基于学校的营养教育计划本身在预防儿童肥胖方面并不具有成本效益:一项微观模拟研究
Erica L Kenney1, Mary Kathryn Poole2, Stephanie M McCulloch3
1Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
The American journal of clinical nutrition
|November 13, 2024
概括
仅靠营养教育课程不太可能有效地预防儿童肥胖. 为了有效预防儿童肥胖,需要改变政策,系统和环境 (PSE).
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 营养科学 营养科学
背景情况:
- 营养教育课程是儿童肥胖预防的常见课程,但往往缺乏政策,系统或环境变化.
- 有证据表明,改变政策,系统和环境 (PSE) 的干预措施更具成本效益.
研究的目的:
- 估计美国公立学校儿童肥胖预防3种常见营养教育课程的社会成本和成本效益.
- 确定这些课程所需的效果大小,以达到每年15万美元的质量调整寿命门.
主要方法:
- 搜索了补充营养援助计划 (SNAP) -Ed工具包的相关课程.
- 使用标准成本计算方法,估计全国实施成本 (2023-2032年).
- 使用儿童肥胖干预成本效益研究 (CHOICES) 模型进行值分析.
主要成果:
- 从SNAP-Ed确定了3个课程,没有一个有影响肥胖风险的证据.
- 估计的全国实施成本在180亿美元至3480亿美元 (2023-2032年) 之间.
- 每个课程都要求BMI降低≥0.10kg/m2,这是一个未实现的效果大小.
结论:
- 仅仅营养教育课程,即使是SNAP-Ed认可的课程,也不太可能在预防儿童肥胖方面具有成本效益.
- 已证明有效的干预措施,特别是那些包含PSE变化的干预措施,对于成功预防儿童肥胖至关重要.
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