García Christian Martín, González-Jurado José Antonio
Pontificia Universidad Católica Argentina, Cuidad Autónoma de Buenos Aires, Argentina.
Facultad de Ciencias del Deporte, Universidad Pablo de Olavide, Sevilla, España.
Rev Panam Salud Publica. 2017 Aug 21;41:e92. doi: 10.26633/RPSP.2017.92.
Estimate mortality and economic costs from cardiovascular diseases attributable to physical inactivity in Argentina.
Attributable mortality (AM) from physical inactivity was estimated as the product of the population attributable fraction and the number of deaths caused by associated cardiovascular diseases. Value of statistical life (VSL) was calculated using the human capital approach, in which VSL was estimated through lost productivity from premature death. Economic costs were calculated using AM and VSL, stratifying by sex, age group, and physical activity level. A sensitivity analysis was used to evaluate how costs vary in three possible scenarios.
AM from low and moderate physical activity ranged from 33 (18 to 24 years) to 7 857 (>84 years) deaths annually in both sexes. VSL ranged from I$441 005 (international dollars) (18 to 24 years) to I$4,121 (>84 years). Assessment of total costs by sex indicates that economic losses amounted to I$752.5 million for men and I$444.5 million for women.
Economic losses ranged from 0.61% of GDP for the minimum scenario, 0.85% for the average scenario, and 1.48% for the maximum scenario. Stronger public policy-making aimed at reduction of sedentary lifestyles in Argentina is recommended.
估算阿根廷因身体活动不足导致的心血管疾病死亡率和经济成本。
将身体活动不足导致的归因死亡率（AM）估算为人群归因分数与相关心血管疾病所致死亡人数的乘积。采用人力资本法计算统计生命价值（VSL），其中VSL通过过早死亡导致的生产力损失来估算。使用AM和VSL计算经济成本，并按性别、年龄组和身体活动水平进行分层。采用敏感性分析评估成本在三种可能情景下的变化情况。
男女因低和中度身体活动导致的AM每年从33例（18至24岁）到7857例（>84岁）不等。VSL从441,005国际美元（18至24岁）到4121国际美元（>84岁）不等。按性别评估总成本表明，男性的经济损失为7.525亿阿根廷比索，女性为4.445亿阿根廷比索。
经济损失在最低情景下占国内生产总值的0.61%，平均情景下占0.85%，最高情景下占1.48%。建议在阿根廷制定更强有力的公共政策，以减少久坐不动的生活方式。
