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Economic burden of physical inactivity: healthcare costs associated with cardiovascular disease
Abstract
Increasingly important objectives for developed and especially for developing countries include increasing the numbers of individuals who do not smoke, who eat healthy diets and who are physically active at levels that are health enhancing. In developing countries, deaths from chronic disease are projected to increase from 56% of all deaths in 2005 to 65% by 2030 (driven largely driven by deaths due to cardiovascular and coronary heart disease); in developed countries, however, the increase is only from 87.5 to 88.5%. The data on physical inactivity presented in this review were derived primarily from World Health Organization (WHO) publications and data warehouses. The prevalence of physical inactivity at less than the levels recommended for enhancing health is high; from 17 to 91% in developing countries and from 4 to 84% in developed countries. In developed countries, physical inactivity is associated with considerable economic burden, with 1.5-3.0% of total direct healthcare costs being accounted for by physical inactivity. Other than on some exciting work in Brazil, there is little information on the effectiveness and cost-effectiveness of physical activity-enhancement strategies in developing countries. The WHO has signaled a shift from the treatment of illness to promotion of health, with an emphasis on changing modifiable health-risk factors, including smoking, unhealthy diets and physical inactivity: the real question, especially for developing countries, is 'what is the future healthcare cost of not encouraging healthier lifestyles today?'
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“In a meta-analysis of prospective cohort studies, each 2% of calories from trans fat was associated with a 23% higher risk of CHD (RR, 1.23; 95% CI, 1.11–1.37).”
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Metadata
- Authors
- Oldridge, N. B.
- Affiliations
- University of Wisconsin School of Medicine and Public Health, College of Health Sciences, University of Wisconsin and Cardiology Fellow Research, Comprehensive Cardiovascular Care Group, Milwaukee, Wisconsin, USA
- Corresponding author
- Oldridge, Neil B.
- ORCID
- Oldridge, Neil B.
- Venue
- European Journal of Cardiovascular Prevention & Rehabilitation
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-04
- Volume
- 15
- Issue
- 2
- Pages
- 130-139
- ISSN
- 1741-8267 (ISSN-L)
- OpenAlex
- W1988595128
- Cited by
- 218
- References
- 48
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 4 · 2023: 6 · 2022: 8 · 2021: 10 · 2020: 15 · 2019: 13 · 2018: 12 · 2017: 19 · 2016: 16 · 2015: 20 · 2014: 26 · 2013: 20 · 2012: 16
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Cardiovascular Prevention & Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
- Keywords
- physical inactivity, economic burden, health care costs, cardiovascular disease, coronary artery disease, developing countries, lifestyle promotion
- MeSH terms
- Cardiovascular Diseases, Chronic Disease, Cost-Benefit Analysis, Developing Countries, Health Expenditures, Health Promotion, Humans, Life Style, National Health Programs, Global Health, World Health Organization, Exercise, Health Care Costs, Developed Countries
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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