The Cost-effectiveness of Programs to Prevent or Reduce Obesity

Cawley, John

doi:10.1001/archpedi.161.6.611

Cited by 35 publications

(9 citation statements)

References 22 publications

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“…The question of costs, or value for money, in obesity prevention is particularly relevant to policy makers and service providers concerned with the best use of resources, 11 and cost estimates should be reported from intervention trials routinely. Only a few studies have estimated the likely cost-effectiveness (ie, the costs regarded acceptable for the benefits gained) of an intervention, perhaps in part because of the small number of obesity interventions for which there is strong evidence of effectiveness, and in part because of the complexity of the assumptions and associated uncertainty in translating behaviour change into improved body-mass index (BMI) and BMI into disability-adjusted life-years (DALYs) or other long-term health benefits for which costs can be assessed.…”

Section: Cost-effectiveness Of Child Obesity Preventionmentioning

confidence: 99%

Child and adolescent obesity: part of a bigger picture

et al. 2015

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The prevalence of childhood overweight and obesity has risen substantially worldwide in less than one generation. In the USA, the average weight of a child has risen by more than 5 kg within three decades, to a point where a third of the country’s children are overweight or obese. Some low-income and middle-income countries have reported similar or more rapid rises in child obesity, despite continuing high levels of undernutrition. Nutrition policies to tackle child obesity need to promote healthy growth and household nutrition security and protect children from inducements to be inactive or to overconsume foods of poor nutritional quality. The promotion of energy-rich and nutrient-poor products will encourage rapid weight gain in early childhood and exacerbate risk factors for chronic disease in all children, especially those showing poor linear growth. Whereas much public health effort has been expended to restrict the adverse marketing of breastmilk substitutes, similar effort now needs to be expanded and strengthened to protect older children from increasingly sophisticated marketing of sedentary activities and energy-dense, nutrient-poor foods and beverages. To meet this challenge, the governance of food supply and food markets should be improved and commercial activities subordinated to protect and promote children’s health.

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Section: Cost-effectiveness Of Child Obesity Preventionmentioning

confidence: 99%

Child and adolescent obesity: part of a bigger picture

et al. 2015

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“…There is also a growing recognition of the need for health investments to be informed by the best available cost and outcome data 1 . Such data are essential as researchers, policy makers, and public health officials attempt to implement interventions that yield the greatest gains for the dollars spent 2 …”

mentioning

confidence: 99%

Comparison of Program Costs for Parent‐Only and Family‐Based Interventions for Pediatric Obesity in Medically Underserved Rural Settings

Janicke

Sallinen

Perri

et al. 2009

The Journal of Rural Health

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Purpose To compare the costs of parent-only and family-based group interventions for childhood obesity delivered through Cooperative Extension Services in rural communities. Methods Ninety-three ovenueight or obese children (aged 8 to 14 years) and their parent(s) participated in this randomized controlled trial, which included a 4-month intervention and 6-month follow-up. Families were randomized to either a behavioral family-based intervention (n = 33), a behavioral parent-only intervention (n = 34), or a waitlist control condition (n = 26). Only program costs data for the parent-only and family-based programs are reported here (n = 67). Assessments were completed at baseline, post-treatment (month 4) and follow-up (month 10). The primary outcome measures were total program costs and cost per child for the parent-only and family interventions. Findings Twenty-six families in the parent-only intervention and 24 families in the family intervention completed all 3 assessments. As reported previously, both intervention programs led to significantly greater decreases in weight status relative to the control condition at month 10 follow-up. There was no significant difference in weight status change between the parent-only and family interventions. Total program costs for the parent-only and family interventions were $13,546 and $20,928, respectively. Total cost per child for the parent-only and family interventions were $521 and $872, respectively. Conclusions Parent-only interventions may be a cost-effective alternative treatment for pediatric obesity, especially for families in medically underserved settings.

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“…The median discretionary PE budget for US middle schools in 2009 was just $900 (National Association for Sport and Physical Education, 2009), while the average TFN grant in 2009 was $15,500 per school (Texas Education Agency, 2011). TFN grants were large enough to pay for evidence-based obesity interventions; for example, the Planet Health intervention costs $14 per student (Cawley, 2007)-less than half of the initial TFN allocation. In a TEA survey, at least 93% of schools reported that TFN grants were adequate to achieve the program's goals (Texas Education Agency, 2011).…”

Section: Pa Grant Programs and Texas Fitness Nowmentioning

confidence: 99%