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Sharon Hetherington, Paul Swinton, Tim Henwood, Justin Keogh, Paul Gardiner, Anthony Tuckett, Kevin Rouse and Tracy Comans

for the cost–utility analysis was the quality-adjusted life year (QALY). The QALY is a health state preference measure that combines the length of life and quality of life measured using a utility weight. Utility weights were calculated from the EuroQol 5-dimension 3-level generic health index (EQ-5D

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Faye Prior, Margaret Coffey, Anna Robins and Penny Cook

:” an exercise referral scheme in West Suffolk . Public Health . 2009 ; 123 ( 10 ): 670 – 672 . PubMed ID: doi:10.1016/j.puhe.2009.09.005 19854456 10.1016/j.puhe.2009.09.005 25. Gusi N , Reyes MC , Gonzalez-Guerrero JL , et al . Cost-utility of a walking programme for moderately depressed

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Iris Buder, Cathleen Zick, Norman Waitzman, Sara Simonsen, Grant Sunada and Kathleen Digre

-Adjusted Life Years We adopted a cost-utility approach to measuring cost-effectiveness, where PA and dietary gains were assessed in terms of quality-adjusted life years (QALYs). 36 The QALYs measure both quantity and quality of life gained or lost by a disease or health intervention by assessing gains