Cost-Effectiveness Analysis of a Comprehensive Obesity Prevention Program in Primary Schools in China
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By
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Shiyu Yan
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Shuang Zhou
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Xiru Guo
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Jinlang Lyu
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Hui Wang
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Hai Fang
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Hai-Jun Wang
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November 24, 2025
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Clinical Scorecard: Cost-Effectiveness Analysis of a Comprehensive Obesity Prevention Program in Primary Schools in China
At a Glance
| Category | Detail |
|---|
| Condition | Childhood Obesity |
| Key Mechanisms | Multi-component interventions integrating health education, physical activity reinforcement, and family engagement. |
| Target Population | Children aged 8 to 10 years in primary schools. |
| Care Setting | Primary schools in China. |
Key Highlights
- Childhood obesity prevalence in China increased from 15.5% in 2010 to 24.2% in 2019.
- The DECIDE-Children intervention showed a mean BMI reduction of -0.46 kg/m2.
- Interventions with strong family engagement yield greater reductions in obesity.
- Economic evaluations are critical for resource allocation in public health.
- The mobile app 'Eat Wisely, Move Happily' enhanced parental engagement.
Guideline-Based Recommendations
Diagnosis
- Monitor BMI and health indicators in school-aged children.
Management
- Implement multi-component interventions in schools that include family engagement.
Monitoring & Follow-up
- Regularly assess BMI and provide feedback to families and children.
Risks
- Increased risk of metabolic and cardiovascular diseases associated with childhood obesity.
Patient & Prescribing Data
School-aged children, particularly those at risk of obesity.
Multi-component interventions are more effective than single-component approaches.
Clinical Best Practices
- Engage families in obesity prevention programs.
- Utilize technology to enhance intervention delivery and monitoring.
- Embed health education in existing school curricula to minimize disruption.
References
