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Fact SheetPublication 2024CHOICES: The Childhood Obesity Intervention Cost-Effectiveness Study
Adults and children in the U.S. consume more calories from foods and beverages than they …
Adults and children in the U.S. consume more calories from foods and beverages than they are expending. Over the past few decades, this trend has created an obesity epidemic. Identifying what works to prevent childhood obesity has become a priority for public health researchers, policymakers, and the general public. The Childhood Obesity Intervention Cost-Effectiveness Study (CHOICES) at the Harvard T.H. Chan School of Public Health is working to help reverse the U.S. obesity epidemic by…
Government/Law | Cost-Effectiveness Analysis | Child/Nutrition | Chronic Disease/Risk | Social Determinants | Health Systems | Clinical Care | Food/Agriculture | Health/Medicine | North America -
ArticlePublication 2017Diet, Physical Activity and Behavioral Interventions for the Treatment of Overweight or Obese Children, Ages 6-11 Years
Child and adolescent overweight and obesity has increased globally, and can be associated with significant …
Child and adolescent overweight and obesity has increased globally, and can be associated with significant short- and long-term health consequences. The purpose of this systematic review was to assess the effects of diet, physical activity, and behavioral interventions (behavior-changing interventions) for the treatment of overweight or obese children aged 6 to 11 years. The review included randomized controlled trials (RCTs) of diet, physical activity, and behavioral interventions for treating overweight or obese children aged 6…
Government/Law | Evidence Synthesis | Child/Nutrition | Chronic Disease/Risk | Health Systems | Policy/Regulation | Clinical Care | Health/Medicine -
ArticlePublication 2015Modeling the Cost Effectiveness of U.S. Child Care Policy Changes
Risk factors for obesity, including dietary habits, physical activity, and screen time behaviors develop in …
Risk factors for obesity, including dietary habits, physical activity, and screen time behaviors develop in early childhood, highlighting the importance of early intervention for obesity prevention. With nearly 70% of American preschool-aged children in out-of-home childcare facilities, these programs serve as an ideal intervention target. This study estimated the effect of hypothetical state-level regulations focused on beverage consumption, physical activity, and screen time. Using a simulation model, the authors found these regulatory changes would reach…
Government/Law | Costing Methods | Health Outcomes | Mathematical Models | Microsimulation | Cost-Effectiveness Analysis | Child/Nutrition | Chronic Disease/Risk | Health Systems | Clinical Care | Education/Labor | Food/Agriculture | Health/Medicine | North America -
ArticlePublication 2015BMI and Healthcare Cost Impact of Eliminating Tax Subsidy for Advertising Unhealthy Food to Youth
Children in the U.S. are exposed to thousands of food-related TV advertisements, most of which …
Children in the U.S. are exposed to thousands of food-related TV advertisements, most of which promote nutritionally poor foods and drinks. Food marketers spend millions of dollars on youth-directed television each year, and these advertising expenditures are currently treated by the U.S. government as ordinary business expenses, meaning they receive a tax subsidy of nearly $80 million. This study estimated the cost-effectiveness of eliminating this tax subsidy. Using a simulation model, the authors found that…
Government/Law | Costing Methods | Health Outcomes | Microsimulation | Cost-Effectiveness Analysis | Child/Nutrition | Chronic Disease/Risk | Social Determinants | Policy/Regulation | Culture/Society | Food/Agriculture | Health/Medicine | North America -
ArticlePublication 2015Cost Effectiveness of a SSB Excise Tax in the U.S.
Sugar-sweetened beverages (SSBs) have been closely linked with excess weight gain, diabetes, and cardiovascular disease, …
Sugar-sweetened beverages (SSBs) have been closely linked with excess weight gain, diabetes, and cardiovascular disease, which has led to public health recommendations for higher taxes on unhealthy drinks like soda and sports drinks. This study estimated the cost-effectiveness of implementing a 1-cent per ounce SSB excise tax in the U.S. The authors developed a simulation model and found that implementing the tax nationally would cost $51 million in the first year and would reduce SSB…
Government/Law | Cost-Effectiveness Analysis | Child/Nutrition | Chronic Disease/Risk | Social Determinants | Health/Medicine | North America -
ArticlePublication 2015Cost Effectiveness of Childhood Obesity Interventions: Evidence and Methods for CHOICES
As the childhood obesity epidemic continues in the U.S., fiscal crises are leading policymakers to …
As the childhood obesity epidemic continues in the U.S., fiscal crises are leading policymakers to ask not only whether an intervention works, but also whether it offers good value for money spent. This paper discussed the methods used to evaluate the cost-effectiveness of four strategies to address the obesity epidemic: (1) a sugar-sweetened beverage excise tax; (2) eliminating the tax subsidy of TV advertising of unhealthy food to children; (3) early care and education policy…
Government/Law | Health Outcomes | Evidence Synthesis | Cost-Effectiveness Analysis | Child/Nutrition | Chronic Disease/Risk | Social Determinants | Culture/Society | Health/Medicine | North America -
ArticlePublication 2015Child and Adolescent Obesity: Part of a Bigger Picture
This series paper stresses a need for the governance of food supply and food markets …
This series paper stresses a need for the governance of food supply and food markets to be improved and commercial activities subordinated to protect and promote children's health. The prevalence of childhood overweight and obesity has risen substantially worldwide in less than one generation. In the U.S., the average weight of a child has risen by more than 5 kg within three decades, to a point where a third of the country's children are overweight…
Government/Law | Child/Nutrition | Chronic Disease/Risk | Social Determinants | Health Systems | Policy/Regulation | Culture/Society | Food/Agriculture | Health/Medicine | Global -
ArticlePublication 2015Management of Obesity: Improvement of Training & Systems for Prevention & Care
This series paper notes that obesity poses an enormous clinical burden and that innovative treatment …
This series paper notes that obesity poses an enormous clinical burden and that innovative treatment and care-delivery strategies are needed. Although the caloric deficits achieved by increased awareness, policy, and environmental approaches have begun to achieve reductions in the prevalence of obesity in some countries, these approaches are insufficient to achieve weight loss in patients with severe obesity. In addition to biases and unfounded assumptions about patients with obesity, absence of training in behavior-change strategies…
Government/Law | Child/Nutrition | Chronic Disease/Risk | Health Systems | Policy/Regulation | Business/Industry | Food/Agriculture | Health/Medicine | Global
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