SynthesisPreventive medicine2017
Using cost-effectiveness analysis to prioritize policy and programmatic approaches to physical activity promotion and obesity prevention in childhood.
Synthesis in Preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Opportunities in the Extended Day: Approaches for Promoting Physical Activity and Healthy Eating During Out-of-School Time.The Journal of school health · 2023Pooled it
- Interventions to Treat Obesity in Mexican Children and Adolescents: Systematic Review and Meta-Analysis.Nutrition reviews · 2022Pooled it
- Economic evaluation of the 'Click & Crunch' online intervention to improve healthy food purchases from Australian primary school canteens: a cost and cost-effectiveness analysis.Public health nutrition · 2026Trial
- Cost-Effectiveness and Long-Term Savings of the Bright Bodies Intervention for Childhood Obesity.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023Trial
- Cost-utility and cost-benefit analyses of school-based obesity prevention program.BMC public health · 2020Trial
- Assessing the effectiveness of training models for national scale-up of an evidence-based nutrition and physical activity intervention: a group randomized trial.BMC public health · 2019Trial
- Cost-Effectiveness of a Clinical Childhood Obesity Intervention.Pediatrics · 2017Trial
- A Scoping Review of the Literature on Child and/or Adolescent Health Microsimulation Models.Applied health economics and health policy · 2026Review
- Cost-Effectiveness of Installing Water Dispensers in Massachusetts' Schools to Improve Nutrition Environments, Health, and Health Equity.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Article
- How Is Scale Incorporated Into the Economic Evaluation of Interventions to Prevent Obesity or to Improve Obesity-Related Risk Factors: A Systematic Scoping Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- School-based nutrition education programs alone are not cost effective for preventing childhood obesity: a microsimulation study.The American journal of clinical nutrition · 2025Article
- Association of continuous BMI with health-related quality of life in the United States by age and sex.Obesity (Silver Spring, Md.) · 2024Article
- Cost-effectiveness of a primary care-based Healthy Weight Clinic compared with usual care.Obesity (Silver Spring, Md.) · 2024Article
- A scoping review of policies to encourage breastfeeding, healthy eating, and physical activity among rural people and places in the United States.BMC public health · 2024Article
- Article
- The societal costs and health impacts on obesity of BMI report cards in US schools.Obesity (Silver Spring, Md.) · 2023Article
- Interventions to Modify Psychological Well-Being: Progress, Promises, and an Agenda for Future Research.Affective science · 2023Review
- Prevalence of early childhood obesity in Ireland: Differences over time, between sexes and across child growth criteria.Pediatric obesity · 2022Article
- Economic evaluation of a multi-strategy intervention that improves school-based physical activity policy implementation.Implementation science : IS · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
Participation in recommended levels of physical activity promotes a healthy body weight and reduced chronic disease risk. To inform investment in prevention initiatives, we simulate the national implementation, impact on physical activity and childhood obesity and associated cost-effectiveness (versus the status quo) of six recommended strategies that can be applied throughout childhood to increase physical activity in US school, afterschool and childcare settings. In 2016, the Childhood Obesity Intervention Cost Effectiveness Study (CHOICES) systematic review process identified six interventions for study. A microsimulation model estimated intervention outcomes 2015-2025 including changes in mean MET-hours/day, intervention reach and cost per person, cost per MET-hour change, ten-year net costs to society and cases of childhood obesity prevented. First year reach of the interventions ranged from 90,000 youth attending a Healthy Afterschool Program to 31.3 million youth reached by Active School Day policies. Mean MET-hour/day/person increases ranged from 0.05 MET-hour/day/person for Active PE and Healthy Afterschool to 1.29 MET-hour/day/person for the implementation of New Afterschool Programs. Cost per MET-hour change ranged from cost saving to $3.14. Approximately 2500 to 110,000 cases of children with obesity could be prevented depending on the intervention implemented. All of the six interventions are estimated to increase physical activity levels among children and adolescents in the US population and prevent cases of childhood obesity. Results do not include other impacts of increased physical activity, including cognitive and behavioral effects. Decision-makers can use these methods to inform prioritization of physical activity promotion and obesity prevention on policy agendas.
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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.