Potential Cost Savings for the Healthcare System by Physical Activity in Different Chronic Diseases: A Pilot Study in the Veneto Region of Italy

Ortolan, Sara; Neunhäeuserer, Daniel; Quinto, Giulia; Barra, Barbara; Centanini, Anna; Battista, Francesca; Vecchiato, Marco; Marchi, Valentina De; Celidoni, Martina; Rebba, Vincenzo; Ermolao, Andrea

doi:10.3390/ijerph19127375

Cited by 2 publications

(1 citation statement)

References 51 publications

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“…The current literature suggests that, as early as three months after bariatric surgery, it may be useful to include an exercise program aimed at muscle strengthening, especially to help maintain lean mass [54]. Our unit provides exercise prescriptions to patients in different clinical conditions, including subjects with severe obesity before and after SG [55]. Since regular PA and exercise training are recommended before and after SG, it cannot be excluded that the improvement shown in the walking economy six months after SG has also partially been influenced by the PA performed.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Walking Economy after Sleeve Gastrectomy in Patients with Severe Obesity

Vecchiato

Faggian

Quinto

et al. 2023

Biology

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Background: Obesity is associated with a higher energy cost of walking which affects activities of daily living. Bariatric surgery with sleeve gastrectomy (SG) has beneficial effects on weight loss and comorbidities. Purpose: The aim of this study was to analyze the impact of SG on walking economy in subjects with severe obesity. Methods: This observational cohort study included all patients with morbid obesity who were considered suitable candidates for SG between June 2017 and June 2019. Each patient underwent an incremental cardiopulmonary exercise test on a treadmill (modified Bruce protocol) one month before and six months after SG. Data on the energy cost of walking were recorded during three protocol stages (stage 0—slow flat walking: speed 2.7 km/h, slope 0%; stage ½—slow uphill walking: speed 2.7 km/h, slope 5%; stage 1—fast uphill walking: speed 4.0 km/h, slope 8%). Results: 139 patients with morbid obesity (78% women; age 44.1 ± 10.7 years; BMI 42.5 ± 4.7 kg/m2) were included in the study. At six months post-SG, patients presented with a significantly decreased body weight (−30.5 ± 17.2 kg; p < 0.05), leading to an average BMI of 31.6 ± 4.2 kg/m2. The net energy cost of walking (measured in J/m and J/kg/m) of the subjects was lower compared to pre-SG at all three protocol stages. This improvement was also confirmed when the subjects were grouped by gender and obesity classes. Conclusion: After a significant weight loss induced by SG, regardless of the severity of obesity and gender, patients exhibited a lower energy expenditure and an improved walking economy. These changes make it easier to perform daily routines and may facilitate an increase in physical activity.

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Section: Discussionmentioning

confidence: 99%

Analysis of Walking Economy after Sleeve Gastrectomy in Patients with Severe Obesity

Vecchiato

Faggian

Quinto

et al. 2023

Biology

Self Cite

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Short-term economic evaluation of physical activity-based corporate health programs: a systematic review

Bonatesta,

Palermi,

Sirico

et al. 2024

Journal of Occupational Health

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Objective: Corporate health programs (CHPs) aim to improve employees' health through health promotion strategies at the workplace. Physical activity (PA) plays a crucial role in primary prevention, leading many companies to implement PA-based CHPs. However, there is limited examination in the scientific literature on whether physical-activity-based corporate health programs (PA-CHPs) lead to economic benefits. This systematic review aims to summarize the available literature on the economic aspects of PA-CHPs. Methods: A systematic review was conducted to identify studies focused on PA-CHPs targeting healthy sedentary workers and reporting at least one economic outcome, such as Return on Investment (ROI), costs, or sick leave. Results: Of 1036 studies identified by our search strategy, 11 studies involving 60020 participants, met the inclusion criteria. The mean cost per capita for PA-CHPs was estimated as 359€ (± 238) (95% CI 357 to 361). In 75% of the studies, the net savings generated by PA-CHPs in 12 months were reported, with an average of 1095€ (± 865) (95% CI 496 to 1690). ROI was assessed in 50% of the included studies, with an average of 3.6 (± 1.41) (95% CI 2.19 to 5.01). Conclusions: In addition to promoting a healthy lifestyle, PA-CHPs have the potential to generate significant economic returns. However, the heterogeneity among the existing studies highlights the need for standardization and accurate reporting of costs in future research.

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Potential Cost Savings for the Healthcare System by Physical Activity in Different Chronic Diseases: A Pilot Study in the Veneto Region of Italy

Cited by 2 publications

References 51 publications

Analysis of Walking Economy after Sleeve Gastrectomy in Patients with Severe Obesity

Analysis of Walking Economy after Sleeve Gastrectomy in Patients with Severe Obesity

Short-term economic evaluation of physical activity-based corporate health programs: a systematic review

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