Lifetime cost-effectiveness and equity impacts of the Healthy Primary School of the Future initiative

BMC Public Health

Table 2 Health effects and cost impacts of HPSF and PAS for the childhood and adulthood life span (per child)

Perspective	Deterministic results (discounted)	Control schools	PAS	HPSF
Healthcare	Intervention costs ^a	–	€1587	€3279
	Childhood and adolescence (4–20 years of age)
	Healthcare costs	€4855	€4854	€4854
	Years with overweight	2.718	2.569	2.532
	Years with obesity	0.396	0.371	0.365
	QALYs	12.803	12.806	12.807
	Adulthood (20 years of age – death)
	Healthcare costs of obesity-related and indirect diseases	€244,680	€244,978	€245,043
	LYs	52.131	52.157	52.163
	QALYs	39.362	39.390	39.397
	Lifetime
	Healthcare costs	€249,535	€249,832	€249,896
	QALYS	52.164	52.196	52.203
Societal	Intervention costs (societal opportunity costs) ^a	–	€1587	€702
	Childhood and adolescence (4–20 years of age)
	Productivity costs (school absenteeism)	€1813	€1808	€1807
	Adulthood (20 years of age – death)
	Productivity costs (sick leave days)	€8031	€7798	€7748
	Lifetime
	Productivity costs	€9844	€9606	€9554

Notes: BMI Body mass index, HC Healthcare, HPSF The Healthy Primary School of the Future, LYs Life years, PAS The Physical Activity School, QALYs Quality-adjusted life years. Costs discounted at 4% and effects discounted at 1.5% per year
^a The average intervention cost for a school cohort (targeting children from all primary school grades). For the intervention costs under the healthcare perspective, the productivity-related offsets due to the extended school day at HPSF were excluded (see main text)

ISSN: 1471-2458