Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia; Global Obesity Centre, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.
Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.
Prev Med. 2022 Mar;156:106964. doi: 10.1016/j.ypmed.2022.106964. Epub 2022 Jan 25.
METHODS: RESULTS: We identified nine articles (conducted in Australia (n = 5), Europe (n = 3) and China (n = 1)); three reported healthcare costs associated with excessive sedentary time, whilst six were economic evaluations of interventions targeting sedentary behaviour. Healthcare costs associated with excessive sedentary time as reported in cost of illness studies were substantial; however, none explored non-health sector costs. In contrast, all full economics evaluations adopted a societal perspective; however, costs included differed depending on the intervention context. One sedentary behaviour intervention in children was cost-saving. The five interventions targeting occupational sitting time of adults in office workplaces were cost-effective. Physical environmental changes such as sit-stand desks, active workstations etc., were the key cost driver.
Sedentary behaviour is likely associated with excess healthcare costs, although future research should also explore costs across other sectors. Cost-effectiveness evidence of sedentary behaviour reduction interventions in workplaces is limited but consistent. Key gaps relate to the economic credentials of interventions targeting children, and modelling of long-term health benefits of interventions.
方法：结果：我们确定了 9 篇文章（在澳大利亚（n=5）、欧洲（n=3）和中国（n=1）进行）；其中 3 篇报道了与过度久坐相关的医疗保健成本，而 6 篇是针对久坐行为干预措施的经济评估。成本-of-illness 研究中报道的与过度久坐相关的医疗保健成本相当可观；然而，没有研究非卫生部门的成本。相比之下，所有全面的经济评估都采用了社会视角；然而，成本的包含取决于干预的背景。一项针对儿童久坐行为的干预措施实现了成本节约。五项针对办公室工作人员职业久坐时间的干预措施具有成本效益。物理环境变化，如坐站两用办公桌、活动工作站等，是主要的成本驱动因素。结论：久坐行为可能与过度的医疗保健成本有关，尽管未来的研究还应探索其他领域的成本。减少工作场所久坐行为的干预措施的成本效益证据有限，但一致。主要差距与针对儿童的干预措施的经济凭证以及干预措施的长期健康效益建模有关。
