Health and Economic Value of Eliminating Socioeconomic Disparities in US Youth Physical Activity.

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  • Additional Information
    • Source:
      Publisher: American Medical Association Country of Publication: United States NLM ID: 101769500 Publication Model: Electronic Cited Medium: Internet ISSN: 2689-0186 (Electronic) Linking ISSN: 26890186 NLM ISO Abbreviation: JAMA Health Forum Subsets: MEDLINE
    • Publication Information:
      Original Publication: Chicago, IL : American Medical Association, [2020]-
    • Subject Terms:
      Diabetes Mellitus, Type 2* ; Stroke* ; Coronary Disease* ; Neoplasms*; Child ; Humans ; Adolescent ; Overweight ; Socioeconomic Disparities in Health ; Exercise ; Obesity
    • Abstract:
      Importance: There are considerable socioeconomic status (SES) disparities in youth physical activity (PA) levels. For example, studies show that lower-SES youth are less active, have lower participation in organized sports and physical education classes, and have more limited access to PA equipment.
      Objective: To determine the potential public health and economic effects of eliminating disparities in PA levels among US youth SES groups.
      Design and Setting: An agent-based model representing all 6- to 17-year-old children in the US was used to simulate the epidemiological, clinical, and economic effects of disparities in PA levels among different SES groups and the effect of reducing these disparities.
      Main Outcomes and Measures: Anthropometric measures (eg, body mass index) and the presence and severity of risk factors associated with weight (stroke, coronary heart disease, type 2 diabetes, or cancer), as well as direct and indirect cost savings.
      Results: This model, representing all 50 million US children and adolescents 6 to 17 years old, found that if the US eliminates the disparity in youth PA levels across SES groups, absolute overweight and obesity prevalence would decrease by 0.826% (95% CI, 0.821%-0.832%), resulting in approximately 383 000 (95% CI, 368 000-399 000) fewer cases of overweight and obesity and 101 000 (95% CI, 98 000-105 000) fewer cases of weight-related diseases (stroke and coronary heart disease events, type 2 diabetes, or cancer). This would result in more than $15.60 (95% CI, $15.01-$16.10) billion in cost savings over the youth cohort's lifetime. There are meaningful benefits even when reducing the disparity by just 25%, which would result in $1.85 (95% CI, $1.70-$2.00) billion in direct medical costs averted and $2.48 (95% CI, $2.04-$2.92) billion in productivity losses averted. For every 1% in disparity reduction, total productivity losses would decrease by about $83.8 million, and total direct medical costs would decrease by about $68.7 million.
      Conclusions and Relevance: This study quantified the potential savings from eliminating or reducing PA disparities, which can help policymakers, health care systems, schools, funders, sports organizations, and other businesses better prioritize investments toward addressing these disparities.
    • References:
      J Sch Health. 2017 Apr;87(4):278-285. (PMID: 28260240)
      Health Promot Int. 2015 Sep;30 Suppl 2:ii18-9. (PMID: 25855784)
      Am J Prev Med. 2007 Oct;33(4 Suppl):S195-208. (PMID: 17884568)
      BMC Public Health. 2016 Sep 06;16:939. (PMID: 27600666)
      BMC Public Health. 2018 Aug 16;18(1):1022. (PMID: 30115044)
      Int J Behav Nutr Phys Act. 2011 Sep 24;8:99. (PMID: 21943093)
      PLoS One. 2022 May 6;17(5):e0268118. (PMID: 35522673)
      Lancet Diabetes Endocrinol. 2013 Oct;1(2):97-105. (PMID: 24349967)
      PLoS One. 2014 Dec 05;9(12):e114609. (PMID: 25479101)
      Can J Appl Physiol. 2004 Feb;29(1):90-115. (PMID: 15001807)
      Med Sci Sports Exerc. 2019 Nov;51(11):2391-2402. (PMID: 31626056)
      Am J Public Health. 2010 Apr 1;100 Suppl 1:S186-96. (PMID: 20147693)
      J Health Care Poor Underserved. 2011 Nov;22(4):1279-91. (PMID: 22080709)
      WMJ. ;115(5):245-50. (PMID: 29095586)
      Health Aff (Millwood). 2017 May 1;36(5):902-908. (PMID: 28461358)
      Circulation. 2023 Feb 21;147(8):e93-e621. (PMID: 36695182)
      Scand J Public Health. 2011 Mar;39(6 Suppl):62-78. (PMID: 21382850)
      Pediatrics. 2018 Nov;142(5):. (PMID: 30333131)
      Am J Prev Med. 2015 Jul;49(1):148-59. (PMID: 26094235)
      Am J Prev Med. 2011 Feb;40(2):149-58. (PMID: 21238863)
      Life (Basel). 2023 Jan 20;13(2):. (PMID: 36836655)
      Obesity (Silver Spring). 2020 Jul;28(7):1317-1324. (PMID: 32378341)
      Med Sci Sports Exerc. 2019 Jun;51(6):1252-1261. (PMID: 31095082)
      Obesity (Silver Spring). 2017 Dec;25(12):2149-2155. (PMID: 29086471)
      Public Health Nutr. 2017 Oct;20(14):2598-2607. (PMID: 27652511)
      Obes Rev. 2011 Oct;12(10):800-12. (PMID: 21676151)
      Prog Cardiovasc Dis. 2021 Jan-Feb;64:9-16. (PMID: 33130190)
      Br J Sports Med. 2022 Jul;56(13):718-724. (PMID: 34187783)
      Int J Behav Nutr Phys Act. 2012 Jul 26;9:88. (PMID: 22835155)
      Cerebrovasc Dis. 2020;49(6):632-638. (PMID: 33176308)
      Am J Prev Med. 2018 Feb;54(2):197-204. (PMID: 29249555)
    • Grant Information:
      P01 AI172725 United States AI NIAID NIH HHS; R01 GM127512 United States GM NIGMS NIH HHS; R01 HS028165 United States HS AHRQ HHS; U54 TR004279 United States TR NCATS NIH HHS
    • Publication Date:
      Date Created: 20240315 Date Completed: 20240318 Latest Revision: 20240328
    • Publication Date:
      20240329
    • Accession Number:
      PMC10943408
    • Accession Number:
      10.1001/jamahealthforum.2024.0088
    • Accession Number:
      38488779