The potential for long-term cost-effectiveness of obesity prevention interventions in the early years of life

Background Early childhood obesity prevention is gaining increasing importance, as the prevalence of children with overweight and obesity aged 5 years and under increases worldwide. Along with understanding the effectiveness of obesity interventions, it is important to understand the cost-effectiven...

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Hauptverfasser: Brown, Vicki (VerfasserIn) , Ananthapavan, Jaithri (VerfasserIn) , Sonntag, Diana (VerfasserIn) , Tan, Eng Joo (VerfasserIn) , Hayes, Alison (VerfasserIn) , Moodie, Marj (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 27 February 2019
In: Pediatric obesity
Year: 2019, Jahrgang: 14, Heft: 8
ISSN:2047-6310
DOI:10.1111/ijpo.12517
Online-Zugang:Verlag, Volltext: https://doi.org/10.1111/ijpo.12517
Verlag, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/ijpo.12517
Volltext
Verfasserangaben:Vicki Brown, Jaithri Ananthapavan, Diana Sonntag, Eng Joo Tan, Alison Hayes, Marj Moodie

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520 |a Background Early childhood obesity prevention is gaining increasing importance, as the prevalence of children with overweight and obesity aged 5 years and under increases worldwide. Along with understanding the effectiveness of obesity interventions, it is important to understand the cost-effectiveness of interventions over time. Objectives To estimate the long-term health benefits and health care cost-savings of reductions in BMI for the Australian population of children aged between 2 and 5 years. Methods A proportional multistate, multiple cohort lifetable model estimated the health benefits and health care cost-savings related to hypothetical reductions in BMI, informed by a scoping review of systematic reviews reporting the effectiveness of obesity prevention interventions in preschool aged children. Results Results suggest significant potential for cost-effectiveness of obesity prevention interventions in preschool-aged children if intervention effect can be maintained. A relatively small population level reduction in BMI z-score (−0.13 BMIz) in children aged 2 to 5 years would result in 36 496 health-adjusted life years saved (95% uncertainty interval [UI], 30 283-42 945) and health care cost-savings of approximately $301 million (95% UI $234 million-$369 million) if modelled over the lifetime. Conclusions Scenario results highlight the importance of obesity intervention in the early years of life. 
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