Valuing preventable deaths from major non-communicable diseases and all causes associated with sedentary behavior in Argentina

Abstract: Objective: This study estimated the population attributable fractions, preventable deaths, and indirect economic costs from major non-communicable diseases (NCDs) and all causes associated with excessive sitting time in Argentina in 2019. Methods: Population attributable fractions were...

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Autor principal: García Witulski, Christian Martín
Formato: Artículo
Lenguaje:Inglés
Publicado: Elsevier 2023
Materias:
EPIDEMIOLOGIA
SEDENTARISMO
ENFERMEDADES NO TRANSMISIBLES
POBLACION
COSTOS
Acceso en línea:https://repositorio.uca.edu.ar/handle/123456789/16273
Aporte de:
Repositorio Institucional de la Universidad Católica Argentina (UCA) de Universidad Católica Argentina
id I33-R139-123456789-16273
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spelling I33-R139-123456789-162732023-05-08T10:58:30Z Valuing preventable deaths from major non-communicable diseases and all causes associated with sedentary behavior in Argentina García Witulski, Christian Martín EPIDEMIOLOGIA SEDENTARISMO ENFERMEDADES NO TRANSMISIBLES POBLACION COSTOS Abstract: Objective: This study estimated the population attributable fractions, preventable deaths, and indirect economic costs from major non-communicable diseases (NCDs) and all causes associated with excessive sitting time in Argentina in 2019. Methods: Population attributable fractions were used to calculate preventable deaths from NCDs and all causes associated with prolonged sitting time ( 6 h/d). Then, the human capital approach was used to quantify the present value of lifetime earnings, which was subsequently used to calculate indirect costs due to lost productivity. A Monte Carlo simulation was performed in three counterfactual scenarios to evaluate the sensitivity of the results. Results: In Argentinian men and women, respectively, approximately 11.3% (381) [10% (290)] of deaths from colon cancer, 4.4% (250) from breast cancer (women only), 4.6% (588) [4.4% (402)] from coronary heart disease, 30.5% (1390) [27% (1047)] from diabetes, and 14.9% (24,686) [13.7% (21,418)] from all causes could have been avoided annually by eliminating excessive sitting time. The indirect economic Q2 costs of excessive sitting time reached 0.025% (0.019%e0.032%) and 0.37% (0.25e0.58%) of GDP for major NCDs and all causes, respectively. High levels of heterogeneity were found at the regional level. Conclusion: Prolonged sitting time generates substantial societal costs. Public policies aimed at reducing excessive sedentary behavior in the overall population, especially in the most affected regions, would represent considerable savings for society as a whole. Such initiatives should address the complex and multifactorial causes of sedentary behavior, the clear gender and age differences in this behavior, and the factors underlying these differences. 2023-04-24T15:21:09Z 2023-04-24T15:21:09Z 2023 Artículo García Witulski, C. M. Valuing preventable deaths from major non-communicable diseases and all causes associated with sedentary behavior in Argentina [en línea]. Postprint de artículo publicado en Public Health. 2023, 218. doi: 10.1016/j.puhe.2023.02.011. Disponible en: https://repositorio.uca.edu.ar/handle/123456789/16273 0033-3506 (impreso) 1476-5616 (en línea) https://repositorio.uca.edu.ar/handle/123456789/16273 10.1016/j.puhe.2023.02.011 eng Valuación de la mortalidad, años y esperanza de vida perdidos atribuibles a enfermedades no transmisibles debidas a la insuficiente actividad física en Argentina Acceso abierto. 12 meses de embargo http://creativecommons.org/licenses/by-nc-sa/4.0/ application/pdf Argentina Elsevier Postprint de artículo publicado en Public Health. 2023, 218
institution Universidad Católica Argentina
institution_str I-33
repository_str R-139
collection Repositorio Institucional de la Universidad Católica Argentina (UCA)
language Inglés
topic EPIDEMIOLOGIA
SEDENTARISMO
ENFERMEDADES NO TRANSMISIBLES
POBLACION
COSTOS
spellingShingle EPIDEMIOLOGIA
SEDENTARISMO
ENFERMEDADES NO TRANSMISIBLES
POBLACION
COSTOS
García Witulski, Christian Martín
Valuing preventable deaths from major non-communicable diseases and all causes associated with sedentary behavior in Argentina
topic_facet EPIDEMIOLOGIA
SEDENTARISMO
ENFERMEDADES NO TRANSMISIBLES
POBLACION
COSTOS
description Abstract: Objective: This study estimated the population attributable fractions, preventable deaths, and indirect economic costs from major non-communicable diseases (NCDs) and all causes associated with excessive sitting time in Argentina in 2019. Methods: Population attributable fractions were used to calculate preventable deaths from NCDs and all causes associated with prolonged sitting time ( 6 h/d). Then, the human capital approach was used to quantify the present value of lifetime earnings, which was subsequently used to calculate indirect costs due to lost productivity. A Monte Carlo simulation was performed in three counterfactual scenarios to evaluate the sensitivity of the results. Results: In Argentinian men and women, respectively, approximately 11.3% (381) [10% (290)] of deaths from colon cancer, 4.4% (250) from breast cancer (women only), 4.6% (588) [4.4% (402)] from coronary heart disease, 30.5% (1390) [27% (1047)] from diabetes, and 14.9% (24,686) [13.7% (21,418)] from all causes could have been avoided annually by eliminating excessive sitting time. The indirect economic Q2 costs of excessive sitting time reached 0.025% (0.019%e0.032%) and 0.37% (0.25e0.58%) of GDP for major NCDs and all causes, respectively. High levels of heterogeneity were found at the regional level. Conclusion: Prolonged sitting time generates substantial societal costs. Public policies aimed at reducing excessive sedentary behavior in the overall population, especially in the most affected regions, would represent considerable savings for society as a whole. Such initiatives should address the complex and multifactorial causes of sedentary behavior, the clear gender and age differences in this behavior, and the factors underlying these differences.
format Artículo
author García Witulski, Christian Martín
author_facet García Witulski, Christian Martín
author_sort García Witulski, Christian Martín
title Valuing preventable deaths from major non-communicable diseases and all causes associated with sedentary behavior in Argentina
title_short Valuing preventable deaths from major non-communicable diseases and all causes associated with sedentary behavior in Argentina
title_full Valuing preventable deaths from major non-communicable diseases and all causes associated with sedentary behavior in Argentina
title_fullStr Valuing preventable deaths from major non-communicable diseases and all causes associated with sedentary behavior in Argentina
title_full_unstemmed Valuing preventable deaths from major non-communicable diseases and all causes associated with sedentary behavior in Argentina
title_sort valuing preventable deaths from major non-communicable diseases and all causes associated with sedentary behavior in argentina
publisher Elsevier
publishDate 2023
url https://repositorio.uca.edu.ar/handle/123456789/16273
work_keys_str_mv AT garciawitulskichristianmartin valuingpreventabledeathsfrommajornoncommunicablediseasesandallcausesassociatedwithsedentarybehaviorinargentina
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