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HEALTH ECONOMICS, MPH SPRING 2009

HEALTH ECONOMICS, MPH SPRING 2009. Costs and effects of introducing a schoolbased intervention on one hour mandatory physical activity per day Solveig Forberg Axelsen, Eva Birke, Hanne Borch-Christensen and Gitte Frydenlund. BENEFITS OF PHYSICAL ACTIVITY.

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HEALTH ECONOMICS, MPH SPRING 2009

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  1. HEALTH ECONOMICS, MPH SPRING 2009 Costs and effects of introducing a schoolbased intervention on one hour mandatory physical activity per day Solveig Forberg Axelsen, Eva Birke, Hanne Borch-Christensen and Gitte Frydenlund

  2. BENEFITS OF PHYSICAL ACTIVITY • Develop healthy musculosceletal tissues • Develop a healthy cardiovascular system • Develop neuromuscular awareness (coordination and movement control) • Maintain a healthy body weight • Psycological benefits (control over anxiety and depression) (WHO)

  3. FOUNDATIONS/BACKGROUND • WHO estimates that physical inactivity results in 1.9 million deaths yearly world wide • 60% of adults worldwide are non-compliant to recommendations • Social inequality in physical activity (poor people have less free time and poorer access to leisure facilities)

  4. PHYSICAL INACTIVITY IN DENMARK • 7-8 % of all deaths (4.500 persons/year) • 50.000 lost life years equally distributed among men and women • Accounts for a reduction in life expectancy of the Danish population of 9-10 months • Physical inactivity reduces QALY’s by seven years. • Accounts for 100.000 admissions to hospitals • 2.6 million contacts to GP’s per year • 3.6 million days of sickness absence from work • 1.200 health related early retirement pensions a year Risk factors and public Health in Denmark (2007)

  5. INTERVENTION • 1 hour mandatory physical activity from 4th to 9th grade in all schools in DK • Purpose: improving long lasting habits with regards to physical activity in adulthood • Leading to a reduction in lifestyle diseases such as diabetes and coronary heart disease and a gain in QALY´s and life expectancy

  6. COST EFFECTIVENESS ANALYSIS • Costs in DKK • Effect in QALY’s • Cost-effectiveness ratio

  7. MODEL Decision tree A (20%) Intervention:1 hour physical activity per day B (40%) C (60%) No intervention

  8. COSTS

  9. EFFECT IN QALY’S

  10. C/E RATIO

  11. SENSITIVITY ANALYSIS

  12. CONCLUSION • One hour mandatory physical activity per day in schools is a cost-effective intervention 

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