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

页码：390 / 395

页数：6

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