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

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

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
  1. 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
  2. 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)