 |
 |
. . SPORTS MEDICINE : MEDICAL CONDITIONS: OBESITY: Prudent Ways to Fight Childhood Obesity . . Prudent Ways to Fight Childhood Obesity By Jane E. Brody June 22, 2015 5:45 am Well New York Times http://well.blogs.nytimes.com/2015/06/22/ seeking-efficient-paths-to-slimmer-children/ . A shorter URL for the above link: . http://tinyurl.com/pgzcv4n . . The time is long overdue for legislators, schools, policy wonks and parents to deal more effectively with what is clearly one of the nations most costly health care problems. . In the meantime, parents and other adults who influence young lives can adopt the techniques found most likely to keep children lean and healthy and extend those benefits well into their adult years. For families as well as institutions, the dollar and health savings can be significant. . The project, initial results of which were published recently by The American Journal of Preventive Medicine, is called the Childhood Obesity Cost-Effectiveness Study, or Choices. It examined in exhaustive detail the costs and benefits of four possible approaches to curbing childhood obesity: placing an excise tax on sugar-sweetened beverages; ending the tax write-off for advertising on childrens television; increasing moderate to vigorous physical activity in schools; and fostering healthier habits (more physical activity, better nutrition and less screen time) in preschool settings. . As you might expect, these approaches vary both in their implementation costs and effects on childrens weight, but before this analysis, there was no clear guidance as to which gave the biggest bang for the buck (another apt clich. The research team of experts, from the Harvard School of Public Health, the University of Washington School of Medicine, Columbia University Mailman School of Public Health, Deakin University in Melbourne and the University of Queensland, modeled the preventive interventions as if applied nationwide to children in 2015. Their resulting estimates of expected benefits to childrens weight (and subsequent health) and the cost of implementation were based on scores of controlled studies in a wide variety of settings. . While each approach can have a positive effect, two stood out as most likely to lower childrens body mass index, also called B.M.I., for the least cost and greatest returns on the investment: an excise tax on sugar-sweetened beverages and eliminating the tax subsidy on TV advertising to children. . For each unit of B.M.I. lowered per person during the first two years, the TV ad change would cost $1.16 per person but would also generate about $80 million a year and save $343 million in health care costs for the United States as a whole over the course of a decade. Instituting a 1-cent-per-ounce tax on sugar-sweetened drinks would cost $3.16 per B.M.I. unit lowered but save an estimated $23.2 billion over 10 years and bring in $12.5 billion a year nationally. . . The complete article may be read at the URL above. . . Cost Effectiveness of Childhood Obesity Interventions Evidence and Methods for CHOICES Steven L. Gortmaker, PhD , Michael W. Long, ScD , Stephen C. Resch, PhD , Zachary J. Ward, MPH , Angie L. Cradock, ScD , Jessica L. Barrett, MPH , Davene R. Wright, PhD , Kendrin R. Sonneville, ScD , Catherine M. Giles, MPH , Rob C. Carter, PhD , Marj L. Moodie, DrPH , Gary Sacks, PhD , Boyd A. Swinburn, MD , Amber Hsiao, MPH , Seanna Vine, MPH , Jan Barendregt, PhD , Theo Vos, MD, PhD , Y. Claire Wang, MD, ScD Article has an altmetric score of 50 DOI: http://dx.doi.org/10.1016/j.amepre.2015.03.032 July 2015 Volume 49, Issue 1, Pages 102111 American Journal of Preventive Medicine http://www.ajpmonline.org/article/S0749-3797%2815%2900154-3/abstract Access this article on Science Direct http://linkinghub.elsevier.com/retrieve/ pii/S0749-3797(15)00154-3?showall=true http://tinyurl.com/ocngd36 . Science Direct Link for This Article http://www.sciencedirect.com/science/article/pii/S0749379715001543 . This is a fee based article and journal. . Introduction The childhood obesity epidemic continues in the U.S., and fiscal crises are leading policymakers to ask not only whether an intervention works but also whether it offers value for money. However, cost-effectiveness analyses have been limited. This paper discusses methods and outcomes of four childhood obesity interventions: (1) sugar-sweetened beverage excise tax (SSB); (2) eliminating tax subsidy of TV advertising to children (TV AD); (3) early care and education policy change (ECE); and (4) active physical education (Active PE). . snip . Results Population reach varied widely, and cost per BMI change ranged from $1.16 (TV AD) to $401 (Active PE). At 10 years, assuming maintenance of the intervention effect, three interventions would save net costs, with SSB and TV AD saving $55 and $38 for every dollar spent. The SSB intervention would avert disability-adjusted life years, and both SSB and TV AD would increase quality-adjusted life years. Both SSB ($12.5 billion) and TV AD ($80 million) would produce yearly tax revenue. Conclusions . The cost effectiveness of these preventive interventions is greater than that seen for published clinical interventions to treat obesity. Cost-effectiveness evaluations of childhood obesity interventions can provide decision makers with information demonstrating best value for the money. . . The complete New York Times article may be read at the URL for that article above. . . Sincerely, David Dillard Temple University (215) 204 - 4584 [log in to unmask] http://workface.com/e/daviddillard Net-Gold http://groups.yahoo.com/group/net-gold http://listserv.temple.edu/archives/net-gold.html https://groups.io/org/groupsio/Net-Gold/archives http://net-gold.3172864.n2.nabble.com/ Research Guides http://tinyurl.com/qy3gq6g AND https://sites.google.com/site/researchguidesonsites/ RESEARCH PAPER WRITING http://guides.temple.edu/research-papers EMPLOYMENT http://guides.temple.edu/employment-guide INTERNSHIPS http://guides.temple.edu/employment-internships HOSPITALITY http://guides.temple.edu/hospitality-guide DISABILITIES AND EMPLOYMENT http://guides.temple.edu/c.php?g=134557 INDOOR GARDENING https://groups.yahoo.com/neo/groups/IndoorGardeningUrban/info Educator-Gold http://groups.yahoo.com/group/Educator-Gold/ K12ADMINLIFE http://groups.yahoo.com/group/K12AdminLIFE/ PUBLIC HEALTH RESOURCES INCLUDING EBOLA http://guides.temple.edu/public-health-guide Blog https://educatorgold.wordpress.com/ Articles by David Dillard https://sites.google.com/site/daviddillardsarticles/ Information Literacy (Russell Conwell Center Guide) http://tinyurl.com/78a4shn Nina Dillard's Photographs on Net-Gold http://www.flickr.com/photos/neemers/ Twitter: davidpdillard Temple University Site Map https://sites.google.com/site/templeunivsitemap/home Bushell, R. & Sheldon, P. (eds), Wellness and Tourism: Mind, Body, Spirit, Place, New York: Cognizant Communication Books. Wellness Tourism: Bibliographic and Webliographic Essay David P. Dillard http://tinyurl.com/p63whl RailTram Discussion Group From the Union Pacific to BritRail and Beyond https://groups.yahoo.com/neo/groups/railtram/info INDOOR GARDENING Improve Your Chances for Indoor Gardening Success http://tech.groups.yahoo.com/group/IndoorGardeningUrban/ SPORT-MED https://www.jiscmail.ac.uk/lists/sport-med.html http://groups.yahoo.com/group/sports-med/ http://listserv.temple.edu/archives/sport-med.html HEALTH DIET FITNESS RECREATION SPORTS TOURISM https://groups.yahoo.com/neo/groups/healthrecsport/info http://listserv.temple.edu/archives/health-recreation-sports-tourism.html . . Please Ignore All Links to JIGLU in search results for Net-Gold and related lists. The Net-Gold relationship with JIGLU has been terminated by JIGLU and these are dead links. http://groups.yahoo.com/group/Net-Gold/message/30664 http://health.groups.yahoo.com/group/healthrecsport/message/145 Temple University Listserv Alert : Years 2009 and 2010 Eliminated from Archives https://sites.google.com/site/templeuniversitylistservalert/ . .