Universität zu Köln

Lier, L. M., Breuer, C., Ferrari, N., Friesen, D., Maisonave, F., Schmidt, N. and Graf, C. (2020). Cost-effectiveness of a family-based multicomponent outpatient intervention program for children with obesity in Germany. Public Health, 186. S. 185 - 193. LONDON: W B SAUNDERS CO LTD. ISSN 1476-5616

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Abstract

Objectives: Facing an epidemic of childhood obesity and budget constraints, public health administrations are showing an urgent interest in interventions that are both health effective and cost-effective. Thus, this study intends to analyze the return on investment of these existing programs. Study design: All analyses are based on a comprehensive data set from 249 children with obesity and overweight children who participated in the Children's Health InterventionaL Trial (CHILT), an 11-month outpatient multidisciplinary family-based program. Methods: Cost-effectiveness was assessed by comparing estimated savings associated with a reduction in weight and improvement of obesity-related health parameters with intervention costs. Projected future savings in health care expenditures were modeled on existing research, using estimates of health care costs associated with juvenile obesity and remission thresholds of obesity-related disease. Results: On average, participants achieved a 0.19-unit reduction in the body mass index standard deviation score, showed reduction in their blood pressure values (systolic = -1.76 mmHg, diastolic = -2.82 mmHg), and showed improvement in their high-density lipoprotein (HDL) and low-density lipoprotein (LDL) cholesterol values (HDL = +1.31 mg/dL, LDL = -4.82 mg/dL). The intervention costs were 1799V per participant, and the benefits of avoided future health care costs varied by individual. On an aggregated level, future savings amounted to between 1859V and 1926V per person, translating into a return on investment of 3.3-7.0%. Conclusions: This study shows that a multicomponent obesity intervention, such as the CHILT, not only results in weight loss and improves important health parameters but also is cost-effective. (c) 2020 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lier, L. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Breuer, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ferrari, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Friesen, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Maisonave, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmidt, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Graf, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-320501
DOI:	10.1016/j.puhe.2020.06.012
Journal or Publication Title:	Public Health
Volume:	186
Page Range:	S. 185 - 193
Date:	2020
Publisher:	W B SAUNDERS CO LTD
Place of Publication:	LONDON
ISSN:	1476-5616
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TYPE-2 DIABETES-MELLITUS; CHILDHOOD OBESITY; BMI-SDS; METABOLIC SYNDROME; HEALTH; OVERWEIGHT; ADOLESCENTS; IMPACT; CARE; CONSEQUENCES Multiple languages Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32050