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The Public Health Burden of Physical Inactivity in Canada

The Public Health Burden of Physical Inactivity in Canada. Peter T. Katzmarzyk, PhD School of Kinesiology and Health Science York University. Prevalence of Risk Factors Among Canadian Adults. Physical Activity and Health Status: 1998 National Population Health Survey. Men. Women. Poor.

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The Public Health Burden of Physical Inactivity in Canada

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  1. The Public Health Burden of Physical Inactivity in Canada Peter T. Katzmarzyk, PhD School of Kinesiology and Health Science York University

  2. Prevalence of Risk Factors Among Canadian Adults

  3. Physical Activity and Health Status: 1998 National Population Health Survey Men Women Poor Good Very Good Excellent Poor Good Very Good Excellent Health Status Katzmarzyk, Med Sci Sports Exerc (Submitted).

  4. Annual Direct Medical Costs of Physical Inactivity: United States No Physical Limitations Physical Limitations All Subjects Pratt et al. Physician Sports Med 2000;28:63-70.

  5. Projected U.S. Hospital Admissions in 20 years Smoking: 8.9% reduction Physical Inactivity: 4.6% reduction *Allowing for a 10-year lag in health benefits Russell et al. Am J Prev Med 2001;20:26-34.

  6. Major Physical Activity-Related Diseases • Coronary Heart Disease (CHD) • Stroke • Hypertension • Colon Cancer • Breast Cancer • Type 2 Diabetes • Osteoporosis

  7. Relative Risks and Population Attributable Risks for Physical Inactivity Disease RR PAR (%) CHD 1.9 36 Stroke 1.4 20 Hypertension 1.4 20 Colon Cancer 1.4 20 Breast Cancer 1.2 11 Type 2 Diabetes 1.4 20 Osteoporosis 1.6 27 Katzmarzyk et al. CMAJ 2000;63:435-1440

  8. Economic Costs of Physical Inactivity Cost Due To Disease Cost Inactivity CHD 2.5 0.9 Stroke 1.7 0.3 Hypertension 1.6 0.3 Colon Cancer 0.3 0.07 Breast Cancer 0.3 0.03 Type 2 Diabetes 0.6 0.1 Osteoporosis 1.3 0.4 TOTAL 2.1 Figures are $ billions. Katzmarzyk et al. CMAJ 2000;63:435-1440

  9. Physical Inactivity-Related Mortality N Deaths Disease N Deaths Due to Inactivity CHD 44 061 15 774 Stroke 15 517 3 088 Colon Cancer 4 237 843 Breast Cancer 4 923 542 Diabetes 5 492 1 093 All Causes 207 408 21 340(10.3%) Katzmarzyk et al. CMAJ 2000;63:435-1440

  10. 10% Change in Inactivity • Reducing levels of physical inactivity from 62% to 56% would result in $150 million a year in savings Katzmarzyk et al. CMAJ 2000;63:435-1440

  11. The cost estimates are direct costs: • hospital services • physician care • drugs • health research • The indirect costs are larger: • time off work • loss of productivity

  12. Summary of Burden of Physical Inactivity • $2.1 billion, or 2.5% of total direct health care costs are attributable to physical inactivity • physical inactivity is responsible for 21 000 premature deaths a year • a reduction in physical inactivity of 10% would result in $150 million in savings a year

  13. Conclusions • Physical inactivity is a substantial public health burden in Canada • The surveillance of physical activity patterns remains a public health priority • Aggressive public health campaigns against physical inactivity are warranted • Governments need to create and appropriately resource public policies that will encourage systemic change and stem the growth of physical inactivity at all ages

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