Evidence map›Paper›PMID 34488794›Full record

ArticleThe international journal of behavioral nutrition and physical activity2021

Cost-effectiveness of physical activity intervention in children - results based on the Physical Activity and Nutrition in Children (PANIC) study.

Virpi Kuvaja-Köllner, Niina Lintu, Virpi Lindi, Elisa Rissanen, Aino-Maija Eloranta, Sanna Kiiskinen, Janne Martikainen, Eila Kankaanpää, Hannu Valtonen, Timo A Lakka

Registry-linked trialOpen access · goldAbstract readControlled Clinical Trial
In one paragraph

Article in The international journal of behavioral nutrition and physical activity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01803776 (The Physical Activity and Nutrition in Children), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT01803776 naunknown statusnot on this map

The Physical Activity and Nutrition in Children (PANIC) Study

TypeinterventionalSponsorUniversity of Eastern FinlandRan2007 to 2023Enrolled504ConditionsOverweight, Glucose Metabolism Disorders, Lipid Metabolism Disorders, Blood PressureArmslifestyle counseling
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Virpi Kuvaja-KöllnerDepartment of Health and Social Management, University of Eastern Finland, Kuopio, Finland. virpi-liisa.kuvaja-kollner@uef.fi.
Niina LintuInstitute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Finland.
Virpi LindiInstitute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Finland.
Elisa RissanenDepartment of Health and Social Management, University of Eastern Finland, Kuopio, Finland.
Aino-Maija ElorantaInstitute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Finland.
Sanna KiiskinenInstitute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Finland.
Janne MartikainenSchool of Pharmacy, University of Eastern Finland, Kuopio, Finland.
Eila KankaanpääDepartment of Health and Social Management, University of Eastern Finland, Kuopio, Finland.
Hannu ValtonenDepartment of Health and Social Management, University of Eastern Finland, Kuopio, Finland.
Timo A LakkaInstitute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Finland.
University of Eastern Finland · FIKuopio University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe assessed the cost-effectiveness of a 2-year physical activity (PA) intervention combining family-based PA counselling and after-school exercise clubs in primary-school children compared to no intervention from an extended service payer's perspective.

methodsThe participants included 506 children (245 girls, 261 boys) allocated to an intervention group (306 children, 60 %) and a control group (200 children, 40 %). The children and their parents in the intervention group had six PA counselling visits, and the children also had the opportunity to participate in after-school exercise clubs. The control group received verbal and written advice on health-improving PA at baseline. A change in total PA over two years was used as the outcome measure. Intervention costs included those related to the family-based PA counselling, the after-school exercise clubs, and the parents' taking time off to travel to and participate in the counselling. The cost-effectiveness analyses were performed using the intention-to-treat principle. The costs per increased PA hour (incremental cost-effectiveness ratio, ICER) were based on net monetary benefit (NMB) regression adjusted for baseline PA and background variables. The results are presented with NMB and cost-effectiveness acceptability curves.

resultsOver two years, total PA increased on average by 108 h in the intervention group (95 % confidence interval [CI] from 95 to 121, p < 0.001) and decreased by 65.5 h (95 % CI from 81.7 to 48.3, p < 0.001) in the control group, the difference being 173.7 h. the incremental effectiveness was 87 (173/2) hours. For two years, the intervention costs were €619 without parents' time use costs and €860 with these costs. The costs per increased PA hour were €6.21 without and €8.62 with these costs. The willingness to pay required for 95 % probability of cost-effectiveness was €14 and €19 with these costs. The sensitivity analyses revealed that the ICER without assuming this linear change in PA were €3.10 and €4.31.

conclusionsThe PA intervention would be cost-effective compared to no intervention among children if the service payer's willingness-to-pay for a 1-hour increase in PA is €8.62 with parents' time costs.

trial registrationClinicalTrials.gov: NCT01803776. Registered 4 March 2013 - Retrospectively registered, https://clinicaltrials.gov/ct2/results?cond=&term=01803776&cntry=&state=&city=&dist= .

Indexed as

Child Nutritional Physiological PhenomenaExerciseChildCost-Benefit AnalysisFemaleHumansMaleQuality-Adjusted Life YearsSchoolsChildrenCost-effectivenessFamilyInterventionMulticomponentNet monetary benefitPhysical activitySchool

Identifiers

PMID34488794
PMCPMC8419957
OpenAlexW3197347819

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.