Cost-Effectiveness of a School-and Family-Based Childhood Obesity Prevention Programme in China: The "CHIRPY DRAGON" Cluster-Randomised Controlled Trial.
Int J Public Health
; 66: 1604025, 2021.
Article
in En
| MEDLINE
| ID: mdl-34531712
ABSTRACT
Objectives:
Rapid socioeconomic and nutrition transitions in Chinese populations have contributed to the growth in childhood obesity. This study presents a cost-effectiveness analysis of a school- and family-based childhood obesity prevention programme in China.Methods:
A trial-based economic evaluation assessed cost-effectiveness at 12 months. Forty schools with 1,641 children were randomised to either receive the multi-component (diet and physical activity) intervention or to continue with usual activities. Both public sector and societal perspectives were adopted. Costs and benefits in the form of quality-adjusted life years (QALYs) were compared and uncertainty was assessed using established UK and US thresholds.Results:
The intervention cost was 35.53 Yuan (£7.04/US$10.01) per child from a public sector perspective and 536.95 Yuan (£106/US$151) from a societal perspective. The incremental cost-effectiveness ratio (ICER) was 272.7 Yuan (£54/US$77)/BMI z-score change. The ICER was 8,888 Yuan (£1,760/US$2,502) and 73,831 Yuan (£14,620/US$20,796) per QALY from a public sector and societal perspective, respectively and was cost-effective using UK (£20,000) and US (US$50,000) per QALY thresholds.Conclusion:
A multi-component school-based prevention programme is a cost-effective means of preventing childhood obesity in China.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
School Health Services
/
Family
/
Pediatric Obesity
Type of study:
Clinical_trials
/
Evaluation_studies
/
Health_economic_evaluation
Aspects:
Patient_preference
Limits:
Child
/
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Int J Public Health
Journal subject:
SAUDE PUBLICA
Year:
2021
Document type:
Article
Affiliation country: