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Open AccessReview

Economic Evaluation of Lifestyle Interventions for Preventing Diabetes and Cardiovascular Diseases

by Sanjib Saha 1,2, Ulf-G Gerdtham 1,2,3,* and Pia Johansson 4
1
Centre for Primary Health Care Research, Lund University, Lund, Sweden
2
Health Economics & Management, Institute of Economic Research, Lund University, Lund, Sweden
3
Department of Economics, Lund University, Lund, Sweden
4
Division of Public Health Epidemiology, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2010, 7(8), 3150-3195; https://doi.org/10.3390/ijerph7083150
Received: 5 July 2010 / Revised: 23 July 2010 / Accepted: 5 August 2010 / Published: 9 August 2010
(This article belongs to the Special Issue Health Economics)
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. View Full-Text
Keywords: lifestyle interventions; economic evaluation; Markov model; long-term effectiveness; primary prevention; secondary prevention; diabetes; cardiovascular
disease; cost-effectiveness
lifestyle interventions; economic evaluation; Markov model; long-term effectiveness; primary prevention; secondary prevention; diabetes; cardiovascular
disease
; cost-effectiveness
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.

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