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Physical activity interventions for primary prevention in adults: a systematic review of randomized controlled trial-based economic evaluations

Mattli, Renato and Farcher, Renato and Syleouni, Maria-Eleni and Wieser, Simon and Probst-Hensch, Nicole and Schmidt-Trucksäss, Arno and Schwenkglenks, Matthias. (2019) Physical activity interventions for primary prevention in adults: a systematic review of randomized controlled trial-based economic evaluations. Sports Medicine. https://doi.org/10.1007/s40279-019-01233-3.

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Official URL: https://edoc.unibas.ch/76118/

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Abstract

Physical inactivity is a worldwide pandemic associated with major chronic diseases. Given limited resources, policy makers are in need of physical activity interventions that provide best value for money.; To summarize evidence from RCT-based economic evaluations of primary prevention physical activity interventions in adult populations outside the workplace setting.; Systematic review of health economic evaluations. Incremental cost-effectiveness ratios (ICERs) in US$ per MET-hour gained were estimated on the basis of mean differences in intervention costs and standardized effects between intervention and control groups.; Identification of relevant studies via systematic searches in electronic databases (MEDLINE, Embase and NHSEED).; Cost-effectiveness analyses in which all data (except unit costs) came from one RCT investigating physical activity interventions for primary prevention or health promotion in an adult population in high-income countries.; In twelve eligible studies, 22 interventions were investigated. Interventions were based on advice, goal setting and follow-up support, exercise classes, financial incentives or teaching on behavioral change. The ICER varied widely among the interventions and four interventions showed an ICER below the applied benchmark of US$0.44 to US$0.63 per MET-hour gained. These four interventions were based on individualized advice via print or web.; We found evidence from RCTs indicating cost-effectiveness of some physical activity interventions for primary prevention in adults. However, the majority of interventions assessed would not be cost-effective according to the benchmark applied. Furthermore, our study showed that trial-based evidence on cost-effectiveness of physical activity interventions is scarce. Therefore, we recommend that future studies investigating the efficacy or effectiveness of such interventions consider costs as an additional outcome and assess cost-effectiveness.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Pharmazeutische Medizin ECPM > Pharmazeutische Medizin (Szucs)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Chronic Disease Epidemiology > Genetic Epidemiology of Non-Communicable Diseases (Probst-Hensch)
03 Faculty of Medicine > Departement Public Health > Sozial- und Präventivmedizin > Genetic Epidemiology of Non-Communicable Diseases (Probst-Hensch)
03 Faculty of Medicine > Departement Sport, Bewegung und Gesundheit > Bereich Sport- und Bewegungsmedizin > Sportmedizin (Schmidt-Trucksäss)
UniBasel Contributors:Schwenkglenks, Matthias and Mattli, Renato and Probst Hensch, Nicole and Schmidt-Trucksäss, Arno and ,
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Adis International
ISSN:0112-1642
e-ISSN:1179-2035
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:27 Mar 2020 08:20
Deposited On:27 Mar 2020 08:20

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