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Read Getting Set for an Active Nation - Sport New Zealand

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Cost of Lives Lost<br />

The causal relationship between physical inertia <strong>an</strong>d heightened health risks suggests<br />

that, in Australia <strong>for</strong> example, 122 deaths per year from coronary heart disease, noninsulin<br />

dependent diabetes <strong>an</strong>d colon c<strong>an</strong>cer may be prevented <strong>for</strong> each 1% increase<br />

of the population who achieve a level of sufficient physical activity (Stephenson et al.,<br />

1996 p.vii-viii). Unnecessary deaths have impacts upon medical costs <strong>an</strong>d lost<br />

contributions to the national economy.<br />

The most persuasive proof concerns the prevention of coronary heart disease, which<br />

continues to kill more <strong>New</strong> Zeal<strong>an</strong>ders, often at a relatively young age, th<strong>an</strong> <strong>an</strong>y other<br />

disease. Individuals who are regularly active have half the risk from this disease th<strong>an</strong><br />

those with a sedentary lifestyle (Berlin <strong>an</strong>d Colditz, 1990; Powell et al., 1987), <strong>an</strong>d in<br />

the United States one-third of the <strong>an</strong>nual deaths from coronary disease c<strong>an</strong> be<br />

attributed to insufficient physical activity (Powell <strong>an</strong>d Blair, 1994).<br />

4.4 The Cost of Doing Nothing<br />

The Task<strong>for</strong>ce asks the question, “How much does it matter to <strong>New</strong> Zeal<strong>an</strong>ders to save<br />

lives <strong>an</strong>d reduce expenditure by supporting physical activity, recreation <strong>an</strong>d sport?”<br />

The evidence of physical activity as the key to making <strong>New</strong> Zeal<strong>an</strong>d a healthier nation<br />

underpins social <strong>an</strong>d economic benefits. Governments have been told this but have<br />

consistently abstained from addressing this as the key to a fitter <strong>an</strong>d more productive<br />

society. Government must support physical activity as active lives prevent illness <strong>an</strong>d<br />

generate a more productive elderly sector.<br />

Physical activity results in economic benefits <strong>an</strong>d signific<strong>an</strong>t savings <strong>for</strong> <strong>New</strong> Zeal<strong>an</strong>d in<br />

direct medical costs (e.g. ambul<strong>an</strong>ce, in-patient <strong>an</strong>d out-patient treatment,<br />

rehabilitation, medical services, pharmaceuticals consumption), <strong>an</strong>d indirect costs<br />

(such as the loss of productivity or absences from the workplace, <strong>an</strong>d costs ensuing<br />

from the reduction of quality of life due to pain, disability, bereavement or suffering).<br />

• An example of the result of governmental inaction is seen in relation to some<br />

7,800 <strong>New</strong> Zeal<strong>an</strong>ders who die each year from coronary disease, colon c<strong>an</strong>cer <strong>an</strong>d<br />

diabetes, with one-sixth to one-fifth attributed to physical inactivity. Doing nothing<br />

will me<strong>an</strong> the wasted deaths of 1,300 of the <strong>New</strong> Zeal<strong>an</strong>ders each year.<br />

• In 1996, the avoidable mortality rate <strong>for</strong> Maori (0-74 years) was 2.5 times, <strong>an</strong>d <strong>for</strong><br />

Pacific people 2.0 times, higher th<strong>an</strong> the Europe<strong>an</strong>/Other rate.<br />

• Maori <strong>an</strong>d Pacific people (0-74 years) have rates of avoidable hospitalisation about<br />

60 percent higher th<strong>an</strong> Europe<strong>an</strong>/Others.<br />

• In 1997-98, almost one-third of all the hospitalisations in the 0-74 years age group<br />

were potentially avoidable, through health promotion or primary health care.<br />

• Physical inactivity accounts <strong>for</strong> about eight percent of <strong>an</strong>nual deaths with obesity<br />

<strong>an</strong>d diabetes each responsible <strong>for</strong> about four to five percent of these deaths.<br />

Ministerial Task<strong>for</strong>ce on <strong>Sport</strong>, Fitness & Leisure J<strong>an</strong>uary 2001 page 48 of 153

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