Community and Preventive Medicine, Mount Sinai School of Medicine, New York City, New York, USA.
Health Aff (Millwood). 2010 Mar-Apr;29(3):372-8. doi: 10.1377/hlthaff.2009.0691.
Policy makers generally agree that childhood obesity is a national problem. However, it is not always clear whether enough is being spent to combat it. This paper presents nine scenarios that assume three different degrees of reduction in obesity/overweight rates among children in three age groups. A mathematical model was then used to project lifetime health and economic gains. Spending $2 billion a year would be cost-effective if it reduced obesity among twelve-year-olds by one percentage point. The analysis also found that childhood obesity has more profound economic consequences than previously documented. Large investments to reduce this major contributor to adult disability may thus be cost-effective by widely accepted criteria.
政策制定者普遍认为儿童肥胖是一个全国性问题。然而,对于是否有足够的投入来对抗这一问题,情况并不总是清楚的。本文提出了九个设想方案,假设在三个年龄组的儿童中,肥胖/超重率降低了三个不同程度。然后,使用一个数学模型来预测终身健康和经济收益。如果每年花费 20 亿美元能使 12 岁儿童的肥胖率降低一个百分点,那么这种投入就是具有成本效益的。分析还发现,儿童肥胖症比之前记录的具有更深远的经济后果。通过广泛接受的标准,对减少这一导致成人残疾的主要因素进行大量投资可能是具有成本效益的。