Long-term health and economic impact of preventing and reducing overweight and obesity in adolescence.
OBJECTIVE
Using data from the 2000 National Medical Expenditure Panel Survey and estimates from published studies, this study projected the long-term health and economic impacts of preventing and reducing overweight and obesity in today's adolescents.


METHODS
We developed a body mass index progression model to project the impact of a 1% point reduction in both overweight and obese adolescents aged 16-17 years at present on the number of nonoverweight, overweight, and obese adults at age 40 years. We then estimated its impact on the lifetime medical costs and quality-adjusted life years (QALYs) after age 40. Medical costs (in 2007 dollars) and QALYs were discounted to age 17 years.


RESULTS
A 1% point reduction in both overweight and obese adolescents ages 16-17 years at present could reduce the number of obese adults by 52,821 in the future. As a result, lifetime medical care costs after age 40 years would decrease by $586 million and lifetime QALYs would increase by 47,138. In the worst case scenario, the 1% point reduction would lower medical costs by $463 million and increase QALYs by 34,394; in the best case scenario, it would reduce medical costs by $691 million and increase QALYs by 57,149.


CONCLUSIONS
Obesity prevention in adolescents goes beyond its immediate benefits; it can also reduce medical costs and increase QALYs substantially in later life. Therefore, it is important to include long-term health and economic benefits when quantifying the impact of obesity prevention in adolescents.
Wang
Li Y
LY
Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. lgw0@cdc.gov
Denniston
Maxine
M
Lee
Sarah
S
Galuska
Deborah
D
Lowry
Richard
R
D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D019538:Health Care Surveys; D005102:Health Expenditures; D006801:Humans; D008297:Male; D009765:Obesity / Q000191:economics* / Q000517:prevention & control*; D050177:Overweight / Q000191:economics* / Q000517:prevention & control*; D015397:Program Evaluation; D019057:Quality-Adjusted Life Years