Direct healthcare costs of sedentary behaviour in the UK

L. Heron, O'Neil C, H. McAneney, F Kee, Mark Tully

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background Growing evidence indicates that prolonged sedentary behaviour increases the risk of several chronic health conditions and all-cause mortality. Sedentary behaviour is prevalent among adults in the UK. Quantifying the costs associated with sedentary behaviour is an important step in the development of public health policy. Methods National Health Service (NHS) costs associated with prolonged sedentary behaviour (≥6 hours/day) were estimated over a 1-year period in 2016-2017 costs. We calculated a population attributable fraction (PAF) for five health outcomes (type 2 diabetes, cardiovascular disease [CVD], colon cancer, endometrial cancer and lung cancer). Adjustments were made for potential double-counting due to comorbidities. We also calculated the avoidable deaths due to prolonged sedentary behaviour using the PAF for all-cause mortality. Results The total NHS costs attributable to prolonged sedentary behaviour in the UK in 2016-2017 were £0.8 billion, which included expenditure on CVD (£424 million), type 2 diabetes (£281 million), colon cancer (£30 million), lung cancer (£19 million) and endometrial cancer (£7 million). After adjustment for potential double-counting, the estimated total was £0.7 billion. If prolonged sedentary behaviour was eliminated, 69 276 UK deaths might have been avoided in 2016. Conclusions In this conservative estimate of direct healthcare costs, prolonged sedentary behaviour causes a considerable burden to the NHS in the UK. This estimate may be used by decision makers when prioritising healthcare resources and investing in preventative public health programmes.

LanguageEnglish
Pages625-629
JournalJournal of Epidemiology and Community Health
Volume73
Issue number7
Early online date25 Mar 2019
DOIs
Publication statusPublished - 10 Jun 2019

Fingerprint

Health Care Costs
National Health Programs
Lung Neoplasms
Endometrial Neoplasms
Colonic Neoplasms
Type 2 Diabetes Mellitus
Cardiovascular Diseases
Public Health
Social Adjustment
Costs and Cost Analysis
Mortality
Health
Public Policy
Health Expenditures
Health Policy
Risk-Taking
Population
Comorbidity
Delivery of Health Care

Keywords

  • cost analysis
  • health expenditure
  • healthcare cost
  • physical activity
  • public health
  • sedentary behaviour
  • sitting time

Cite this

Heron, L. ; C, O'Neil ; McAneney, H. ; Kee, F ; Tully, Mark. / Direct healthcare costs of sedentary behaviour in the UK. In: Journal of Epidemiology and Community Health. 2019 ; Vol. 73, No. 7. pp. 625-629.
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Direct healthcare costs of sedentary behaviour in the UK. / Heron, L.; C, O'Neil; McAneney, H.; Kee, F; Tully, Mark.

In: Journal of Epidemiology and Community Health, Vol. 73, No. 7, 10.06.2019, p. 625-629.

Research output: Contribution to journalArticle

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