Three interventions that reduce childhood obesity are projected to save more than they cost to implement

Steven L. Gortmaker, Y. Claire Wang, Michael W. Long, Catherine M. Giles, Zachary J. Ward, Jessica L. Barrett, Erica L. Kenney, Kendrin R. Sonneville, Amna Sadaf Afzal, Stephen C. Resch, Angie L. Cradock

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

Policy makers 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: a sugar-sweetened beverage excise tax; elimination of the tax subsidy for advertising unhealthy food to children; restaurant menu calorie labeling; nutrition standards for school meals; nutrition standards for all other food and beverages sold in schools; improved early care and education; and increased access to adolescent bariatric surgery. We used systematic reviews and a microsimulation model of national implementation of the interventions over the period 2015-25 to estimate their impact on obesity prevalence and their cost-effectiveness for reducing the body mass index of individuals. In our model, three of the seven interventions-excise tax, elimination of the tax deduction, and nutrition standards for food and beverages sold in schools outside of meals-saved more in health care costs than they cost to implement. Each of the three interventions prevented 129,000-576,000 cases of childhood obesity in 2025. Adolescent bariatric surgery had a negligible impact on obesity prevalence. Our results highlight the importance of primary prevention for policy makers aiming to reduce childhood obesity.

Original languageEnglish (US)
Pages (from-to)1932-1939
Number of pages8
JournalHealth Affairs
Volume34
Issue number11
DOIs
StatePublished - 2015

Fingerprint

Pediatric Obesity
Food and Beverages
Bariatric Surgery
Obesity
Taxes
Primary Prevention
Administrative Personnel
Costs and Cost Analysis
Cost-Benefit Analysis
Meals
Restaurants
Beverages
Health Care Costs
Body Mass Index
Education
Food
Therapeutics

ASJC Scopus subject areas

  • Health Policy

Cite this

Gortmaker, S. L., Wang, Y. C., Long, M. W., Giles, C. M., Ward, Z. J., Barrett, J. L., ... Cradock, A. L. (2015). Three interventions that reduce childhood obesity are projected to save more than they cost to implement. Health Affairs, 34(11), 1932-1939. https://doi.org/10.1377/hlthaff.2015.0631

Three interventions that reduce childhood obesity are projected to save more than they cost to implement. / 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.

In: Health Affairs, Vol. 34, No. 11, 2015, p. 1932-1939.

Research output: Contribution to journalArticle

Gortmaker, SL, Wang, YC, Long, MW, Giles, CM, Ward, ZJ, Barrett, JL, Kenney, EL, Sonneville, KR, Afzal, AS, Resch, SC & Cradock, AL 2015, 'Three interventions that reduce childhood obesity are projected to save more than they cost to implement', Health Affairs, vol. 34, no. 11, pp. 1932-1939. https://doi.org/10.1377/hlthaff.2015.0631
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. / Three interventions that reduce childhood obesity are projected to save more than they cost to implement. In: Health Affairs. 2015 ; Vol. 34, No. 11. pp. 1932-1939.
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