ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2014
Impact and cost-effectiveness of a universal strategy to promote physical activity in primary care: population-based cohort study and Markov model.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Are brief interventions to increase physical activity cost-effective? A systematic review.British journal of sports medicine · 2016Pooled it
- Five-year cost-effectiveness analysis of the European Fans in Training (EuroFIT) physical activity intervention for men versus no intervention.The international journal of behavioral nutrition and physical activity · 2020Trial
- Relationship of meeting physical activity guidelines with quality-adjusted life-years.Seminars in arthritis and rheumatism · 2014Trial
- How Is Scale Incorporated Into the Economic Evaluation of Interventions to Prevent Obesity or to Improve Obesity-Related Risk Factors: A Systematic Scoping Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Prevention Lab: a predictive model for estimating the impact of prevention interventions in a simulated Italian cohort.BMC public health · 2024Article
- Healthcare providers' promotion of physical activity among child and adolescent cancer survivors: strategies and challenges.Journal of cancer survivorship : research and practice · 2023Article
- Estimating the cost-effectiveness of salt reformulation and increasing access to leisure centres in England, with PRIMEtime CE model validation using the AdViSHE tool.BMC health services research · 2019Article
- Article
- Choosing an epidemiological model structure for the economic evaluation of non-communicable disease public health interventions.Population health metrics · 2016Article
- The Evidence in Support of Physicians and Health Care Providers as Physical Activity Role Models.American journal of lifestyle medicine · 2016Article
- Comment on: "impact and cost-effectiveness of a universal strategy to promote physical activity in primary care".The European journal of health economics : HEPAC : health economics in prevention and care · 2015Article
- Social and material deprivation and the cost-effectiveness of an intervention to promote physical activity: cohort study and Markov model.Journal of public health (Oxford, England) · 2014Article
- Cost-effectiveness of a universal strategy of brief dietary intervention for primary prevention in primary care: population-based cohort study and Markov model.Cost effectiveness and resource allocation : C/E · 2014Article
- The economic burden of self-reported and undiagnosed cardiovascular diseases and diabetes on Indonesian households.PloS one · 2014Article
- Impact of deprivation on occurrence, outcomes and health care costs of people with multiple morbidity.Journal of health services research & policy · 2013Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundThis study aimed to estimate the cost-effectiveness of a universal strategy to promote physical activity in primary care.
methodsData were analysed for a cohort of participants from the general practice research database. Empirical estimates informed a Markov model that included five long-term conditions (diabetes, coronary heart disease, stroke, colorectal cancer and depression). Simulations compared an intervention promoting physical activity in healthy adults with standard care. The intervention effect on physical activity was from a meta-analysis of randomised trials. The annual cost of intervention, in the base case, was one family practice consultation per participant year. The primary outcome was net health benefit in quality adjusted life years (QALYs).
resultsA cohort of 262,704 healthy participants entered the model. Intervention was associated with an increase in life years lived free from physical disease. With 5 years intervention the increase was 52 (95 % interval -11 to 115) per 1,000 participants entering the model (probability increased 91.9 %); with 10 years intervention the increase was 102 (42-164) per 1,000 (probability 99.7 %). Net health benefits at a threshold of £30,000 per QALY were 3.2 (-11.1 to 16.9) QALYs per 1,000 participants with 5 years intervention (probability cost-effective 64.7 %) and 5.0 (-9.5 to 19.3) with 10 years intervention (probability cost-effective 72.4 %).
conclusionsA universal strategy to promote physical activity in primary care has the potential to increase life years lived free from physical disease. There is only weak evidence that a universal intervention strategy might prove cost-effective.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.