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Cost effectiveness of community-based physical activity interventions

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From Māori Health Review Issue 18
Authors:
  • Roux L et al
Summary:

A lifetime cost-effectiveness analysis was developed to evaluate the costs, health gains, and cost-effectiveness (dollars per quality-adjusted life year [QALY] gained, relative to no intervention) of seven population-wide strategies to promote physical activity in healthy adults. All of the interventions were found to be cost-effective in reducing coronary heart disease, ischaemic stroke, colorectal and breast cancers, and type 2 diabetes. Cost-effectiveness ratios ranged between $US14,000 and $US69,000 per QALY gained, relative to no intervention.

Comment:
A useful paper for people working in the area of ‘physical activity’. Provides some great examples of community-based initiatives and also evidence for their effectiveness.
Reference: Am J Prev Med. 2008;35(6):578-88
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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