TY  - JOUR
AU  - Gottschalk, Sophie
AU  - König, Hans-Helmut
AU  - Weber, Andrea
AU  - Leitzmann, Michael F
AU  - Stein, Michael J
AU  - Peters, Annette
AU  - Flexeder, Claudia
AU  - Krist, Lilian
AU  - Willich, Stefan N
AU  - Nimptsch, Katharina
AU  - Pischon, Tobias
AU  - Gastell, Sylvia
AU  - Steindorf, Karen
AU  - Herbolsheimer, Florian
AU  - Ebert, Nina
AU  - Michels, Karin B
AU  - Dorrn, Anja
AU  - Harth, Volker
AU  - Obi, Nadia
AU  - Karch, André
AU  - Teismann, Henning
AU  - Völzke, Henry
AU  - Meinke-Franze, Claudia
AU  - Klimeck, Leon
AU  - Seum, Teresa
AU  - Dams, Judith
TI  - Costs associated with insufficient physical activity in Germany: cross-sectional results from the baseline examination of the German national cohort (NAKO).
JO  - The European journal of health economics
VL  - 26
IS  - 1
SN  - 1618-7598
CY  - Heidelberg
PB  - Springer
M1  - DKFZ-2024-01001
SP  - 117-128
PY  - 2025
N1  - 2025 Feb;26(1):117-128
AB  - Insufficient physical activity (PA) is a leading risk factor for non-communicable diseases posing a significant economic burden to healthcare systems and societies. The study aimed to examine the differences in healthcare and indirect costs between sufficient and insufficient PA and the cost differences between PA intensity groups.The cross-sectional analysis was based on data from 157,648 participants in the baseline examination of the German National Cohort (NAKO) study. Healthcare and indirect costs were calculated based on self-reported information on health-related resource use and productivity losses. PA in the domains leisure, transport, and work was assessed by the Global Physical Activity Questionnaire and categorized into sufficient/insufficient and intensity levels (very low/low/medium/high) based on PA recommendations of the World Health Organization. Two-part models adjusted for relevant covariates were used to estimate mean costs for PA groups.Insufficiently active people had higher average annual healthcare costs (Δ €188, 95
KW  - Cohort study (Other)
KW  - Exercise (Other)
KW  - Health expenditure (Other)
KW  - Healthcare costs (Other)
KW  - Physical activity (Other)
LB  - PUB:(DE-HGF)16
C6  - pmid:38727776
DO  - DOI:10.1007/s10198-024-01697-9
UR  - https://inrepo02.dkfz.de/record/290165
ER  -