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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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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. |
format | Online Article Text |
id | pubmed-9421413 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
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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