Onyimadu Olu, Violato Mara, Astbury Nerys M, Jebb Susan A, Petrou Stavros
Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6GG, UK.
Nuffield Department of Population Health, University of Oxford, Old Road Campus, Oxford OX3 7LF, UK.
Children (Basel). 2022 Mar 24;9(4):461. doi: 10.3390/children9040461.
An economic perspective is crucial to understand the broad consequences of childhood excess weight (CEW). These can manifest in the form of elevated health care and societal costs, impaired health status, or inefficiencies in the allocation of resources targeted at its prevention, management, or treatment. Although existing systematic reviews provide summaries of distinct economic research strands covering CEW, they have a restricted focus that overlooks relevant evidence. The overarching aim of this structured review was to update and enhance recent key reviews of four strands of economic evidence in this area, namely, (1) economic costs associated with CEW, (2) health utilities associated with CEW, (3) economic evaluations of interventions targeting CEW, and (4) economic determinants and broader consequences of CEW. Our de novo searches identified six additional studies for the first research strand, five studies for the second, thirty-one for the third, and two for the fourth. Most studies were conducted in a small number of high-income countries. Our review highlights knowledge gaps across all the research strands. Evidence from this structured review can act as data input into future economic evaluations in this area and highlights areas where future economic research should be targeted.
从经济学角度理解儿童超重（CEW）的广泛影响至关重要。这些影响可能表现为医疗保健和社会成本增加、健康状况受损，或在预防、管理或治疗儿童超重方面资源分配效率低下。尽管现有系统评价总结了涵盖儿童超重的不同经济研究方向，但它们的关注点有限，忽略了相关证据。本结构化综述的总体目标是更新和完善该领域近期关于四个经济证据方向的关键综述，即：（1）与儿童超重相关的经济成本；（2）与儿童超重相关的健康效用；（3）针对儿童超重的干预措施的经济评估；（4）儿童超重的经济决定因素及更广泛影响。我们重新进行的检索为第一个研究方向新增了六项研究，第二个方向新增了五项，第三个方向新增了三十一项，第四个方向新增了两项。大多数研究是在少数高收入国家开展的。我们的综述突出了所有研究方向上的知识空白。本结构化综述的证据可作为该领域未来经济评估的数据输入，并突出了未来经济研究应关注的领域。
