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Health economic evaluations of interventions to increase physical activity and decrease sedentary behavior at the

Nathanael Lutz1, Peter Clarys, Irène Koenig

  • 1Vrije Universiteit Brussel, Department of Movement and Sport Sciences Pleinlaan 2, 1050 Brussel, Belgium. nathanael.lutz@vub.be.

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Summary

Workplace interventions to increase physical activity (PA) and decrease sedentary behavior (SB) show small effects and uncertain economic impact. More research is needed to identify effective strategies and improve economic evaluations.

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Area of Science:

  • Public Health
  • Health Economics
  • Occupational Health

Background:

  • Workplaces are ideal settings for public health strategies.
  • Economic justification is needed for workplace interventions.
  • Physical activity (PA) and sedentary behavior (SB) impact health.

Purpose of the Study:

  • Critically appraise and synthesize health economic evaluations (HEE) of workplace interventions.
  • Assess the economic viability of interventions targeting PA and SB.

Main Methods:

  • Comprehensive literature search across six databases.
  • Included full HEE of workplace PA/SB interventions.
  • Assessed methodological quality using the CHEC list.

Main Results:

  • Eighteen HEE met criteria, averaging 68% quality score.
  • Interventions showed small, questionable improvements in PA/SB.
  • High heterogeneity in interventions and economic methods; indirect costs were key.

Conclusions:

  • Economic evidence for worksite PA/SB interventions is unclear due to small effects and cost uncertainty.
  • Future studies need validated measures for productivity costs and long-term modeling.
  • Effective strategies require further determination.