Document Detail


Cost-effectiveness of Weight Watchers and the Lighten Up to a Healthy Lifestyle program.
MedLine Citation:
PMID:  20618263     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Intensive weight loss programs that incorporate dietary counselling and exercise advice are popular and are supported by evidence of immediate weight loss benefits. We evaluate the cost-effectiveness of two weight loss programs, Lighten Up to a Healthy Lifestyle and Weight Watchers. METHODS: Health gains from prevention of chronic disease are modelled over the lifetime of the Australian population. These results are combined with estimates of intervention costs and cost offsets (due to reduced rates of lifestyle-related diseases) to determine the dollars per disability-adjusted life year (DALY) averted by each intervention program, from an Australian health sector perspective. RESULTS: Both weight loss programs produced small improvements in population health compared to current practice. The time and travel associated with attending group-counselling sessions, however, was costly for patients, and overall the cost-effectiveness ratios for Lighten Up ($130,000/DALY) and Weight Watchers ($140,000/DALY) were high. CONCLUSION: Based on current evidence, these intensive behavioural counselling interventions are not very cost-effective strategies for reducing obesity, and the potential benefits for population health are small. IMPLICATIONS: It will be critical to consider other strategies (e.g. changing the 'obesogenic' environment) or explore alternative methods of intervention delivery (e.g. Internet) to see if they offer a more cost-effective approach by effectively reaching a high number of people at a low cost.
Authors:
Linda Cobiac; Theo Vos; Lennert Veerman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Australian and New Zealand journal of public health     Volume:  34     ISSN:  1753-6405     ISO Abbreviation:  Aust N Z J Public Health     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-12     Completed Date:  2010-09-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9611095     Medline TA:  Aust N Z J Public Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  240-7     Citation Subset:  IM    
Affiliation:
School of Population Health, The University of Queensland, Herston, QLD 4006, Australia. l.cobiac@uq.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Australia / epidemiology
Behavior Therapy / economics*
Body Mass Index
Chronic Disease / epidemiology,  prevention & control
Cost-Benefit Analysis
Diet / economics*
Female
Health Promotion / economics*,  methods
Humans
Intervention Studies
Life Style
Middle Aged
Obesity / epidemiology,  prevention & control*
Quality-Adjusted Life Years
Weight Loss*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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