University of Study G. d'Annunzio, Chieti-Pescara, Italy.
Ital J Pediatr. 2023 Mar 2;49(1):28. doi: 10.1186/s13052-023-01424-9.
Childhood obesity is increasing all over the world. It is associated with a reduction in quality of life and a relevant burden on society costs. This systematic review deals with the cost-effectiveness analysis (CEA) of primary prevention programs on childhood overweight/obesity, in order to benefit from cost-effective interventions.We screened and evaluated all the studies with a cost-effectiveness analysis on childhood obesity primary prevention program by PUBMED and Google Scholar, using inclusion and exclusion criteria. The quality of the studies was assessed by Drummond's checklist.Ten studies were included. Two of them examined the cost-effectiveness of community-based prevention programs, four focused only on school-based programs while four more studies examined both community-based and school-based programs. The studies were different in terms of study design, target population, health and economic outcomes. Seventy per cent of the works had positive economic results.The majority of the studies showed effective economic outcomes applying primary prevention programs on childhood obesity. It is important to increase homogeneity and consistency among different studies.
儿童肥胖症在全球范围内不断增加。它与生活质量的下降和相关的社会成本负担有关。本系统评价旨在探讨儿童超重/肥胖初级预防计划的成本效益分析（CEA），以便从具有成本效益的干预措施中受益。我们通过 PUBMED 和 Google Scholar 筛选并评估了所有关于儿童肥胖初级预防计划的成本效益分析研究，使用了纳入和排除标准。研究质量由 Drummond 清单进行评估。共纳入了 10 项研究。其中两项研究检验了基于社区的预防计划的成本效益，四项研究仅关注了基于学校的计划，还有四项研究则同时检验了基于社区和学校的计划。这些研究在研究设计、目标人群、健康和经济结果等方面存在差异。70%的研究具有积极的经济结果。大多数研究表明，应用儿童肥胖初级预防计划可带来有效的经济结果。增加不同研究之间的同质性和一致性非常重要。
