Evidence map›Paper›PMID 19833999›Full record

ArticleAmerican journal of public health2009

Forecasting the future economic burden of current adolescent overweight: an estimate of the coronary heart disease policy model.

James Lightwood, Kirsten Bibbins-Domingo, Pamela Coxson, Y Claire Wang, Lawrence Williams, Lee Goldman

Registry-linked trialAbstract read
In one paragraph

Article in American journal of public health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03288207 (Tailoring Mobile Health Technology to Reduce Obesity and Improve Cardiovascular Health in Resource-Limited Neighborhood Environments), which is not on this map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03288207 narecruitingnot on this mapstarted 2018, after this paper: background citation

Tailoring Mobile Health Technology to Reduce Obesity and Improve Cardiovascular Health in Resource-Limited Neighborhood Environments: A Multi-Level, Community-Based Physical Activity Intervention

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2018 to 2027Enrolled325ConditionsObesityArmsStep it Up mobile app, Global Positioning System (GPS) Device, Bluetooth-enabled scale, Bluetooth-enabled glucometer, MRI: Image Reconstruction and Analysis Software (Device Manufacturer: NIH)
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Economic burden of childhood overweight and obesity: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023
    Pooled it
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  17. Forecasting the demand for radiology services.Health systems (Basingstoke, England) · 2018
    Article
  18. Article
  19. Cardiometabolic risk in obese children.Annals of the New York Academy of Sciences · 2018
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

James LightwoodSchool of Pharmacy, Department of Medicine, University of California, 3333 California St, Suite 420, San Francisco, CA 94118, USA. lightwoodj@pharmacy.ucsf.edu
Kirsten Bibbins-Domingo
Pamela Coxson
Y Claire Wang
Lawrence Williams
Lee Goldman

Funding

ROCHESTER EPIDEMIOLOGY PROJECTR01AR030582 · NIAMS · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A · 1986 to 2009
$5.1M
CORONARY DISEASE MORBIDITY AND MORTALITY IN A POPULATIONR01HL059205 · NHLBI · MAYO CLINIC ROCHESTER · PI ROGER, VERONIQUE LEE · 1998 to 2012
$4.6M
NHLBI NIH HHS R01 HL059205NHLBI NIH HHS R01 HL 59205NIAMS NIH HHS AR30582NIAMS NIH HHS R01 AR030582
6 · The paper itself

Abstract

objectivesWe predicted the future economic burden attributable to high rates of current adolescent overweight.

methodsWe constructed models to simulate the costs of excess obesity and associated diabetes and coronary heart disease (CHD) among adults aged 35-64 years in the US population in 2020 to 2050.

resultsCurrent adolescent overweight is projected to result in 161 million life-years complicated by obesity, diabetes, or CHD and 1.5 million life-years lost. The cumulative excess attributable total costs are estimated at $254 billion: $208 billion because of lost productivity from earlier death or morbidity and $46 billion from direct medical costs. Currently available therapies for hypertension, hyperlipidemia, and diabetes, used according to guidelines, if applied in the future, would result in modest reductions in excess mortality (decreased to 1.1 million life-years lost) but increase total excess costs by another $7 billion (increased to $261 billion total).

conclusionsCurrent adolescent overweight will likely lead to large future economic and health burdens, especially lost productivity from premature death and disability. Application of currently available medical treatments will not greatly reduce these future burdens of increased adult obesity.

Indexed as

Health Care CostsAdolescentAdultCoronary DiseaseCost of IllnessCosts and Cost AnalysisFemaleHumansMaleMiddle AgedModels, TheoreticalObesityUnited States

Identifiers

PMID19833999
PMCPMC2775763

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.