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Economic Evaluation of Obesity Prevention in Early Childhood: Methods, Limitations and Recommendations

出版社

MDPI
DOI: 10.3390/ijerph13090911

关键词

cost effectiveness; early childhood; obesity; prevention; methods

资金

  1. Deutsche Forschungsgemeinschaft
  2. Ruprecht-Karls-Universitat Heidelberg
  3. Excellence Fellowship of the Olympia-Morata Habilitation Programme
  4. Swedish Research Council for Health, Working Life and Welfare [2006-0226, 2011-0413]
  5. Swedish Research Council [K2006-27X-20069-01-3, K2012-69X-22058-01-3]
  6. Research and Development Committee, Stockholm County Council [2006-0324]
  7. Regional Research Council of the Uppsala and orebro Health Care Region [RFR-12404]
  8. Uppsala County Council
  9. Sormland County Council
  10. Public Health Committee of Stockholm County Council [0803-377]
  11. Vardal Foundation [B2007-006]
  12. AFA Insurance [H-06: 05/070001]
  13. Foundation of the Swedish Diabetes Society [TMA2006-004]

向作者/读者索取更多资源

Despite methodological advances in the field of economic evaluations of interventions, economic evaluations of obesity prevention programmes in early childhood are seldom conducted. The aim of the present study was to explore existing methods and applications of economic evaluations, examining their limitations and making recommendations for future cost-effectiveness assessments. A systematic literature search was conducted using PubMed, Cochrane Library, the British National Health Service Economic Evaluation Databases and EconLit. Eligible studies included trial-based or simulation-based cost-effectiveness analyses of obesity prevention programmes targeting preschool children and/or their parents. The quality of included studies was assessed. Of the six studies included, five were intervention studies and one was based on a simulation approach conducted on secondary data. We identified three main conceptual and methodological limitations of their economic evaluations: Insufficient conceptual approach considering the complexity of childhood obesity, inadequate measurement of effects of interventions, and lack of valid instruments to measure child-related quality of life and costs. Despite the need for economic evaluations of obesity prevention programmes in early childhood, only a few studies of varying quality have been conducted. Moreover, due to methodological and conceptual weaknesses, they offer only limited information for policy makers and intervention providers. We elaborate reasons for the limitations of these studies and offer guidance for designing better economic evaluations of early obesity prevention.

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