title: Does diabetes prevention pay for itself? Evaluation of the M.O.B.I.L.I.S. program for obese persons.
abstract: In response to the growing burden of obesity, public primary prevention programs against obesity have been widely recommended. Several studies have estimated the cost-effectiveness of diabetes-prevention trials for different countries. Nevertheless, it is still controversial if prevention conducted in more real-world settings and among people with increased risk but not yet exhibiting increased glucose tolerance can be a cost-saving strategy to cope with the obesity epidemic. We examine this question in a simulation model based on the results of the M.O.B.I.L.I.S program, a German lifestyle intervention to reduce obesity, which is directed on the high-risk group of people who are already obese. The contribution of this paper is the use of 4-year follow-up data on the intervention group and a comparison with a control group formed by SOEP respondents as inputs in a Markov model of the long-term cost savings through this intervention due to the prevention of type 2 diabetes. We show that from the point of view of a health insurer, these programs can pay for themselves.
authors.affiliation: Department of Economics, University of Konstanz, Fach 135, 78457, Constance, Germany. haeussler.jan@gmail.com.
authors.forename: Jan
authors.initials: J
authors.lastname: Häußler
authors.affiliation: Department of Economics, University of Konstanz, Fach 135, 78457, Constance, Germany.
authors.forename: Friedrich
authors.initials: F
authors.lastname: Breyer
mesh_terms: D003362:Cost-Benefit Analysis; D003922:Diabetes Mellitus, Type 1; D003924:Diabetes Mellitus, Type 2; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity; D011315:Preventive Medicine / Q000191:economics*; D015397:Program Evaluation
keywords: Cost analysis; Diabetes prevention; Markov modeling; Obesity
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