ArticleBMC public health2020
Lifetime cost-effectiveness and equity impacts of the Healthy Primary School of the Future initiative.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02800616 (The Healthy Elementary School of the Future), which is not on this map. Cited by 13 papers, 3 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.
The Healthy Elementary School of the Future
Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Methods for the economic evaluation of obesity prevention dietary interventions in children: A systematic review and critical appraisal of the evidence.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022Pooled it
- Incorporating Equity Concerns in Cost-Effectiveness Analyses: A Systematic Literature Review.PharmacoEconomics · 2022Pooled it
- Do Costs in the Education Sector Matter? A Systematic Literature Review of the Economic Impact of Psychosocial Problems on the Education Sector.PharmacoEconomics · 2021Pooled it
- Impact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China.PloS one · 2021Trial
- Healthcare and Nonhealthcare Costs: Youth With Diabetes and Food Insecurity.American journal of preventive medicine · 2026Observational
- Impact of mountain biking on adolescent well-being: a scoping review.BMJ open sport & exercise medicine · 2025Article
- The cost-effectiveness of school-based interventions for chronic diseases: a systematic review.Cost effectiveness and resource allocation : C/E · 2024Review
- Modelled Distributional Cost-Effectiveness Analysis of Childhood Obesity Interventions: A Demonstration.Applied health economics and health policy · 2023Article
- Testing conditionality with Bourdieu's capital theory: How economic, social, and embodied cultural capital are associated with diet and physical activity in the Netherlands.SSM - population health · 2023Article
- Is the cost-effectiveness of an early-childhood sleep intervention to prevent obesity affected by socioeconomic position?Obesity (Silver Spring, Md.) · 2023Article
- Unravelling the Complexities of Workplace Disclosure Among Persons with Non-Visible Disabilities and Illnesses: A Qualitative Meta-Ethnography.Journal of occupational rehabilitation · 2022Review
- Health Economic Aspects of Childhood Excess Weight: A Structured Review.Children (Basel, Switzerland) · 2022Review
- Battling the obesity epidemic with a school-based intervention: Long-term effects of a quasi-experimental study.PloS one · 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
7 authors.
Funding
Abstract
backgroundThis study estimated the lifetime cost-effectiveness and equity impacts associated with two lifestyle interventions in the Dutch primary school setting (targeting 4-12 year olds).
methodsThe Healthy Primary School of the Future (HPSF; a healthy school lunch and structured physical activity) and the Physical Activity School (PAS; structured physical activity) were compared to the regular Dutch curriculum (N = 1676). An adolescence model, calculating weight development, and the RIVM Chronic Disease Model, calculating overweight-related chronic diseases, were linked to estimate the lifetime impact on chronic diseases, quality adjusted life years (QALYs), healthcare, and productivity costs. Cost-effectiveness was expressed as the additional costs/QALY gained and we used €20,000 as threshold. Scenario analyses accounted for alternative effect maintenance scenarios and equity analyses examined cost-effectiveness in different socioeconomic status (SES) groups.
resultsHPSF resulted in a lifetime costs of €773 (societal perspective) and a lifetime QALY gain of 0.039 per child versus control schools. HPSF led to lower costs and more QALYs as compared to PAS. From a societal perspective, HPSF had a cost/QALY gained of €19,734 versus control schools, 50% probability of being cost-effective, and beneficial equity impact (0.02 QALYs gained/child for low versus high SES). The cost-effectiveness threshold was surpassed when intervention effects decayed over time.
conclusionsHPSF may be a cost-effective and equitable strategy for combatting the lifetime burden of unhealthy lifestyles. The win-win situation will, however, only be realised if the intervention effect is sustained into adulthood for all SES groups.
trial registrationClinicaltrials.gov ( NCT02800616 ). Registered 15 June 2016 - Retrospectively registered.
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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.