减少儿童静坐时间和增加学校体育活动的成本效益:Transform-Us! 干预干预干预干预干预干预
Vicki Brown1, Lauren Sheppard2, Jo Salmon3
1Deakin University, Deakin Health Economics, Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation (IHT), Geelong, Australia. victoria.brown@deakin.edu.au.
The international journal of behavioral nutrition and physical activity
|February 12, 2024
概括
我们的变形者! 学校干预促进身体活动 (PA-I) 和减少儿童的久坐行为 (SB-I) 是具有成本效益的. 它提供了显著的健康益处和医疗保健成本节省,特别是如果干预效应持续长期.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 卫生经济学 卫生经济学
背景情况:
- 儿童肥胖和身体不活动会造成长期的慢性疾病风险.
- 小学干预对于促进儿童健康的生活方式至关重要.
- 我们的变形者! 这项研究评估了8-9岁儿童的多组分干预措施.
研究的目的:
- 为了确定转变-我们!的成本效益. 干预,干预,干预,干预.
- 评估促进体育活动 (PA-I) 和减少久坐行为 (SB-I) 对健康结果和成本的影响.
- 从公共支付者的角度分析长期的经济和健康效益.
主要方法:
- 使用来自集群随机对照试验的数据进行成本效益分析.
- 一个为期30个月的干预,采用教学和环境战略.
- 一个经过验证的多个队列终身模型 (ACE-肥胖政策模型) 来估计终身结果和成本节省.
- 敏感性分析测试不同输入参数的影响,包括干预效应的维护.
主要成果:
- PA-I和SB-I分支占主导地位,如果效应保持下去,可以获得净健康益处和成本节省.
- 对澳大利亚人口进行推断,PA-I可以节省60780个HALY和641M澳元;SB-I可以节省61126个HALY和654M澳元.
- 干预仍然具有成本效益,即使在敏感性分析中干预效应的十年衰退.
结论:
- 转换器的PA-I和SB-I组件可以使用. 干预提供良好的金钱价值.
- 持续的干预效应可以带来显著的健康益处和医疗成本节省.
- 这些干预措施显示出在晚年预防慢性疾病的潜力.
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