Physical activity for the over-65s

Could it be a cost-effective exercise for the NHS?

James F. Munro, John E. Brazier, Rachel Davey, Jon P. Nicholl

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Background. There is increasing interest in the health-promoting potential of physical activity in older adults. The objective of this study was to estimate the likely costs, health benefits and consequences for the National Health Service which might result from a publicly funded programme of regular exercise made available to a population of 10,000 people over the age of 65. Methods. Risk reduction data from observational studies were used to calculate the possible impact of a community-based programme of activity on hospital admissions and deaths from coronary heart disease, stroke, diabetes, femoral neck fractures and mental disorders. The avoided costs of health care and net cost per life-year saved were estimated. Results. Providing twice-weekly exercise classes for 10,000 participants would cost approximately £854,700 per year, but would prevent 76 deaths and 230 in-patient episodes, avoiding annual health care costs of approximately £601,000. Assuming the mean expectation of life after 65 to be ten years, the programme would cost about £330 per life-year saved. Under a range of more extreme assumptions, the cost per life-year saved would vary from £100 to £1500. Conclusions. A publicly funded programme of regular moderate exercise for over-65-year-olds could achieve important health benefits at relatively low cost. The estimates provided by this analysis should now be tested in a rigorous randomized trial, and health commissioners should begin to think of purchasing exercise programmes alongside other health-promoting measures.

Original languageEnglish
Pages (from-to)397-402
Number of pages6
JournalJournal of Public Health Medicine
Volume19
Issue number4
DOIs
Publication statusPublished - Dec 1997
Externally publishedYes

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Exercise
Costs and Cost Analysis
Insurance Benefits
Health Care Costs
Health
Femoral Neck Fractures
National Health Programs
Risk Reduction Behavior
Mental Disorders
Cost-Benefit Analysis
Observational Studies
Coronary Disease
Stroke
Population

Cite this

Munro, James F. ; Brazier, John E. ; Davey, Rachel ; Nicholl, Jon P. / Physical activity for the over-65s : Could it be a cost-effective exercise for the NHS?. In: Journal of Public Health Medicine. 1997 ; Vol. 19, No. 4. pp. 397-402.
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Physical activity for the over-65s : Could it be a cost-effective exercise for the NHS? / Munro, James F.; Brazier, John E.; Davey, Rachel; Nicholl, Jon P.

In: Journal of Public Health Medicine, Vol. 19, No. 4, 12.1997, p. 397-402.

Research output: Contribution to journalArticle

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