[Costs of health. Costs-effectiveness in case of lifestyle changes].
Economical burden for the individuals and for the national budgets of chronic cardio-vasculo-metabolic diseases is high and is rapidly increasing. Costs of treatments and prevention are very different in countries of diverse culture, ethnicity, social-economical situations, but prevention with healthy foods and with adequate physical activity are cheaper than medicines anywhere in the world. A great couple of studies approved cost-effectiveness of interventions directed to the change of life style factors. Cheaper is to influence the whole, yet healthy population, but interventions on people with high risk are more target-specific and usually more expensive. Enhanced physical activity (minimum 30 minutes five times per week with low-medium intensity, plus resistance exercises for maintain the muscle mass and force, plus stretching and calisthenics to maintain joints motility) can be promoted by few hundred-few ten hundred euros or dollars. Price of gain in Quality/Disability-Adjusted Life Years expressed as Incremental Cost Effectiveness/Utility Ratio is known, estimated or modelled, and offers a good value of money.
Apor
Péter
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Semmelweis Egyetem Testnevelés és Sporttudományi Kara, Budapest, Apor-Med Bt. p.apor.md@freemail
D015992:Body Mass Index; D017281:Cost of Illness; D003362:Cost-Benefit Analysis; D003920:Diabetes Mellitus / Q000191:economics* / Q000517:prevention & control; D017048:Health Care Costs; D006801:Humans; D006814:Hungary; D009203:Myocardial Infarction / Q000191:economics* / Q000517:prevention & control; D009765:Obesity / Q000191:economics* / Q000517:prevention & control; D011322:Primary Prevention / Q000191:economics / Q000379:methods; D040242:Risk Reduction Behavior; D057185:Sedentary Behavior; D015431:Weight Loss