Economic evaluation of URMEL-ICE, a school-based overweight prevention programme comprising metabolism, exercise and lifestyle intervention in children

Kesztyüs, Dorothea; Schreiber, Anja; Wirt, Tamara; Wiedom, Martina; Dreyhaupt, Jens; Brandstetter, Susanne; Koch, Benjamin; Wartha, Olivia; Muche, Rainer; Wabitsch, Martin; Kilian, Reinhold; Steinacker, Jürgen M.

doi:10.1007/s10198-011-0358-3

Cited by 36 publications

(82 citation statements)

References 38 publications

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“…These last parameters, according to the most recent literature data [6][7][8], allow a more reliable quantification and stratification of both cardiovascular risk and metabolic syndrome [9][10][11][12]. Because it is internationally admitted that cut-offs must be specific for each population [13], a waist-height ratio cut-off equal to or higher than 0.50 for overweight children and 0.60 for obese children [14,15] was decided, in agreement with the literature specific for the Italian population. Yet, the waist/height ratio assessment was narrowed to the 5-6 and 8-9 age ranges, as we found that this measurement was not connected with the BMI in the 3-4 age range children [16].…”

Section: Methodsmentioning

confidence: 80%

Overweight-Obesity Prevalence in Children of North-West Italy: Efficacy of Counselling

Colombo¹,

Scurati-Manzoni²,

Careddu³

et al. 2015

J Gastrointest Dig Syst

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Section: Methodsmentioning

confidence: 80%

Overweight-Obesity Prevalence in Children of North-West Italy: Efficacy of Counselling

Colombo¹,

Scurati-Manzoni²,

Careddu³

et al. 2015

J Gastrointest Dig Syst

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“…Meta-analyses of the reviewed studies show that the mean effect was even greater in 0-5 year olds but failed to reach statistical significance (p = 0.05), given the relatively small number of children included. This somewhat mixed picture emerges from the German trials [8][9][10][11][12][13] as well. In terms of BMI change, some studies demonstrated significant effects for the total study populations [13], others only for subgroups [8] and one intervention proved to be ineffective [12].…”

Section: Effectivenessmentioning

confidence: 89%

“…According to these findings, no single paper evaluating the cost-effectiveness implications of childhood obesity interventions in Germany had been published until October 2011. However, shortly after this, a new study was published estimating a cost-effectiveness of €11.11 per cm waist circumference prevented and €18.55 per unit waist-to-height ratio prevented for the structured primary school-based URMEL-ICE program [12].…”

Section: Cost-effectivenessmentioning

confidence: 99%

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Combating pediatric obesity in Germany: the role of economic findings in informing policy

John¹,

Teuner

2012

Expert Review of Pharmacoeconomics & Outcomes Research

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As in most countries, overweight and obesity among children and adolescents have dramatically increased in Germany over the last two decades. This serious public-health challenge has stimulated many efforts to curb the pediatric obesity epidemic. In this article, the authors briefly describe these efforts and examine the role of health economics in informing German health policies and evaluating the outcomes of interventions aimed at reducing pediatric obesity. The findings indicate that the tools of health-economic analysis have rarely been used to guide the development of strategies to prevent pediatric obesity and to support decision-making on the use of the scarce resources available for preventive actions. The authors give some reasons why health economics has not been an important policy tool so far and make some recommendations for how this could be changed. Reasons impeding health economics playing a more important role in this area are the existence of many unsolved issues in the methods of health economic evaluation and large gaps in the knowledge base on the effectiveness of interventions. Nevertheless, these methods should be considered to be indispensible tools of health policy development. However, taking into account the broad range of political and societal concerns related to pediatric obesity, decision-making in this area will ultimately rest on a process of deliberate thinking integrating different perspectives among, which health economics will be one.

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“…The trainers, who are also kindergarten teachers, are trained twice a year and are intensely supported by an interdisciplinary project team at Ulm University. Apart from its cost-effectiveness [24], one advantage of this approach is that kindergarten teachers are trained by a colleague and no external expert, which enhances acceptance of the programme and enables a higher sustainability [25]. …”

Section: Methodsmentioning

confidence: 99%

Design, Implementation, and Study Protocol of a Kindergarten-Based Health Promotion Intervention

Kobel

Wartha

Wirt

et al. 2017

BioMed Research International

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Inactivity and an unhealthy diet amongst others have led to an increased prevalence of overweight and obesity even in young children. Since most health behaviours develop during childhood health promotion has to start early. The setting kindergarten has been shown as ideal for such interventions. “Join the Healthy Boat” is a kindergarten-based health promotion programme with a cluster-randomised study focussing on increased physical activity, reduced screen media use, and sugar-sweetened beverages, as well as a higher fruit and vegetable intake. Intervention and materials were developed using Bartholomew's Intervention Mapping approach considering Bandura's social-cognitive theory and Bronfenbrenner's ecological framework for human development. The programme is distributed using a train-the-trainer approach and currently implemented in 618 kindergartens. The effectiveness of this one-year intervention with an intervention and a control group will be examined in 62 kindergartens using standardised protocols, materials, and tools for outcome and process evaluation. A sample of 1021 children and their parents provided consent and participated in the intervention. Results of this study are awaited to give a better understanding of health behaviours in early childhood and to identify strategies for effective health promotion. The current paper describes development and design of the intervention and its implementation and planned evaluation. Trial Registration. The study is registered at the German Clinical Trials Register (DRKS), Freiburg University, Germany, ID: DRKS00010089.

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Economic evaluation of URMEL-ICE, a school-based overweight prevention programme comprising metabolism, exercise and lifestyle intervention in children

Cited by 36 publications

References 38 publications

Overweight-Obesity Prevalence in Children of North-West Italy: Efficacy of Counselling

Overweight-Obesity Prevalence in Children of North-West Italy: Efficacy of Counselling

Combating pediatric obesity in Germany: the role of economic findings in informing policy

Design, Implementation, and Study Protocol of a Kindergarten-Based Health Promotion Intervention

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