Centro de Desarrollo Humano Sostenible, Facultad de Ciencias Económicas, Pontificia Universidad Católica Argentina, Ciudad Autónoma de Buenos Aires, Argentina; Universidad Espíritu Santo, Ecuador.
Public Health. 2023 May;218:25-32. doi: 10.1016/j.puhe.2023.02.011. Epub 2023 Mar 22.
This study estimated the population attributable fractions, preventable deaths, and indirect economic costs from major non-communicable diseases (NCDs) and all causes associated with excessive sitting time in Argentina in 2019.
Population attributable fractions were used to calculate preventable deaths from NCDs and all causes associated with prolonged sitting time (≥6 h/d). Then, the human capital approach was used to quantify the present value of lifetime earnings, which was subsequently used to calculate indirect costs due to lost productivity. A Monte Carlo simulation was performed in three counterfactual scenarios to evaluate the sensitivity of the results.
In Argentinian men and women, respectively, approximately 11.3% (381) [10% (290)] of deaths from colon cancer, 4.4% (250) from breast cancer (women only), 4.6% (588) [4.4% (402)] from coronary heart disease, 30.5% (1390) [27% (1047)] from diabetes, and 14.9% (24,686) [13.7% (21,418)] from all causes could have been avoided annually by eliminating excessive sitting time. The indirect economic costs of excessive sitting time reached 0.025% (0.019%-0.032%) and 0.37% (0.25-0.58%) of gross domestic product (GDP) for major NCDs and all causes, respectively. High levels of heterogeneity were found at the regional level.
Prolonged sitting time generates substantial societal costs. Public policies aimed at reducing excessive sedentary behavior in the overall population, especially in the most affected regions, would represent considerable savings for society as a whole. Such initiatives should address the complex and multifactorial causes of sedentary behavior, the clear gender and age differences in this behavior, and the factors underlying these differences.
本研究旨在估计 2019 年阿根廷与久坐时间过长（≥6 小时/天）相关的主要非传染性疾病（NCD）和所有原因导致的可归因比例、可预防死亡人数和间接经济成本。
采用人群归因分数来计算与久坐时间过长相关的 NCD 和所有原因导致的可预防死亡人数。然后，采用人力资本法来量化终生收入的现值，进而计算因生产力损失而导致的间接成本。在三个反事实情景中进行蒙特卡罗模拟，以评估结果的敏感性。
在阿根廷男性和女性中，每年分别约有 11.3%（381 人）[10%（290 人）]的结肠癌死亡、4.4%（250 人）的乳腺癌死亡（仅限女性）、4.6%（588 人）[4.4%（402 人）]的冠心病死亡、30.5%（1390 人）[27%（1047 人）]的糖尿病死亡和 14.9%（24686 人）[13.7%（21418 人）]的所有原因死亡可通过消除久坐时间过长来预防。久坐时间过长导致的间接经济成本分别占 NCD 和所有原因的国内生产总值（GDP）的 0.025%（0.019%-0.032%）和 0.37%（0.25-0.58%）。在区域层面发现存在高度异质性。
久坐时间过长会产生巨大的社会成本。针对减少总人口中过度久坐行为的公共政策，尤其是在受影响最严重的地区，将为整个社会带来可观的节省。此类举措应针对久坐行为的复杂和多因素原因、这种行为在性别和年龄上的明显差异，以及导致这些差异的因素。
