Does Age Modify the Cost-Effectiveness of Community-Based Physical Activity Interventions?

Details

• Alternative Title:
  J Phys Act Health
• Personal Author:
  Roux, Larissa ; Pratt, Mike ; Lee, I-Min ; Bazzarre, Terry ; Buchner, David
• Description:
  Background
  
  Community-based efforts to promote physical activity (PA) in adults have been found to be cost-effective in general, but it is unknown if this is true in middle-age specifically. Age group-specific economic evaluations could help inform the design and delivery of better and more tailored PA promotion.
  
  Methods
  
  A Markov model was developed to estimate the cost-effectiveness (CE) of 7 exemplar community-level interventions to promote PA recommended by the Guide to Community Preventive Services, over a 20-year horizon. The CE of these interventions in 25- to 64-year-old adults was compared with their CE in middle-aged adults, aged 50 to 64 years. The robustness of the results was examined through sensitivity analyses.
  
  Results
  
  Cost/QALY (quality-adjusted life year) of the evaluated interventions in 25- to 64-year-olds ranged from $42,456/QALY to $145,868/QALY. Interventions were more cost-effective in middle-aged adults, with CE ratios 38% to 47% lower than in 25- to 64-year-old adults. Sensitivity analyses showed greater than a 90% probability that the true CE of 4 of the 7 interventions was below $125,000/QALY in adults aged 50 to 64 years.
  
  Conclusion
  
  The exemplar PA promotion interventions evaluated appeared to be especially cost-effective for middle-aged adults. Prioritizing such efforts to this age group is a good use of societal resources.
  
  
• Subjects:
  Adult Age Factors Cost-Benefit Analysis Exercise Health Promotion Humans Middle Aged Models, Statistical Motor Activity Quality-Adjusted Life Years Quality Of Life

  More +
• Keywords:
  Economics Exercise Health Promotion Middle-age
• Source:
  J Phys Act Health. 12(2):224-231
• Pubmed ID:
  24836847
• Pubmed Central ID:
  PMC6520650
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  12
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:12d670b0a9ca62ccd47861b48b8e9aaf74ad70ef39aabd69a84b3278d917247c6917fcdee4f3b3542149012b7bf095f11cfbdee03439cad90316458ccd83c006
• Download URL:
  https://stacks.cdc.gov/view/cdc/78536/cdc_78536_DS1.pdf
• File Type:
  [PDF - 386.47 KB ]