身体活動不足による経済的負担:主要な非伝染性疾患の総合的な分析
Ding Ding1, Kenny D Lawson2, Tracy L Kolbe-Alexander3
1Prevention Research Collaboration/the Charles Perkins Centre, Sydney School of Public Health, The University of Sydney, Camperdown, NSW, Australia; Centre for Chronic Disease Prevention, College of Public Health, Medical and Veterinary Sciences, James Cook University, Cairns, QLD, Australia.
Lancet (London, England)
|August 1, 2016
まとめ
身体的活動不足は 世界保健システムに 毎年538億ドルのコストをかけており 病気や生産性の低下に 大きく貢献しています 非伝染性疾患とその経済的影響を減らすには 身体活動の優先順位が重要です
科学分野:
- 公衆衛生
- 健康 経済
- 流行病学について
背景:
- 身体的活動不足は慢性疾患や 早期死亡に繋がる世界的なパンデミックです
- 身体活動不足による経済的負担は 世界的に見ても 計り知れないままです
- この経済的影響を理解することは 資源の優先順位を決め グローバルな運動活動のイニシアチブを 推進するために不可欠です
研究 の 目的:
- 身体活動不足による世界的な経済的負担を定量化するためです
- 身体活動不足による直接的な医療費,生産性損失,障害調整寿命 (DALY) を推定する.
- 身体活動の促進を優先させるための証拠を提供すること.
主な方法:
- 主要な疾患 (冠動脈疾患,脳卒中,2型糖尿病,乳癌,結腸癌) の直接医療費とDALYの推定値
- 身体的不活動による死亡率の摩擦コストアプローチを用いて生産性の損失を計算した.
- 142か国からの全国的な身体不活性率データを利用し,人口による割合 (PAF) を調整した.
主要な成果:
- 身体的活動不足は 2013年に推定538億ドルの 世界的な医療費をもたらしました
- 公的支出は 312 億ドル,私的支出は 129 億ドル,家庭支出は 97 億ドルであった.
- 世界中で137億ドルの生産性損失と1340万ドルのDALYをもたらしました.
結論:
- 身体的活動不足は 発病率や早死率以外にも 大きな経済的負担を及ぼします
- 高所得国は 経済的コストの多くを負い 低所得国や中所得国は 病気の重荷を 背負っています
- この研究は,非伝染性疾患と闘うために,世界的に定期的な身体活動の促進を優先させる必要性を強調しています.
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