Costs associated with insufficient physical activity in Germany: cross-sectional results from the baseline examination of the German national cohort (NAKO)

  1. Gottschalk, Sophie ORCID logo
  2. Koenig, Hans-Helmut ORCID logo
  3. Weber, Andrea ORCID logo
  4. Leitzmann, Michael ORCID logo
  5. Stein, Michael J. ORCID logo
  6. Peters, Annette ORCID logo
  7. Flexeder, Claudia ORCID logo
  8. Krist, Lilian ORCID logo
  9. Willich, Stefan N.
  10. Nimptsch, Katharina ORCID logo
  11. Pischon, Tobias
  12. Gastell, Sylvia ORCID logo
  13. Steindorf, Karen ORCID logo
  14. Herbolsheimer, Florian ORCID logo
  15. Ebert, Nina
  16. Michels, Karin B.
  17. Dorrn, Anja
  18. Harth, Volker
  19. Obi, Nadia ORCID logo
  20. Karch, André
  21. Teismann, Henning ORCID logo
  22. Völzke, Henry ORCID logo
  23. Meinke-Franze, Claudia ORCID logo
  24. Klimeck, Leon ORCID logo
  25. Seum, Teresa ORCID logo
  26. Dams, Judith

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1000 Titel
  • Costs associated with insufficient physical activity in Germany: cross-sectional results from the baseline examination of the German national cohort (NAKO)
1000 Autor/in
  1. Gottschalk, Sophie |
  2. Koenig, Hans-Helmut |
  3. Weber, Andrea |
  4. Leitzmann, Michael |
  5. Stein, Michael J. |
  6. Peters, Annette |
  7. Flexeder, Claudia |
  8. Krist, Lilian |
  9. Willich, Stefan N. |
  10. Nimptsch, Katharina |
  11. Pischon, Tobias |
  12. Gastell, Sylvia |
  13. Steindorf, Karen |
  14. Herbolsheimer, Florian |
  15. Ebert, Nina |
  16. Michels, Karin B. |
  17. Dorrn, Anja |
  18. Harth, Volker |
  19. Obi, Nadia |
  20. Karch, André |
  21. Teismann, Henning |
  22. Völzke, Henry |
  23. Meinke-Franze, Claudia |
  24. Klimeck, Leon |
  25. Seum, Teresa |
  26. Dams, Judith |
1000 Verlag Springer Berlin Heidelberg
1000 Erscheinungsjahr 2024
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2024-05-10
1000 Erschienen in
1000 Quellenangabe
  • 26(1):117-128
1000 Copyrightjahr
  • 2024
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s10198-024-01697-9 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743391/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>Insufficient physical activity (PA) is a leading risk factor for non-communicable diseases posing a significant economic burden to healthcare systems and societies. The study aimed to examine the differences in healthcare and indirect costs between sufficient and insufficient PA and the cost differences between PA intensity groups.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>The cross-sectional analysis was based on data from 157,648 participants in the baseline examination of the German National Cohort (NAKO) study. Healthcare and indirect costs were calculated based on self-reported information on health-related resource use and productivity losses. PA in the domains leisure, transport, and work was assessed by the Global Physical Activity Questionnaire and categorized into sufficient/insufficient and intensity levels (very low/low/medium/high) based on PA recommendations of the World Health Organization. Two-part models adjusted for relevant covariates were used to estimate mean costs for PA groups.</jats:p> </jats:sec> <jats:sec> <jats:title>Results and conclusion</jats:title> <jats:p>Insufficiently active people had higher average annual healthcare costs (Δ €188, 95% CI [64, 311]) and healthcare plus indirect costs (Δ €482, 95% CI [262, 702]) compared to sufficiently active people. The difference was especially evident in the population aged 60 + years and when considering only leisure PA. An inverse association was observed between leisure PA and costs, whereas a direct association was found between PA at work and costs. Adjusting for the number of comorbidities reduced the differences between activity groups, but the trend persisted. The association between PA and costs differed in direction between PA domains. Future research may provide further insight into the temporal relationship between PA and costs.</jats:p> </jats:sec>
1000 Sacherschließung
lokal Surveys and Questionnaires [MeSH]
lokal Female [MeSH]
lokal Health Care Costs/statistics
lokal Cost of Illness [MeSH]
lokal Cohort study
lokal Aged [MeSH]
lokal Adult [MeSH]
lokal Humans [MeSH]
lokal Leisure Activities [MeSH]
lokal Healthcare costs
lokal Middle Aged [MeSH]
lokal Cross-Sectional Studies [MeSH]
lokal Health expenditure
lokal Exercise
lokal Male [MeSH]
lokal Germany [MeSH]
lokal Original Paper
lokal Physical activity
lokal Exercise [MeSH]
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-6912-6256|https://orcid.org/0000-0001-5711-6862|https://orcid.org/0000-0002-4777-7808|https://orcid.org/0000-0002-0371-2789|https://orcid.org/0000-0002-1120-1751|https://orcid.org/0000-0001-6645-0985|https://orcid.org/0000-0003-3974-1482|https://orcid.org/0000-0002-6089-5163|https://frl.publisso.de/adhoc/uri/V2lsbGljaCwgU3RlZmFuIE4u|https://orcid.org/0000-0001-7877-205X|https://frl.publisso.de/adhoc/uri/UGlzY2hvbiwgVG9iaWFz|https://orcid.org/0000-0003-2607-2400|https://orcid.org/0000-0001-5215-5651|https://orcid.org/0000-0002-2137-4082|https://frl.publisso.de/adhoc/uri/RWJlcnQsIE5pbmE=|https://frl.publisso.de/adhoc/uri/TWljaGVscywgS2FyaW4gQi4=|https://frl.publisso.de/adhoc/uri/RG9ycm4sIEFuamE=|https://frl.publisso.de/adhoc/uri/SGFydGgsIFZvbGtlcg==|https://orcid.org/0000-0002-0903-9142|https://frl.publisso.de/adhoc/uri/S2FyY2gsIEFuZHLDqQ==|https://orcid.org/0000-0001-5807-5572|https://orcid.org/0000-0001-7003-399X|https://orcid.org/0000-0001-6137-9702|https://orcid.org/0009-0003-3607-3498|https://orcid.org/0009-0003-4475-0583|https://frl.publisso.de/adhoc/uri/RGFtcywgSnVkaXRo
1000 Hinweis
  • DeepGreen-ID: 3c478fb6627245a89d135204548d6ef8 ; metadata provieded by: DeepGreen (https://www.oa-deepgreen.de/api/v1/), LIVIVO search scope life sciences (http://z3950.zbmed.de:6210/livivo), Crossref Unified Resource API (https://api.crossref.org/swagger-ui/index.html), to.science.api (https://frl.publisso.de/), ZDB JSON-API (beta) (https://zeitschriftendatenbank.de/api/), lobid - Dateninfrastruktur für Bibliotheken (https://lobid.org/resources/search)
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  1. Universitätsklinikum Hamburg-Eppendorf (UKE) |
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  1. -
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  1. -
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  1. 1000 joinedFunding-child
    1000 Förderer Universitätsklinikum Hamburg-Eppendorf (UKE) |
    1000 Förderprogramm -
    1000 Fördernummer -
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1000 Erstellt am 2025-07-05T08:08:24.514+0200
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