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Randomized Controlled Trial to Study the Acute Effects of Strength Exercise on Insulin Sensitivity in Obese Adults

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Published on: December 1, 2023

Cost-effectiveness of exercise programs in type 2 diabetes.

Doug Coyle¹, Kathryn Coyle, Glen P Kenny

¹University of Ottawa, Ontario, Canada. dcoyle@uottawa.ca

International Journal of Technology Assessment in Health Care

|September 18, 2012

Summary

This summary is machine-generated.

Supervised exercise programs for type 2 diabetes improve health outcomes. A combined resistance and aerobic exercise program offers the most cost-effective approach, demonstrating efficient use of healthcare resources.

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Area of Science:

Endocrinology
Metabolic Diseases
Exercise Physiology

Background:

Supervised, facility-based exercise training improves glycemic control in type 2 diabetes.
These programs incur additional costs, necessitating cost-effectiveness evaluations.
The Diabetes Aerobic and Resistance Exercise (DARE) trial provides data for this analysis.

Purpose of the Study:

To assess the cost-effectiveness of different supervised exercise programs for type 2 diabetes.
To compare resistance, aerobic, and combined exercise programs against a no-exercise control group.
To determine the most economically viable exercise intervention for diabetes management.

Main Methods:

Utilized data from the DARE clinical trial comparing resistance, aerobic, combined exercise, and control groups.
Employed the UKPDS economic model for type 2 diabetes, adapted for the Canadian context.
Estimated life-years, quality-adjusted life-years (QALYs), and costs for each patient group.

Main Results:

The combined exercise program yielded the highest QALYs (8.94) but also the highest cost ($40,050).
The incremental cost per QALY gained was $4,792 for combined vs. aerobic exercise.
Sensitivity analysis confirmed the cost-effectiveness of the combined exercise program across various scenarios.

Conclusions:

A combined resistance and aerobic exercise program is the most cost-effective intervention for type 2 diabetes.
Supervised exercise training for individuals with diabetes represents an efficient allocation of healthcare resources.
These findings support the integration of comprehensive exercise programs into diabetes care guidelines.