Cost-effectiveness of interventions promoting physical activity
Cost-effectiveness of interventions promoting physical activity
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DOI：
10.1136/bjsm.2008.053728
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发表时间：
2009-01-01
影响因子：
18.4
通讯作者：
Willich, S. N.
中科院分区：
文献类型：
--
作者：
Mueller-Riemenschneider, F.;Reinhold, T.;Willich, S. N.
背景资料：久坐不动的生活方式继续增加，并与大多数工业化国家的重大经济负担有关。为了在广泛的人群基础上实施有效的体力活动干预措施，其成本效益需要进行evaluation.Objective：评估针对健康成人的体力活动干预措施的成本效益，并确定成本效益的干预组件。设计：Systematic review.Methods and data sources：电子数据库中的搜索策略，确定相关文献发表，直到2008年6月。我们纳入了旨在促进健康成年人体育活动行为的干预措施的成本效益研究。两名研究人员根据预定义的纳入标准和方法学质量独立评估出版物。研究特点和预定义的结果的措施进行提取和成本，每个参与者成为足够活跃的干预措施之间进行比较。结果：在6543确定的出版物，8项研究调查11干预策略符合纳入标准。在研究质量、干预策略和干预效果方面存在显著异质性。行为干预能够促进身体活动，参与者达到建议的身体活动水平，每年约800欧元。环境干预措施和针对全科医生的干预措施似乎有可能大大提高成本效益。讨论：有证据表明，目前的体力活动干预策略可以是一种具有成本效益的资源分配手段。但是，尽管越来越多的文献对身体活动的促进，适当的成本效益分析是罕见的，所提出的调查结果的普遍性是有限的。有必要进行进一步的研究，以调查行为和环境干预战略的成本效益。
Background: Sedentary and inactive lifestyle continues to increase and is associated with a substantial economic burden in most industrialised countries. To implement effective physical activity interventions on a broad population basis, their cost-effectiveness needs to be evaluated.Objective: To evaluate the cost-effectiveness of physical activity interventions targeted at healthy adults and to identify cost-effective intervention components.Design: Systematic review.Methods and data sources: The search strategy in electronic databases identified relevant literature published until June 2008. We included studies investigating the cost-effectiveness of interventions aiming to promote physical activity behaviour in healthy adults. Two researchers independently assessed publications according to predefined inclusion criteria and with regard to methodological quality. Study characteristics and predefined outcome measures were extracted and costs per participant to become sufficiently active were compared between interventions.Results: Out of 6543 identified publications, eight studies investigating 11 intervention strategies met the inclusion criteria. There was substantial heterogeneity in study quality, intervention strategies and intervention effects. Behavioural interventions were able to promote physical activity, with participants meeting recommended levels of physical activity, for about 800 Euros per year. Environmental interventions and interventions targeted at general practitioners seemed to have the potential to be substantially more cost-effective.Discussion: There was evidence that current physical activity intervention strategies can be a cost-effective means of resource allocation. But, despite the growing literature on physical activity promotion, appropriate cost-effectiveness analyses are rare and the generalisability of presented findings is limited. Further research is warranted to investigate the cost-effectiveness of behavioural and environmental intervention strategies.