Health Economic Aspects of Childhood Excess Weight: A Structured Review

Onyimadu, Olu; Violato, Mara; Astbury, Nerys M.; Jebb, Susan; Petrou, Stavros

doi:10.3390/children9040461

Cited by 3 publications

(2 citation statements)

References 164 publications

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“…This study was registered in the PROSPERO database of systematic review protocols (registration number: CRD42021267540). 25 We conducted systematic searches from the inception of each search engine to August 5, 2021, and updated the searches on April 19, 2023, (1900-present). The searches were built using title/abstract keywords, subject headings, or MeSH terms, where available, for the following key concepts: obesity/overweight and exercise/dietary interventions and childhood terms and economic/cost terms.…”

Section: Search Strategymentioning

confidence: 99%

“…However, it excluded surgical interventions. Our updated searches, as part of a structured review, 15 identified 31 additional studies since the systematic review by Zanganeh et al 9 Furthermore, two other recent systematic reviews were either focused solely on school‐based interventions 16 or preventive interventions with dietary components only, 17 highlighting the need for a systematic review of the evidence that is broader in reach.…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of economic evaluations of interventions targeting childhood overweight and obesity

Onyimadu,

Violato,

Astbury

et al. 2023

Obesity Reviews

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Summary This systematic review critically appraised and synthesized evidence from economic evaluations of interventions targeting childhood excess weight. We conducted systematic searches in 11 databases from inception to April 19, 2023. Studies were eligible if they evaluated interventions targeting children up to 18 years and the study intervention(s) targeted childhood excess weight or sought to improve diet or physical activity, regardless of the type of economic evaluation or the underpinning study design. We synthesized evidence using narrative synthesis methods. One‐hundred fifty‐one studies met the eligibility criteria and were classified into three groups based on the intervention approach: prevention‐only (13 studies), prevention and treatment (100 studies), and treatment‐only (38 studies). The predominant setting and study design differed considerably between the three groups of studies. However, compared with usual care, most interventions were deemed cost‐effective. The study participants' ages, sex, and socioeconomic status were crucial to intervention cost‐effectiveness. Interventions whose effects were projected beyond childhood, such as bariatric surgery, lower protein infant formula, and home‐based general practitioner consultations, tended to be cost‐effective. However, cost‐effectiveness was sensitive to the assumptions underlying the persistence and intensity of such effects. Our findings can inform future recommendations on the conduct of economic evaluations of interventions targeting childhood overweight and obesity, as well as practice and policy recommendations.

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Section: Search Strategymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A systematic review of economic evaluations of interventions targeting childhood overweight and obesity

Onyimadu,

Violato,

Astbury

et al. 2023

Obesity Reviews

Self Cite

View full text Add to dashboard Cite

show abstract

Direct costs for outpatient excess body weight treatment in Brazilian children and adolescents attending a public children's hospital

Hanauer,

Corrêa,

Blazius

et al. 2024

Jornal de Pediatria

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Food insecurity, environment, institutional quality, and health outcomes: evidence from South Asia

Azimi,

Rahman

2024

Global Health

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Background Food insecurity and environmental degradation pose significant threats to health outcomes in South Asia, necessitating effective policy interventions. Therefore, this study aims to examine the impact of food insecurity and environmental degradation on health outcome indicators amidst global inflationary shocks and institutional quality arrangements. Additionally, it aims to explore the intricate moderating role of institutional quality on the relationship between food insecurity, endogenous variables, and external shocks. Method In alignment with the study’s objectives, a set of panel data spanning from 2000 to 2021 is compiled for South Asia. The study introduces a novel variable representing inflationary shock, crafted through the integration of inflation datapoints and the application of the generalized autoregressive conditional heteroskedasticity model. Additionally, a distinctive aggregate institutional quality index is formulated, drawing from six key measures of the Worldwide Governance indicators. To scrutinize the effects of food insecurity, environmental degradation, and other explanatory variables, the study employs the two-step system generalized method of moment technique, offering a robust analytical approach to uncover complex relationships and dynamics in the region. Results The results indicate that the prevalence of undernourishment, inequality in per capita calorie intake, and CO2 emissions significantly reduce life expectancy and increase mortality rates. Additionally, it shows that per capita kilocalorie supply, per capita GDP, per capita health expenditures, and urbanization are statistically significant for increasing life expectancy and decreasing mortality rates. The findings reveal that inflationary shocks severely affect food insecurity and environmental factors, exerting further pressure on contemporary life expectancy and mortality rates. In rebuttal, the institutional quality index is found to have significant effects on increasing and decreasing life expectancy and mortality rates, respectively. Furthermore, the institutional quality index is effective in moderating the nexus between food insecurity, environmental degradation, and health outcomes while also neutralizing the negative impact of inflationary shocks on the subject. Conclusion The results verify triple health constraints such as food insecurity, environmental factors, and economic vulnerability to global shocks, which impose severe effects on life expectancy and mortality rates. Furthermore, poor institutional quality is identified as a hindrance to health outcomes in South Asia. The findings suggest specific policy implications that are explicitly discussed.

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Health Economic Aspects of Childhood Excess Weight: A Structured Review

Cited by 3 publications

References 164 publications

A systematic review of economic evaluations of interventions targeting childhood overweight and obesity

A systematic review of economic evaluations of interventions targeting childhood overweight and obesity

Direct costs for outpatient excess body weight treatment in Brazilian children and adolescents attending a public children's hospital

Food insecurity, environment, institutional quality, and health outcomes: evidence from South Asia

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