National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
BMC Health Serv Res. 2023 Jun 3;23(1):572. doi: 10.1186/s12913-023-09556-8.
This systematic review aims to describe the relation between physical inactivity and healthcare costs, by taking into account healthcare costs of physical-inactivity-related diseases (common practice), including physical-activity-related injuries (new) and costs in life-years gained due to avoiding diseases (new), whenever available. Moreover, the association between physical inactivity and healthcare costs may both be negatively and positively impacted by increased physical activity.
A systematic review was conducted, including records reporting on physical (in)activity in relation to healthcare costs for a general population. Studies were required to report sufficient information to calculate the percentage of total healthcare costs potentially attributable to physical inactivity.
Of the 264 records identified, 25 were included in this review. Included studies showed substantial variation in the assessment methods of physical activity and in type of costs included. Overall, studies showed that physical inactivity is related to higher healthcare costs. Only one study included costs of healthcare resources used in prolonged life when physical-inactivity-related diseases were averted, showing net higher healthcare costs. No study included healthcare costs for physical-activity-related injuries.
Physical inactivity is associated with higher healthcare costs in the general population in the short-term. However, in the long-term aversion of diseases related with physical inactivity may increase longevity and, as a consequence, healthcare costs in life-years gained. Future studies should use a broad definition of costs, including costs in life-years gained and costs related to physical-activity-related injuries.
本系统评价旨在描述身体活动不足与医疗保健成本之间的关系，同时考虑到与身体活动不足相关的疾病的医疗保健成本（常见做法），包括与身体活动相关的损伤（新）以及因避免疾病而获得的生命年的成本（新），只要有可用数据。此外，身体活动不足与医疗保健成本之间的关联可能会受到身体活动增加的负面影响和正面影响。
进行了系统评价，包括报告一般人群中身体（活动）与医疗保健成本之间关系的记录。研究报告必须提供足够的信息来计算可能归因于身体不活动的总医疗保健成本的百分比。
在确定的 264 条记录中，有 25 条被纳入本综述。纳入的研究在身体活动评估方法和纳入的成本类型方面存在很大差异。总体而言，研究表明身体不活动与更高的医疗保健成本有关。只有一项研究纳入了因避免与身体不活动相关的疾病而延长生命时使用的医疗保健资源成本，显示出净更高的医疗保健成本。没有研究纳入与身体活动相关的损伤的医疗保健成本。
身体不活动与一般人群的短期医疗保健成本较高有关。然而，从长期来看，避免与身体活动相关的疾病可能会增加寿命，并因此增加获得生命年的医疗保健成本。未来的研究应使用广泛的成本定义，包括获得生命年的成本和与身体活动相关的损伤相关的成本。
