Three Interventions That Reduce Childhood Obesity Are Projected To Save More Than They Cost To Implement.
Three Interventions That Reduce Childhood Obesity Are Projected To Save More Than They Cost To Implement.
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DOI：
10.1377/hlthaff.2015.0631
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发表时间：
2015-11
期刊：
影响因子：
9.7
通讯作者：
Cradock, Angie L.
中科院分区：
文献类型：
--
作者：
Gortmaker, Steven L.;Wang, Y. Claire;Long, Michael W.;Giles, Catherine M.;Ward, Zachary J.;Barrett, Jessica L.;Kenney, Erica L.;Sonneville, Kendrin R.;Afzal, Amna Sadaf;Resch, Stephen C.;Cradock, Angie L.
寻求减少儿童肥胖的政策制定者必须优先考虑对治疗和初级预防的投资。我们估计了肥胖政策议程上7项重要干预措施的成本效益：1)含糖饮料消费税；2)取消向青少年宣传不健康食品的税收补贴；3)餐厅菜单热量标注；4)校餐营养标准；（五）学校销售食品、饮料的营养标准；6)改善早期护理和教育；7)青少年减肥手术增多。我们使用系统评价和2015-2025年期间国家干预实施的微观模拟模型来评估降低体重指数对肥胖患病率和成本效益的影响。三种预防性干预措施节省的卫生保健费用高于实施成本，并预防了129,000至57.6万例儿童肥胖病例。青少年减肥手术对肥胖患病率的影响可以忽略不计。结果强调了一级预防对于旨在减少儿童肥胖的决策者的重要性。
Policymakers seeking to reduce childhood obesity must prioritize investment in treatment and primary prevention. We estimated the cost-effectiveness of seven interventions high on the obesity policy agenda: 1) sugar-sweetened beverage excise tax; 2) elimination of tax subsidy for advertising unhealthy foods to youth; 3) restaurant menu calorie labeling; 4) nutrition standards for school meals; 5) nutrition standards for foods and beverages sold in schools; 6) improved early care and education; 7) increased adolescent bariatric surgery. We used systematic reviews and a microsimulation model of national intervention implementation over the period 2015–2025 to estimate impact on obesity prevalence and cost-effectiveness for reducing body mass index. Three preventive interventions saved more in health care costs than they cost to implement, and prevented from 129,000 to 576,000 cases of childhood obesity. Adolescent bariatric surgery had negligible impact on obesity prevalence. Results highlight the importance of primary prevention for policymakers aiming to reduce childhood obesity.
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DOI：
10.1001/jama.2014.732
发表时间：
2014-02-26
期刊：
JAMA
影响因子：
--
作者：
Ogden CL;Carroll MD;Kit BK;Flegal KM
通讯作者：
Flegal KM
影响因子：
26.1
作者：
Kelleher, Deirdre C.;Merrill, Chaya T.;Burd, Randall S.
通讯作者：
Burd, Randall S.
改变肥胖的未来：科学，政策和行动。
影响因子：
168.9
作者：
Gortmaker, Steven L.;Swinburn, Boyd A.;Levy, David;Carter, Rob;Mabry, Patricia L.;Finegood, Diane T.;Huang, Terry;Marsh, Tim;Moodie, Marjory L.
通讯作者：
Moodie, Marjory L.
影响因子：
168.9
作者：
Hall, Kevin D.;Sacks, Gary;Chandramohan, Dhruva;Chow, Carson C.;Wang, Y. Claire;Gortmaker, Steven L.;Swinburn, Boyd A.
通讯作者：
Swinburn, Boyd A.
影响因子：
44.5
作者：
Hall, Kevin D.;Butte, Nancy F.;Swinburn, Boyd A.;Chow, Carson C.
通讯作者：
Chow, Carson C.