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Estimation of Lifetime Qalys Based on Lifestyle Behaviors

Bibliographic Data

ID15477358
AuthorsShinichi Noto (0000-0002-6952-7770, Niigata University of Health and Welfare, corresponding author), Shota Saito (0000-0002-4463-6073, Niigata University), Takeru Shiroiwa (0000-0003-3055-9932, National Institute of Public Health), Takashi Fukuda (0000-0002-4601-0955, National Institute of Public Health)
Year2021
Volume18
Issue19
Pages9970-9970
Publication date2021-09-22
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18199970
PMID34639271
OpenAlexW3199141889
LanguageEN
References cited25

Various lifestyle behaviors have been known to affect health-related quality of life (HRQL) and life expectancy. However, the impact on quality-adjusted life years (QALYs), which can be used for health economics, has not been clarified. The purpose of this study was to estimate the impact of lifestyle behaviors on lifetime QALYs. We first examined the relationship between lifestyle behaviors and HRQL as measured by the EQ-5D-5L among 4000 participants via a web-based survey. The results of multiple regression analysis showed that physical activity and sleep were significantly related to HRQL. Therefore, we used microsimulation to estimate QALYs from physical activity and sleep, which were determined to be significant in the regression analysis. The results showed that there was a difference of 3.6 QALYs between the recommended lifestyle scenario (23.4 QALYs; 95%CI 3.6 to 35.1) and the non-recommended lifestyle scenario (19.8 QALYs; 95%CI 3.1 to 31.6). This difference was greater in the younger age group than in the older age group. The results also indicated a large difference in QALYs between physical activity and sleep. These findings may provide a significant suggestion for future health promotion measures

Cost effectiveness · Environmental health · Life expectancy · Microsimulation · Physical activity · Physical therapy · Population · Quality of life (healthcare · Quality-adjusted life year · Demography · Global Health Care Issues · Health disparities and outcomes · Health Systems, Economic Evaluations, Quality of Life · Medicine · Gerontology

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