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Economic Evaluation of Lifestyle Interventions for Preventing Diabetes and Cardiovascular Diseases
Centre for Primary Health Care Research, Lund University, Lund, Sweden
Health Economics & Management, Institute of Economic Research, Lund University, Lund, Sweden
Department of Economics, Lund University, Lund, Sweden
Division of Public Health Epidemiology, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
* Author to whom correspondence should be addressed.
Received: 5 July 2010; in revised form: 23 July 2010 / Accepted: 5 August 2010 / Published: 9 August 2010
Abstract: Lifestyle interventions (i.e., diet and/or physical activity) are effective in delaying or preventing the onset of diabetes and cardiovascular disease. However, policymakers must know the cost-effectiveness of such interventions before implementing them at the large-scale population level. This review discusses various issues (e.g., characteristics, modeling, and long-term effectiveness) in the economic evaluation of lifestyle interventions for the primary and secondary prevention of diabetes and cardiovascular disease. The diverse nature of lifestyle interventions, i.e., type of intervention, means of provision, target groups, setting, and methodology, are the main obstacles to comparing evaluation results. However, most lifestyle interventions are among the intervention options usually regarded as cost-effective. Diabetes prevention programs, such as interventions starting with targeted or universal screening, childhood obesity prevention, and community-based interventions, have reported favorable cost-effectiveness ratios.
Keywords: lifestyle interventions; economic evaluation; Markov model; long-term effectiveness; primary prevention; secondary prevention; diabetes; cardiovascular
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MDPI and ACS Style
Saha, S.; Gerdtham, U.-G.; Johansson, P. Economic Evaluation of Lifestyle Interventions for Preventing Diabetes and Cardiovascular Diseases. Int. J. Environ. Res. Public Health 2010, 7, 3150-3195.
Saha S, Gerdtham U-G, Johansson P. Economic Evaluation of Lifestyle Interventions for Preventing Diabetes and Cardiovascular Diseases. International Journal of Environmental Research and Public Health. 2010; 7(8):3150-3195.
Saha, Sanjib; Gerdtham, Ulf-G; Johansson, Pia. 2010. "Economic Evaluation of Lifestyle Interventions for Preventing Diabetes and Cardiovascular Diseases." Int. J. Environ. Res. Public Health 7, no. 8: 3150-3195.