Cost effectiveness of childhood obesity interventions: evidence and methods for CHOICES

Gortmaker, Steven L., Long, Michael W., Resch, Stephen C., Ward, Zachary J., Cradock, Angie L., Barrett, Jessica L., Wright, Davene R., Sonneville, Kendrin R., Giles, Catherine M., Carter, Rob C., Moodie, Marj L., Sacks, Gary, Swinburn, Boyd A., Hsiao, Amber, Vine, Seanna, Barendregt, Jan, Vos, Theo and Wang, Y. Claire (2015) Cost effectiveness of childhood obesity interventions: evidence and methods for CHOICES. American Journal of Preventive Medicine, 49 1: 102-111. doi:10.1016/j.amepre.2015.03.032

Author Gortmaker, Steven L.
Long, Michael W.
Resch, Stephen C.
Ward, Zachary J.
Cradock, Angie L.
Barrett, Jessica L.
Wright, Davene R.
Sonneville, Kendrin R.
Giles, Catherine M.
Carter, Rob C.
Moodie, Marj L.
Sacks, Gary
Swinburn, Boyd A.
Hsiao, Amber
Vine, Seanna
Barendregt, Jan
Vos, Theo
Wang, Y. Claire
Title Cost effectiveness of childhood obesity interventions: evidence and methods for CHOICES
Journal name American Journal of Preventive Medicine   Check publisher's open access policy
ISSN 1873-2607
Publication date 2015-07-01
Sub-type Article (original research)
DOI 10.1016/j.amepre.2015.03.032
Volume 49
Issue 1
Start page 102
End page 111
Total pages 10
Place of publication New York, United States
Publisher Elsevier
Language eng
Formatted abstract
Introduction:  The childhood obesity epidemic continues in the U.S., and fiscal crises are leading policymakers to ask not only whether an intervention works but also whether it offers value for money. However, cost-effectiveness analyses have been limited. This paper discusses methods and outcomes of four childhood obesity interventions: (1) sugar-sweetened beverage excise tax (SSB); (2) eliminating tax subsidy of TV advertising to children (TV AD); (3) early care and education policy change (ECE); and (4) active physical education (Active PE).

Methods:  Cost-effectiveness models of nationwide implementation of interventions were estimated for a simulated cohort representative of the 2015 U.S. population over 10 years (2015–2025). A societal perspective was used; future outcomes were discounted at 3%. Data were analyzed in 2014. Effectiveness, implementation, and equity issues were reviewed.

Results:  Population reach varied widely, and cost per BMI change ranged from $1.16 (TV AD) to $401 (Active PE). At 10 years, assuming maintenance of the intervention effect, three interventions would save net costs, with SSB and TV AD saving $55 and $38 for every dollar spent. The SSB intervention would avert disability-adjusted life years, and both SSB and TV AD would increase quality-adjusted life years. Both SSB ($12.5 billion) and TV AD ($80 million) would produce yearly tax revenue.

Conclusions:  The cost effectiveness of these preventive interventions is greater than that seen for published clinical interventions to treat obesity. Cost-effectiveness evaluations of childhood obesity interventions can provide decision makers with information demonstrating best value for the money.
Keyword Childhood obesity
Exercise interventions
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 22 times in Thomson Reuters Web of Science Article | Citations
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