The Costs and Cost-Effectiveness of a School-Based Comprehensive Intervention Study on Childhood Obesity in China
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{"title"=>"The Costs and Cost-Effectiveness of a School-Based Comprehensive Intervention Study on Childhood Obesity in China", "type"=>"journal", "authors"=>[{"first_name"=>"Liping", "last_name"=>"Meng"}, {"first_name"=>"Haiquan", "last_name"=>"Xu"}, {"first_name"=>"Ailing", "last_name"=>"Liu"}, {"first_name"=>"Joop", "last_name"=>"van Raaij"}, {"first_name"=>"Wanda", "last_name"=>"Bemelmans"}, {"first_name"=>"Xiaoqi", "last_name"=>"Hu"}, {"first_name"=>"Qian", "last_name"=>"Zhang"}, {"first_name"=>"Songming", "last_name"=>"Du"}, {"first_name"=>"Hongyun", "last_name"=>"Fang"}, {"first_name"=>"Jun", "last_name"=>"Ma"}, {"first_name"=>"Guifa", "last_name"=>"Xu"}, {"first_name"=>"Ying", "last_name"=>"Li"}, {"first_name"=>"Hongwei", "last_name"=>"Guo"}, {"first_name"=>"Lin", "last_name"=>"Du"}, {"first_name"=>"Guansheng", "last_name"=>"Ma"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"doi"=>"10.1371/journal.pone.0077971", "sgr"=>"84899998731", "issn"=>"1932-6203", "pui"=>"563084844", "isbn"=>"10.1371/journal.pone.0077971", "pmid"=>"24205050", "scopus"=>"2-s2.0-84899998731", "arxiv"=>"NIHMS150003"}, "id"=>"c160143b-22e6-3392-8f0a-201aa49e1106", "abstract"=>"BACKGROUND: The dramatic rise of overweight and obesity among Chinese children has greatly affected the social economic development. However, no information on the cost-effectiveness of interventions in China is available. The objective of this study is to evaluate the cost and the cost-effectiveness of a comprehensive intervention program for childhood obesity. We hypothesized the integrated intervention which combined nutrition education and physical activity (PA) is more cost-effective than the same intensity of single intervention.\\n\\nMETHODS: And Findings: A multi-center randomized controlled trial conducted in six large cities during 2009-2010. A total of 8301 primary school students were categorized into five groups and followed one academic year. Nutrition intervention, PA intervention and their shared common control group were located in Beijing. The combined intervention and its' control group were located in other 5 cities. In nutrition education group, 'nutrition and health classes' were given 6 times for the students, 2 times for the parents and 4 times for the teachers and health workers. \"Happy 10\" was carried out twice per day in PA group. The comprehensive intervention was a combination of nutrition and PA interventions. BMI and BAZ increment was 0.65 kg/m(2) (SE 0.09) and 0.01 (SE 0.11) in the combined intervention, respectively, significantly lower than that in its' control group (0.82 ± 0.09 for BMI, 0.10 ± 0.11 for BAZ). No significant difference were found neither in BMI nor in BAZ change between the PA intervention and its' control, which is the same case in the nutrition intervention. The single intervention has a relative lower intervention costs compared with the combined intervention. Labor costs in Guangzhou, Shanghai and Jinan was higher compared to other cities. The cost-effectiveness ratio was $120.3 for BMI and $249.3 for BAZ in combined intervention, respectively.\\n\\nCONCLUSIONS: The school-based integrated obesity intervention program was cost-effectiveness for children in urban China.\\n\\nTRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR-PRC-09000402 URL:http://www.chictr.org/cn/", "link"=>"http://www.mendeley.com/research/costs-costeffectiveness-schoolbased-comprehensive-intervention-study-childhood-obesity-china", "reader_count"=>122, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Librarian"=>1, "Researcher"=>21, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>15, "Student > Postgraduate"=>7, "Student > Master"=>40, "Other"=>3, "Student > Bachelor"=>21, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>3, "Professor"=>5}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Librarian"=>1, "Researcher"=>21, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>15, "Student > Postgraduate"=>7, "Student > Master"=>40, "Other"=>3, "Student > Bachelor"=>21, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>3, "Professor"=>5}, "reader_count_by_subject_area"=>{"Unspecified"=>12, "Agricultural and Biological Sciences"=>5, "Business, Management and Accounting"=>3, "Decision Sciences"=>1, "Economics, Econometrics and Finance"=>4, "Environmental Science"=>1, "Nursing and Health Professions"=>13, "Biochemistry, Genetics and Molecular Biology"=>4, "Medicine and Dentistry"=>38, "Neuroscience"=>2, "Sports and Recreations"=>9, "Psychology"=>16, "Social Sciences"=>14}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>38}, "Social Sciences"=>{"Social Sciences"=>14}, "Decision Sciences"=>{"Decision Sciences"=>1}, "Sports and Recreations"=>{"Sports and Recreations"=>9}, "Psychology"=>{"Psychology"=>16}, "Unspecified"=>{"Unspecified"=>12}, "Environmental Science"=>{"Environmental Science"=>1}, "Neuroscience"=>{"Neuroscience"=>2}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>4}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>5}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>3}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>13}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>4}}, "reader_count_by_country"=>{"United States"=>1, "United Kingdom"=>2}, "group_count"=>11}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1557271"], "description"=>"<p><sup>a</sup><sup>b</sup>: Percentage shared the different letter means significant difference at baseline among groups in Beijing, p<0.05. <sup>*</sup> Significant difference (p<0.05) between control and Nutrition & PA intervention group. <sup>c</sup> statistical analysis and compare between intervention group with it’s control group. No superscript means no significant difference among groups.</p>", "links"=>[], "tags"=>["subjects", "baseline"], "article_id"=>1076877, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Liping Meng", "Haiquan Xu", "Ailing Liu", "Joop van Raaij", "Wanda Bemelmans", "Xiaoqi Hu", "Qian Zhang", "Songming Du", "Hongyun Fang", "Jun Ma", "Guifa Xu", "Ying Li", "Hongwei Guo", "Lin Du", "Guansheng Ma"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0077971.t001", "stats"=>{"downloads"=>1, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_the_subjects_at_baseline_by_group_/1076877", "title"=>"Characteristics of the subjects at baseline by group.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-10-18 10:58:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1557281"], "description"=>"<p><sup>^</sup> Continuous variables were expressed as mean±standard error.</p><p><sup>a, b</sup>: Means shared the different letter means significant difference at baseline among groups in Beijing, p<0.05. </p><p><sup>c, d</sup> : Means shared the different letter means significant difference of changes (post-intervention vs. baseline) among groups in Beijing, p<0.05.</p><p><sup>*</sup> Comparison the mean between post-intervention and baseline in each group, p< 0.05.</p><p><sup>#</sup> Comparison means between combined intervention group and control group at baseline as well as for changes (post-intervention vs. baseline), <sup>#</sup> p<0.05; <sup>##</sup> p<0.01.</p><p><sup>†</sup> OR and 95% CI for overweight & obesity prevalence using generalized linear mixed model, no significantly difference of OR between nutrition or PA individual intervention group with their control group, but a borderline difference between combined intervention group with its’ control group (p=0.06). </p>", "links"=>[], "tags"=>["obesity", "prevalence"], "article_id"=>1076886, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Liping Meng", "Haiquan Xu", "Ailing Liu", "Joop van Raaij", "Wanda Bemelmans", "Xiaoqi Hu", "Qian Zhang", "Songming Du", "Hongyun Fang", "Jun Ma", "Guifa Xu", "Ying Li", "Hongwei Guo", "Lin Du", "Guansheng Ma"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0077971.t002", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Anthropometric_characteristics_and_obesity_prevalence_at_baseline_after_intervention_and_changes_in_different_groups_/1076886", "title"=>"Anthropometric characteristics and obesity prevalence at baseline, after intervention and changes in different groups<b>^</b>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-10-18 10:58:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1557290"], "description"=>"§<p>National communication costs in national lever was divided into each center in each intervention group. </p>||<p>Total costs means the sum of money costs and labor costs. </p>", "links"=>[], "tags"=>["schools"], "article_id"=>1076897, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Liping Meng", "Haiquan Xu", "Ailing Liu", "Joop van Raaij", "Wanda Bemelmans", "Xiaoqi Hu", "Qian Zhang", "Songming Du", "Hongyun Fang", "Jun Ma", "Guifa Xu", "Ying Li", "Hongwei Guo", "Lin Du", "Guansheng Ma"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0077971.t004", "stats"=>{"downloads"=>2, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Cost_of_intervention_in_the_intervention_schools_RMB_US_dollars_/1076897", "title"=>"Cost of intervention in the intervention schools (RMB (US dollars)).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-10-18 10:58:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1557275"], "description"=>"*<p>US dollars was calculated by Jan, 2010 exchange rate (6.8).</p>", "links"=>[], "tags"=>["costs"], "article_id"=>1076881, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Liping Meng", "Haiquan Xu", "Ailing Liu", "Joop van Raaij", "Wanda Bemelmans", "Xiaoqi Hu", "Qian Zhang", "Songming Du", "Hongyun Fang", "Jun Ma", "Guifa Xu", "Ying Li", "Hongwei Guo", "Lin Du", "Guansheng Ma"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0077971.t003", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_costs_of_development_and_evaluation_of_the_program_RMB_US_dollars__/1076881", "title"=>"The costs of development and evaluation of the program (RMB (US dollars)<sup><b>*</b></sup>).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-10-18 10:58:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1557287"], "description"=>"<p><sup>a</sup> For BMI, BAZ and overweight & obesity prevalence, the ‘effect’ means BMI, BAZ and overweight & obesity prevalence reduction (post intervention vs before intervention) in intervention group compared with that of in the control group, respectively. <sup>b</sup> ALL CER was presented in US dollars. <sup>c</sup> O & B means overweight & obesity. <sup>d</sup> Total’ means the average effect of four intervention centers (Jinan, Guangzhou, Harbin, Shanghai), Chongqing was excluded here because the intervention in this city was not effective (p>0.05). </p>", "links"=>[], "tags"=>["nutrition", "pa"], "article_id"=>1076893, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Liping Meng", "Haiquan Xu", "Ailing Liu", "Joop van Raaij", "Wanda Bemelmans", "Xiaoqi Hu", "Qian Zhang", "Songming Du", "Hongyun Fang", "Jun Ma", "Guifa Xu", "Ying Li", "Hongwei Guo", "Lin Du", "Guansheng Ma"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0077971.t005", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Cost_effectiveness_ratio_CER_by_city_in_the_nutrition_amp_PA_combined_intervention_group_/1076893", "title"=>"Cost-effectiveness ratio (CER) by city in the nutrition & PA combined intervention group.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-10-18 10:58:19"}

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Relative Metric

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