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)