Evidence map›Paper›PMID 36934340›Full record

ArticleAge and ageing2023

Cost-effectiveness of physical activity programs and services for older adults: a scoping review.

Marina B Pinheiro, Kirsten Howard, Juliana S Oliveira, Wing S Kwok, Anne Tiedemann, Belinda Wang, Jennifer Taylor, Adrian Bauman, Catherine Sherrington

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

9 authors.

Marina B PinheiroSydney Local Health District, Institute for Musculoskeletal Health, The University of Sydney, Sydney, Australia.ORCID 0000-0001-7459-5105
Kirsten HowardFaculty of Medicine and Health, Sydney School of Public Health, The University of Sydney, Sydney, Australia.
Juliana S OliveiraSydney Local Health District, Institute for Musculoskeletal Health, The University of Sydney, Sydney, Australia.
Wing S KwokSydney Local Health District, Institute for Musculoskeletal Health, The University of Sydney, Sydney, Australia.ORCID 0000-0002-6806-3011
Anne TiedemannSydney Local Health District, Institute for Musculoskeletal Health, The University of Sydney, Sydney, Australia.
Belinda WangSydney Local Health District, Institute for Musculoskeletal Health, The University of Sydney, Sydney, Australia.
Jennifer TaylorSydney Local Health District, Institute for Musculoskeletal Health, The University of Sydney, Sydney, Australia.
Adrian BaumanFaculty of Medicine and Health, Sydney School of Public Health, The University of Sydney, Sydney, Australia.
Catherine SherringtonSydney Local Health District, Institute for Musculoskeletal Health, The University of Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence supporting physical activity for older adults is strongly positive. Implementation and scale-up of these interventions need to consider the value for money. This scoping review aimed to assess the volume of (i) systematic review evidence regarding economic evaluations of physical activity interventions, and (ii) of cost utility analysis (CUA) studies (trial- or model-based) of physical activity interventions for older people.

methodsWe searched five databases (January 2010 to February 2022) for systematic reviews of economic evaluations, and two databases (1976 to February 2022) for CUA studies of physical activity interventions for any population of people aged 60+ years.

resultsWe found 12 potential reviews, two of which were eligible for inclusion. The remaining 10 reviews included eligible individual studies that were included in this review. All individual studies from the 12 reviews (n = 37) investigated the cost-effectiveness of structured exercise and most showed the intervention was more costly but more effective than no intervention. We identified 27 CUA studies: two investigated a physical activity promotion program and the remainder investigated structured exercise. Most interventions (86%) were more costly but more effective, and the remaining were cost-saving compared to no intervention.

conclusionsThere is a scarcity of reviews investigating the value for money of physical activity interventions for older adults. Most studies investigated structured exercise. Physical activity interventions were generally more effective than no intervention but more costly. As such an intervention could be cost-effective and therefore worthy of wider implementation, but there is a need for more frequent economic evaluation in this field.

Indexed as

ExerciseAgedCost-Benefit AnalysisHumansageingeconomic evaluationolder peoplephysical activityscoping reviewsystematic review

Identifiers

PMID36934340
PMCPMC10024893

What OpenQuestion holds

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Registered trials

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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.