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Sino-Canadian Healthy Life Trajectories Initiative in China: an economic evaluation protocol
Yulai Zhou1,2, Hua Zhou3, He-Feng Huang2
1Department of Obstetrics, Shanghai Jiao Tong University School of Medicine Affiliated International Peace Maternal and Child Health Hospital, Shanghai, China.
BMJ Open
|May 26, 2026
Summary
Childhood overweight and obesity is a growing concern in China. This study evaluates a multifaceted intervention to reduce obesity and related risks in children, assessing its cost-effectiveness and long-term impacts.
Area of Science:
- Public Health
- Health Economics
- Pediatrics
Background:
- Childhood overweight and obesity (OWO) presents a significant public health challenge in China, particularly in urban areas.
- Rising OWO rates are linked to urbanization and economic development, threatening children's health and development.
- Existing prevention models from high-income countries may not be suitable for the Chinese context.
Purpose of the Study:
- To outline the economic evaluation of the Sino-Canadian Healthy Life Trajectories Initiative (SCHeLTI) trial.
- To assess the cost-effectiveness and long-term economic and health impacts of a multifaceted intervention for childhood OWO.
- To analyze the equity impact of the intervention across different socioeconomic groups.
Main Methods:
- A within-trial economic evaluation and long-term modeling from healthcare and societal perspectives.
- Comparison of a multifaceted intervention against usual care, including costs of provision, implementation, and household expenditures.
- Measurement of child and maternal quality of life, growth, cognitive/behavioral development, nutritional status, and metabolic indicators.
Main Results:
- Cost-effectiveness and cost-utility analyses will be performed using incremental cost-effectiveness ratios.
- A decision-analytical model will project long-term economic and health outcomes.
- Sensitivity analyses (one-way and probabilistic) will ensure the robustness of the findings.
Conclusions:
- The economic evaluation will provide crucial data on the value of the SCHeLTI intervention.
- Findings will inform early childhood development policy in China and globally.
- The study aims to mitigate childhood OWO and associated non-communicable disease risks effectively.
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