Long-term health and economic impact of preventing and reducing overweight and obesity in adolescence.
Long-term health and economic impact of preventing and reducing overweight and obesity in adolescence.
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预防和减少青春期超重和肥胖的长期健康和经济影响。
DOI：
10.1016/j.jadohealth.2009.11.204
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
R. Lowry
中科院分区：
文献类型：
--
作者：
L. Wang;M. Denniston;Sarah Lee;D. Galuska;R. Lowry
使用2000年全国医疗支出小组调查的数据和已发表研究的估计，这项研究预测了预防和减少当今青少年超重和肥胖的长期健康和经济影响。方法我们开发了一个身体质量指数进展模型，以预测16岁以下超重和肥胖青少年减少1%的影响。17年来，目前对40岁时非超重、超重和肥胖成年人的数量进行了研究。然后，我们估计了它对40岁以后的终身医疗费用和质量调整生命年（Qs）的影响。医疗费用（以2007年美元计算）和QOLS被打折到17岁。目前16-17岁的超重和肥胖青少年的QOTSA下降1%，未来可以减少52,821名肥胖成年人。在最坏的情况下，降低1个百分点将减少4.63亿医疗费用，增加34，394个生命周期;在最好的情况下，将减少6.91亿医疗费用，增加57，149个生命周期。因此，在量化青少年预防肥胖的影响时，包括长期健康和经济效益是很重要的。
PURPOSEUsing data from the 2000 National Medical Expenditure Panel Survey and estimates from published studies, this study projected the long-term health and economic impacts of preventing and reducing overweight and obesity in today's adolescents.METHODSWe developed a body mass index progression model to project the impact of a 1% point reduction in both overweight and obese adolescents aged 16–17 years at present on the number of nonoverweight, overweight, and obese adults at age 40 years. We then estimated its impact on the lifetime medical costs and quality-adjusted life years (QALYs) after age 40. Medical costs (in 2007 dollars) and QALYs were discounted to age 17 years.RESULTSA 1% point reduction in both overweight and obese adolescents ages 16–17 years at present could reduce the number of obese adults by 52,821 in the future. As a result, lifetime medical care costs after age 40 years would decrease by 586millionandlifetimeQALYswouldincreaseby47,138.Intheworstcasescenario,the1%pointreductionwouldlowermedicalcostsby 463 million and increase QALYs by 34,394; in the best case scenario, it would reduce medical costs by 691millionandincreaseQALYsby57,149.CONCLUSIONSObesitypreventioninadolescentsgoesbeyonditsimmediatebenefits;itcanalsoreducemedicalcostsandincreaseQALYssubstantiallyinlaterlife.Therefore,itisimportanttoincludelong-termhealthandeconomicbenefitswhenquantifyingtheimpactofobesitypreventioninadolescents.
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