【摘要】 当前，运动转诊服务获得了世界卫生组织推荐，正成为全球公共卫生优先事项。中国体医融合服务尚未获得政策优先级，可能受制于卫生经济学证据不足。文章系统梳理了身体活动不足的全球疾病负担研究，得知：(1)患病率。2010—2018年中国身体活动不足患病率上升7.93%;(2)健康负担。1990—2019年中国可归因于身体活动不足的死亡人数增长3.24倍、残疾调整寿命年增长2.64倍、健康寿命损失年增长2.89倍、寿命损失年增长2.58倍，过去近30年健康负担持续增长；(3)经济负担。2020—2030年，身体活动不足将引起4 517.01万例12种常见非传染性疾病，导致医疗卫生和医疗保健总成本达到36 694.53亿元；(4)宏观经济收益。2020—2050年解决身体活动不足将为中国带来的累积经济收益41 473.48～150 124.07亿元。这些数据为中国运动转诊服务纳入医疗卫生优先事项提供卫生经济学证据，但提升政策优先级还需：(1)进行独立的中国身体活动不足的疾病负担测算，为医疗卫生政策提供可靠证据；(2)将运动转诊作为中国非传染性疾病治理的优先政策；(3)建立运动转诊机制，并将运动转诊服务纳入医疗卫生服务目录。更多还原

【Abstract】 Exercise referral services have received WHO recommendations and are becoming a global public health priority. Integration of exercise into the healthcare system in China has not yet received policy priority and may be constrained by insufficient health economics evidence. A systematic review of studies on the global burden of disease of physical inactivity revealed that(1) prevalence. the prevalence of physical inactivity in China increased by 7.93% from 2010-2018;(2) health burden. the number of deaths attributable to physical inactivity in China from 1990-2019 increased by 3.24 times, disability-adjusted life expectancy(DALE) increased 2.64 times per year, life expectancy loss(LES) increased 2.89 times per year, and disability life expectancy loss(DALE) increased 2.56 times per year, and the health burden has continued to grow over the past nearly 30 years;(3)Economic burden.In 2020-2030, the 12 common NCDs attributed to insufficient physical activity will generate 45,170,100 cases, resulting in a total cost of 3669.45 billion RMB for healthcare and healthcare;(4)Macroeconomic gains.The cumulative minimal economic gains from addressing insufficient physical activity in China in 2020-2050 are expected to be to be 4.14 trillion yuan, and the maximum gain is expected to be 15.01 trillion RMB. These data provide health economics evidence for the inclusion of exercise referral services as a healthcare priority in China, but elevating the policy priority will require(1)an independent measure of the burden of disease of physical inactivity in China to provide reliable evidence for healthcare policy;(2)the inclusion of exercise referral as a priority policy for the management of non-communicable diseases in China;(3)the establishment of a mechanism for referral to exercise and the inclusion of exercise referral services in the catalogue of healthcare services.更多还原