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Economic evaluation of physical activity interventions for type 2 diabetes management: a systematic review

BACKGROUND: Economic evaluation of physical activity interventions has become an important area for policymaking considering the high costs attributable to physical inactivity. However, the evidence for such interventions targeting type 2 diabetes control is scarce. Therefore, the present study aime...

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Autores principales: Barbosa, Ana, Whiting, Stephen, Ding, Ding, Brito, João, Mendes, Romeu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421413/
https://www.ncbi.nlm.nih.gov/pubmed/36031821
http://dx.doi.org/10.1093/eurpub/ckac074
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author Barbosa, Ana
Whiting, Stephen
Ding, Ding
Brito, João
Mendes, Romeu
author_facet Barbosa, Ana
Whiting, Stephen
Ding, Ding
Brito, João
Mendes, Romeu
author_sort Barbosa, Ana
collection PubMed
description BACKGROUND: Economic evaluation of physical activity interventions has become an important area for policymaking considering the high costs attributable to physical inactivity. However, the evidence for such interventions targeting type 2 diabetes control is scarce. Therefore, the present study aimed to synthesize economic evaluation studies of physical activity interventions for type 2 diabetes management. METHODS: A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 statement (PROSPERO reference number CRD42021231021). An electronic search was performed in PubMed, Web of Science, Cochrane Library and NHS Economic Evaluation Database. Studies were eligible if they included: adults with type 2 diabetes; any physical activity intervention in the community settings; an experimental or quasi-experimental design; and a parameter of economic evaluation [cost analysis of interventions, cost-effectiveness analysis (including cost-utility analysis) and cost-benefit analysis] as an outcome. RESULTS: Ten studies were included in this review: seven were randomized controlled trials and three were quasi-experimental studies. All studies included direct costs, and four also included indirect costs. Four studies demonstrated that physical activity interventions were cost-saving, six studies showed cost-effectiveness, and two studies reported cost-utility. The estimates varied considerably across the studies with different analytical and methodological approaches. CONCLUSION: Overall, this systematic review found that physical activity interventions are a worth investment for type 2 diabetes management. However, comparability across interventions was limited due to heterogeneity in interventions type, design and delivery, which may explain the differences in the economic measures.
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spelling pubmed-94214132022-08-29 Economic evaluation of physical activity interventions for type 2 diabetes management: a systematic review Barbosa, Ana Whiting, Stephen Ding, Ding Brito, João Mendes, Romeu Eur J Public Health Supplement Papers BACKGROUND: Economic evaluation of physical activity interventions has become an important area for policymaking considering the high costs attributable to physical inactivity. However, the evidence for such interventions targeting type 2 diabetes control is scarce. Therefore, the present study aimed to synthesize economic evaluation studies of physical activity interventions for type 2 diabetes management. METHODS: A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 statement (PROSPERO reference number CRD42021231021). An electronic search was performed in PubMed, Web of Science, Cochrane Library and NHS Economic Evaluation Database. Studies were eligible if they included: adults with type 2 diabetes; any physical activity intervention in the community settings; an experimental or quasi-experimental design; and a parameter of economic evaluation [cost analysis of interventions, cost-effectiveness analysis (including cost-utility analysis) and cost-benefit analysis] as an outcome. RESULTS: Ten studies were included in this review: seven were randomized controlled trials and three were quasi-experimental studies. All studies included direct costs, and four also included indirect costs. Four studies demonstrated that physical activity interventions were cost-saving, six studies showed cost-effectiveness, and two studies reported cost-utility. The estimates varied considerably across the studies with different analytical and methodological approaches. CONCLUSION: Overall, this systematic review found that physical activity interventions are a worth investment for type 2 diabetes management. However, comparability across interventions was limited due to heterogeneity in interventions type, design and delivery, which may explain the differences in the economic measures. Oxford University Press 2022-08-26 /pmc/articles/PMC9421413/ /pubmed/36031821 http://dx.doi.org/10.1093/eurpub/ckac074 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Supplement Papers
Barbosa, Ana
Whiting, Stephen
Ding, Ding
Brito, João
Mendes, Romeu
Economic evaluation of physical activity interventions for type 2 diabetes management: a systematic review
title Economic evaluation of physical activity interventions for type 2 diabetes management: a systematic review
title_full Economic evaluation of physical activity interventions for type 2 diabetes management: a systematic review
title_fullStr Economic evaluation of physical activity interventions for type 2 diabetes management: a systematic review
title_full_unstemmed Economic evaluation of physical activity interventions for type 2 diabetes management: a systematic review
title_short Economic evaluation of physical activity interventions for type 2 diabetes management: a systematic review
title_sort economic evaluation of physical activity interventions for type 2 diabetes management: a systematic review
topic Supplement Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421413/
https://www.ncbi.nlm.nih.gov/pubmed/36031821
http://dx.doi.org/10.1093/eurpub/ckac074
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