-07-27
Year available 2016
Sub-type Article (original research)
DOI 10.1016/S0140-6736(16)30383-X
Open Access Status Not Open Access
Total pages 14
Place of publication London, United Kingdom
Publisher Lancet Publishing Group
Collection year 2017
Language eng
Formatted 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 93·2% 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. High-income countries bear a larger proportion of economic burden (80·8% of health-care costs and 60·4% of indirect costs), whereas low-income and middle-income countries have a larger proportion of the disease burden (75·0% 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.

Funding: None.
Keyword Noncommunicable diseases (NCDs)
Chronic diseases
Physical inactivity
Disease burden
Economic burden
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Human Movement and Nutrition Sciences Publications
 
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Created: Thu, 28 Jul 2016, 14:17:04 EST by Sandrine Ducrot on behalf of School of Human Movement and Nutrition Sciences