| The cost-effectiveness of exercise training for the primary and secondary prevention of cardiovascular disease. | |
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MedLine Citation:
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PMID: 10860196 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Although exercise training improves cardiovascular disease (CVD) risk factors, few studies have evaluated its potential long-term cost-effectiveness. METHODS: Using the Cardiovascular Disease Life Expectancy Model, a validated disease simulation model, we calculated the life expectancy of average 35- to 74-year-old Canadians found in the 1992 Canadian Heart Health Survey. The impacts of exercise training on cardiovascular risk factors were estimated as a 4% decrease in low-density lipoprotein (LDL) cholesterol, a 5% increase in high-density lipoprotein (HDL) cholesterol, and a 6 mm Hg decrease in both systolic and diastolic blood pressure. Exercise adherence was estimated at 50% for the first year and 30% for all additional years. Costs for a supervised exercise program determined from Canadian sources and converted to US dollars were estimated at $605 for the first year (medical evaluation, stress test, exercise prescription, and program costs) and $367 for all additional years (program costs). For an unsupervised program, the costs were estimated at $311 for the first year and $73 for all additional years. RESULTS: The cost-effectiveness (CE) of an unsupervised exercise program (1996 U.S. dollars) was less than $12,000 per year of life saved (YOLS) for all individuals. The CE of a supervised exercise program was less than $15,000/YOLS for men with CVD, and between $12,000 and $43,000 for women with CVD and men without CVD. CONCLUSIONS: Given the relatively few risks, substantial long-term benefits, and modest costs, an unsupervised exercise training program represents good value for all. A more expensive supervised exercise program is also cost-effective for most individuals with CVD. |
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Authors:
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I Lowensteyn; L Coupal; H Zowall; S A Grover |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of cardiopulmonary rehabilitation Volume: 20 ISSN: 0883-9212 ISO Abbreviation: J Cardiopulm Rehabil Publication Date: 2000 May-Jun |
Date Detail:
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Created Date: 2000-10-02 Completed Date: 2000-12-07 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8511296 Medline TA: J Cardiopulm Rehabil Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 147-55 Citation Subset: IM |
Affiliation:
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Centre for the Analysis of Cost-Effective Care, Montreal General Hospital, Quebec. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Canada / epidemiology Cardiovascular Diseases / economics*, epidemiology, etiology, prevention & control* Cost-Benefit Analysis Exercise* Female Humans Life Expectancy Male Middle Aged Models, Cardiovascular Primary Prevention / economics Risk Factors |
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