Cost effectiveness of an elementary school active physical education policy

Barrett, Jessica L., Gortmaker, Steven L., Long, Michael W., Ward, Zachary J., Resch, Stephen C., Moodie, Marj L., Carter, Rob, Sacks, Gary, Swinburn, Boyd A., Wang, Y. Claire and Cradock, Angie L. 2015, Cost effectiveness of an elementary school active physical education policy, American journal of preventive medicine, vol. 49, no. 1, pp. 148-159, doi: 10.1016/j.amepre.2015.02.005.

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Title Cost effectiveness of an elementary school active physical education policy
Author(s) Barrett, Jessica L.
Gortmaker, Steven L.
Long, Michael W.
Ward, Zachary J.
Resch, Stephen C.
Moodie, Marj L.ORCID iD for Moodie, Marj L.
Carter, RobORCID iD for Carter, Rob
Sacks, GaryORCID iD for Sacks, Gary
Swinburn, Boyd A.
Wang, Y. Claire
Cradock, Angie L.
Journal name American journal of preventive medicine
Volume number 49
Issue number 1
Start page 148
End page 159
Total pages 11
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015-07
ISSN 1873-2607
Summary INTRODUCTION: Many American children do not meet recommendations for moderate to vigorous physical activity (MVPA). Although school-based physical education (PE) provides children with opportunities for MVPA, less than half of PE minutes are typically active. The purpose of this study is to estimate the cost effectiveness of a state "active PE" policy implemented nationally requiring that at least 50% of elementary school PE time is spent in MVPA. METHODS: A cohort model was used to simulate the impact of an active PE policy on physical activity, BMI, and healthcare costs over 10 years for a simulated cohort of the 2015 U.S. population aged 6-11 years. Data were analyzed in 2014. RESULTS: An elementary school active PE policy would increase MVPA per 30-minute PE class by 1.87 minutes (95% uncertainty interval [UI]=1.23, 2.51) and cost $70.7 million (95% UI=$51.1, $95.9 million) in the first year to implement nationally. Physical activity gains would cost $0.34 per MET-hour/day (95% UI=$0.15, $2.15), and BMI could be reduced after 2 years at a cost of $401 per BMI unit (95% UI=$148, $3,100). From 2015 to 2025, the policy would cost $235 million (95% UI=$170 million, $319 million) and reduce healthcare costs by $60.5 million (95% UI=$7.93 million, $153 million). CONCLUSIONS: Implementing an active PE policy at the elementary school level could have a small impact on physical activity levels in the population and potentially lead to reductions in BMI and obesity-related healthcare expenditures over 10 years.
Language eng
DOI 10.1016/j.amepre.2015.02.005
Field of Research 111104 Public Nutrition Intervention
160508 Health Policy
Socio Economic Objective 920207 Health Policy Economic Outcomes
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Elsevier
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Document type: Journal Article
Collections: Faculty of Health
Population Health
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