ArticleInternational journal of obesity (2005)2019
Cost-effectiveness of community-based childhood obesity prevention interventions in Australia.
Article in International journal of obesity (2005), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled it.
What it found
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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
33 citing papers in PubMed, 6 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- The impact of community-based childhood obesity prevention interventions in Australia by socio-economic position: An individual participant data meta-analysis.Pediatric obesity · 2025Pooled it
- Systematic review on community-based interventions targeting prevention of overweight and obesity in children and adolescents.Frontiers in public health · 2025Pooled it
- Nutrition Interventions for Pediatric Obesity Prevention: An Umbrella Review of Systematic Reviews.Nutrients · 2023Pooled it
- A systematic review of economic evidence for community-based obesity prevention interventions in children.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023Pooled it
- Primary prevention programs for childhood obesity: are they cost-effective?Italian journal of pediatrics · 2023Pooled it
- Cost-effectiveness of LiveLighter® - a mass media public education campaign for obesity prevention.PloS one · 2022Pooled it
- Four-Year Accelerometry Outcomes from a Cluster Randomized Whole of Systems Trial of Prevention Strategies for Childhood Obesity.Childhood obesity (Print) · 2023Trial
- Economic evaluation of an incentive-based program to increase physical activity and reduce sedentary behaviour in middle-aged adults.BMC health services research · 2022Trial
- Four-Year Behavioral, Health-Related Quality of Life, and BMI Outcomes from a Cluster Randomized Whole of Systems Trial of Prevention Strategies for Childhood Obesity.Obesity (Silver Spring, Md.) · 2021Trial
- The Prevention of Eating Disorders in Australian Adolescents: A Modeled Cost-Effectiveness Study.The International journal of eating disorders · 2026Article
- Potential cost-effectiveness of outdoor unhealthy food and drink advertising restrictions in Western Australia.Public health nutrition · 2026Article
- 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
- Including climate change in community-based obesity prevention interventions: a qualitative exploration of the perspectives of Australian funders.BMC public health · 2025Article
- Normal-weight central obesity and cardiometabolic disorders among Aboriginal and Torres Strait Islander Australians.BMC medicine · 2025Article
- Insights from a codesigned dynamic modelling study of child and adolescent obesity in Australia.BMJ public health · 2025Article
- Gender-sensitive community weight-loss programmes to address overweight and obesity in men: a scoping review.BMJ open · 2024Article
- Framework for developing cost-effectiveness analysis threshold: the case of Egypt.The Journal of the Egyptian Public Health Association · 2024Article
- A comparative analysis of the cost-utility of the Philippine tax on sweetened beverages as proposed and as implemented.The Lancet regional health. Western Pacific · 2023Article
- Cost-effectiveness of scaling up a whole-of-community intervention: The Romp & Chomp early childhood obesity prevention intervention.Pediatric obesity · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe objective of this study is to examine, from a limited societal perspective, the cost-effectiveness of community-based obesity prevention interventions (CBIs)-defined as a programme of community-level strategies to promote healthy eating and physical activity for Australian children (aged 5-18 years).
methodsThe effectiveness of CBIs was determined by undertaking a literature review and meta-analysis. Commonly implemented strategies to increase physical activity and improve nutrition were costed (in 2010 Australian dollars) to determine the average cost of a generic programme. A multiple cohort Markov model that simulates diseases associated with overweight and obesity was used to estimate the health benefits, measured as health-adjusted life years (HALYs) and healthcare-related cost offsets from diseases averted due to exposure to the intervention. Health and cost outcomes were estimated over the lifetime of the target population. Monte-Carlo simulation was used to assess second-order uncertainty of input parameters to estimate mean incremental cost-effectiveness ratios (ICER) with 95% uncertainty intervals (UIs). Scenario analyses tested variations in programme intensity, target population, and duration of effect.
resultsThe meta-analysis revealed a small but significant difference in BMI z-score (mean difference of - 0.07 (95% UI: - 0.13 to - 0.01)) favouring the CBI community compared with the control. The estimated net cost of implementing CBIs across all local government areas (LGAs) in Australia was AUD426M (95% UI: AUD3M to AUD823M) over 3 years. This resulted in 51,792 HALYs gained (95% UI: 6816 to 96,972) over the lifetime of the cohort. The mean ICER was AUD8155 per HALY gained (95% UI: AUD237 to AUD81,021), with a 95% probability of being cost-effective at a willingness to pay threshold of AUD50,000 per HALY.
conclusionsCBIs are cost-effective obesity prevention initiatives; however, implementation across Australia will be (relatively) expensive when compared with current investments in preventive health.
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Registered trials
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