Economic burden of low physical activity and high sedentary behaviour in Finland

Päivi Kolu, Jaana T. Kari, Jani Raitanen, Harri Sievänen, Kari Tokola, Eino Havas, Jaakko Pehkonen, Tuija H. Tammelin, Katja Pahkala, Nina Hutri-Kähönen, Olli T. Raitakari, Tommi Vasankari

Research output: Contribution to journalArticleScientificpeer-review

1 Downloads (Pure)


Background: Low physical activity and high sedentary behaviour are unquestionably relevant for public health while also increasing direct and indirect costs. Methods: The authors examined the direct and indirect costs attributable to low physical activity and high sedentary behaviour in Finland in 2017. Costs related to major non-communicable diseases drawn from Finnish registries covered direct costs (outpatient visits, days of inpatient care, medication and institutional eldercare) and indirect costs (sickness-related absences, disability pensions, unemployment benefits, all-cause mortality and losses of income tax revenue). Prevalences of low physical activity and high sedentary behaviour (≥8 hours per 16 waking hours) were based on self-reports among adolescents or accelerometer data among adults and the elderly from three Finnish population studies: FINFIT 2017, Health 2011 and the Cardiovascular Risk in Young Finns Study. Cost calculations used adjusted population attributable fractions (PAF) and regression models. Total annual costs were obtained by multiplying PAF by the total costs of the given disease. Results: The total costs of low physical activity in Finland in 2017 came to approximately €3.2 billion, of which direct costs accounted for €683 million and indirect ones for €2.5 billion. Costs attributable to high sedentary behaviour totalled roughly €1.5 billion. Conclusion: The findings suggest that low physical activity and high sedentary behaviour levels create substantial societal costs. Therefore, actions intended to increase physical activity and reduce excessive sedentary behaviour throughout life may yield not only better health but also considerable savings to society.

Original languageEnglish
Number of pages8
Issue number7
Publication statusPublished - 2022
Publication typeA1 Journal article-refereed


  • economics
  • epidemiology
  • health promotion
  • public health
  • sick leave

Publication forum classification

  • Publication forum level 2

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'Economic burden of low physical activity and high sedentary behaviour in Finland'. Together they form a unique fingerprint.

Cite this