Cost-effectiveness of a behavioral weight loss intervention for low-income women: The Weight-Wise Program

被引：17
|
作者：
Gustafson, Alison [1 ,2 ]
Khavjou, Olga [3 ]
Stearns, Sally C. [4 ]
Keyserling, Thomas C. [5 ]
Gizlice, Ziya [6 ]
Lindsley, Sara [6 ]
Bramble, Kathy [6 ]
Garcia, Beverly [6 ]
Johnston, Larry [6 ]
Will, Julie [7 ]
Poindexter, Patricia [7 ]
Ammerman, Alice S. [1 ,2 ,6 ]
Samuel-Hodge, Carmen D. [1 ,2 ,6 ]
机构：
[1] Univ N Carolina, Sch Med, Dept Nutr, Chapel Hill, NC 27519 USA
[2] Univ N Carolina, Sch Publ Hlth, Dept Nutr, Chapel Hill, NC 27519 USA
[3] RTI Int, Hlth Social & Econ Res, Res Triangle Pk, NC USA
[4] Univ N Carolina, Sch Publ Hlth, Dept Hlth Policy & Management, Chapel Hill, NC 27519 USA
[5] Univ N Carolina, Sch Med, Dept Med, Chapel Hill, NC 27519 USA
[6] Univ N Carolina, UNC Ctr Hlth Promot & Dis Prevent, Chapel Hill, NC 27519 USA
[7] Ctr Dis Control & Prevent, Div Heart Dis & Stroke Prevent, Atlanta, GA USA
来源：
PREVENTIVE MEDICINE | 2009年 / 49卷 / 05期
关键词：
Cost-effectiveness; Weight loss; Intervention; ECONOMIC-EVALUATION; HEALTH; WISEWOMAN; OBESITY; CONSEQUENCES; ASSOCIATION; OVERWEIGHT; ORLISTAT; TRIAL; RISK;
D O I：
10.1016/j.ypmed.2009.09.007
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Objective. Assess the cost-effectiveness of a 16-week weight loss intervention (Weight-Wise) for low-income midlife women. Method. A randomized controlled trial conducted in North Carolina in 2007 tested a weight loss intervention among 143 women (40-64 years old, mean BMI = 35.1 kg/m(2)). Women were randomized to one of two arms-special intervention (n = 72) and a wait-listed control group (n = 7 1). Effectiveness measures included changes in weight, systolic and diastolic blood pressure, total cholesterol, and HDL cholesterol. Cost-effectiveness measures calculated life years gained (LYG) from changes in weight, based on excess years life lost (YLL) algorithm. Results. Intervention participants had statistically significant decreases in weight (kg) (-4.4 95% CI = -5.6, -3.2) and in systolic blood pressure (-6.2 mm Hg, 95% CI = -10.6, -1.7) compared to controls. Total cost of conducting Weight-Wise was $17,403, and the cost per participant in intervention group was $242. The incremental cost per life year gained (discounted) from a decrease in obesity was $1862. Conclusion. our results suggest the Weight-Wise intervention may be a cost-effective approach to improving the health of low-income women. (C) 2009 Elsevier Inc. All rights reserved.
引用
收藏
页码：390 / 395
页数：6
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