Effect of increasing active travel in urban England and Wales on costs to the National Health Service.


Jarrett, J; Woodcock, J; Griffiths, UK; Chalabi, Z; Edwards, P; Roberts, I; Haines, A; (2012) Effect of increasing active travel in urban England and Wales on costs to the National Health Service. Lancet, 379 (9832). pp. 2198-205. ISSN 0140-6736 DOI: 10.1016/S0140-6736(12)60766-1

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Abstract

: Increased walking and cycling in urban areas and reduced use of private cars could have positive effects on many health outcomes. We estimated the potential effect of increased walking and cycling in urban England and Wales on costs to the National Health Service (NHS) for seven diseases--namely, type 2 diabetes, dementia, cerebrovascular disease, breast cancer, colorectal cancer, depression, and ischaemic heart disease--that are associated with physical inactivity. Within 20 years, reductions in the prevalences of type 2 diabetes, dementia, ischaemic heart disease, cerebrovascular disease, and cancer because of increased physical activity would lead to savings of roughly UK£17 billion (in 2010 prices) for the NHS, after adjustment for an increased risk of road traffic injuries. Further costs would be averted after 20 years. Sensitivity analyses show that results are invariably positive but sensitive to assumptions about time lag between the increase in active travel and changes in health outcomes. Increasing the amount of walking and cycling in urban settings could reduce costs to the NHS, permitting decreased government expenditure on health or releasing resources to fund additional health care.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
Faculty of Public Health and Policy > Dept of Global Health and Development
Research Centre: Transport & Health Group
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 22682466
Web of Science ID: 304990900036
URI: http://researchonline.lshtm.ac.uk/id/eprint/30344

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