{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T01:32:36Z","timestamp":1771637556122,"version":"3.50.1"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"Supplement_1","license":[{"start":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T00:00:00Z","timestamp":1661731200000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Portuguese Foundation for Science and Technology","award":["UIDB\/04750\/2020 and LA\/P\/0064\/2020"],"award-info":[{"award-number":["UIDB\/04750\/2020 and LA\/P\/0064\/2020"]}]},{"DOI":"10.13039\/501100001871","name":"Foundation for Science and Technology","doi-asserted-by":"publisher","award":["SFRH\/BD\/136702\/2018"],"award-info":[{"award-number":["SFRH\/BD\/136702\/2018"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,26]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Economic evaluation of physical activity interventions has become an important area for policymaking considering the high costs attributable to physical inactivity. However, the evidence for such interventions targeting type 2 diabetes control is scarce. Therefore, the present study aimed to synthesize economic evaluation studies of physical activity interventions for type 2 diabetes management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 statement (PROSPERO reference number CRD42021231021). An electronic search was performed in PubMed, Web of Science, Cochrane Library and NHS Economic Evaluation Database. Studies were eligible if they included: adults with type 2 diabetes; any physical activity intervention in the community settings; an experimental or quasi-experimental design; and a parameter of economic evaluation [cost analysis of interventions, cost-effectiveness analysis (including cost-utility analysis) and cost-benefit analysis] as an outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten studies were included in this review: seven were randomized controlled trials and three were quasi-experimental studies. All studies included direct costs, and four also included indirect costs. Four studies demonstrated that physical activity interventions were cost-saving, six studies showed cost-effectiveness, and two studies reported cost-utility. The estimates varied considerably across the studies with different analytical and methodological approaches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overall, this systematic review found that physical activity interventions are a worth investment for type 2 diabetes management. However, comparability across interventions was limited due to heterogeneity in interventions type, design and delivery, which may explain the differences in the economic measures.<\/jats:p><\/jats:sec>","DOI":"10.1093\/eurpub\/ckac074","type":"journal-article","created":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T07:08:29Z","timestamp":1661756909000},"page":"i56-i66","source":"Crossref","is-referenced-by-count":20,"title":["Economic evaluation of physical activity interventions for type 2 diabetes management: a systematic review"],"prefix":"10.1093","volume":"32","author":[{"given":"Ana","family":"Barbosa","sequence":"first","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica, Universidade do Porto , Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR) , Porto, Portugal"}]},{"given":"Stephen","family":"Whiting","sequence":"additional","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica, Universidade do Porto , Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR) , Porto, Portugal"},{"name":"World Health Organization, Regional Office for Europe , Copenhagen, Denmark"}]},{"given":"Ding","family":"Ding","sequence":"additional","affiliation":[{"name":"Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney , Camperdown, Australia"}]},{"given":"Jo\u00e3o","family":"Brito","sequence":"additional","affiliation":[{"name":"Portugal Football School, Portuguese Football Federation , Oeiras, Portugal"}]},{"given":"Romeu","family":"Mendes","sequence":"additional","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica, Universidade do Porto , Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR) , Porto, Portugal"},{"name":"World Health Organization, Regional Office for Europe , Copenhagen, Denmark"},{"name":"Portugal Football School, Portuguese Football Federation , Oeiras, Portugal"},{"name":"ACES Douro I\u2014Mar\u00e3o e Douro Norte, Northern Region Health Administration , Vila Real, Portugal"}]}],"member":"286","published-online":{"date-parts":[[2022,8,26]]},"reference":[{"key":"2022082907075959900_ckac074-B1","volume-title":"IDF Diabetes Atlas","author":"International Diabetes Federation","year":"2021","edition":"10th edn."},{"key":"2022082907075959900_ckac074-B2","doi-asserted-by":"crossref","first-page":"S60","DOI":"10.2337\/dc22-S005","article-title":"5. 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