The return on investment for the prevention and treatment of childhood and adolescent overweight and obesity in China: a modelling study

• DOI: 10.1016/j.lanwpc.2023.100977
• Publication Date: 2023-12-01T23:28:03Z
• Authors: Guansheng Ma; Christina L. Meyer; Angela Jackson-Mo...; Suying Chang; Anuradha Narayan; Man Zhang; Daphne Wu; Youfa Wang; Zhenyu Yang; Huijun Wang; Li Zhao; Rachel Nugent

BackgroundThe rapid increase in child and adolescent overweight obesity (OAO) China has a significant health economic impact. This study undertook an investment case analysis to evaluate the impacts of OAO potential returns from implementing specific policies interventions.MethodsThe estimates reduction mortality morbidity set evidence-based interventions across between 2025 2092 using deterministic Markov cohort model. Modelled were identified by literature review expert recommendation include fiscal regulatory policies, eHealth breastfeeding promotion, school-based interventions, nutritional counselling physicians. The applies societal costing perspective model impact on healthcare cost savings, wages, productivity during adulthood. By projecting comparing costs status quo scenario intervention scenario, return (ROI) for separately combination.FindingsWithout will experience 3.3 billion disability-adjusted life years (DALYs) due its current levels lifetime CNY 218 trillion (USD 31.6 trillion), or 2.5 million loss per affected 350 thousand). National implementation all five would avert 179.4 DALYs result 13.1 benefits over cohort's lifetime. Implementing had strongest ROI, with accruing at least 10 after implementation. Scaling up China's offers gains, however, ROI is lower than other modelled interventions.InterpretationEffective prevention treatment critical development. Multiple offer comprehensive approach address various factors that risk OAO. Nonetheless, gains.FundingFunding was provided UNICEF China.