Estimating the lifetime cost of childhood obesity in Germany: Results of a Markov Model.

Abstract:

BACKGROUND:Child obesity is a growing public health concern. Excess weight in childhood is known to be associated with a high risk of obesity and obesity-related comorbidities in adulthood. OBJECTIVES:This study quantifies lifetime excess costs of overweight and obese adults in Germany taking the history of obesity in childhood into account. METHODS:A two-stage Markov cohort state transition model was developed. At stage 1, the distribution of body mass index (BMI) categories was tracked from childhood (ages 3-17) to adulthood (age 17 and up). Based on these results, it was distinguished whether adults had been normal in weight or overweight/obese as child. At stage 2, age-specific and lifetime costs from age 18 onwards were simulated in two further Markov cohort models, one for each of the two BMI groups. Model parameter values were obtained from the German Interview and Examination Survey for Children and Adolescents (KiGGS), the German Microcensus 2009 and published literature. RESULTS:When compared with normal weight adults, lifetime excess costs are higher among adults who had been overweight or obese at any point during childhood. For 18-year-old women (men), who have been overweight/obese during their childhood (ages 3-17), undiscounted lifetime excess costs are estimated at €19,479 (€14,524), with 60% (67%) occurring beyond age 60. Discounted (3%) lifetime excess costs are considerably lower, amounting to €4262 for men and €7028 for women. CONCLUSIONS:Because childhood obesity determines healthcare costs occurring in adulthood, interventions preventing the persistence of child obesity and obesity-related comorbidities during adulthood could have a substantial impact on reducing the burden of the obesity epidemic.

journal_name

Pediatr Obes

journal_title

Pediatric obesity

authors

Sonntag D,Ali S,Lehnert T,Konnopka A,Riedel-Heller S,König HH

doi

10.1111/ijpo.278

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

416-22

issue

6

eissn

2047-6302

issn

2047-6310

journal_volume

10

pub_type

杂志文章
  • The effects of traffic light labelling versus cartoon labelling on food and beverage purchases in a children's hospital setting.

    abstract::This study's purpose was to examine changes in healthy and unhealthy items purchased following the implementation of traffic light and cartoon labelling in a small retail food venue (Café Bay) in a children's hospital in eastern North Carolina. Between October 2015 and March 2016, daily food and beverage sales from Ca...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12232

    authors: Whitt OR,Jilcott Pitts SB,Rafferty AP,Payne CR,Ng SW

    更新日期:2018-04-01 00:00:00

  • Obesity status transitions across the elementary years: use of Markov chain modelling.

    abstract:OBJECTIVE:The objective of this study was to assess overweight and obesity status transition probabilities using first-order Markov transition models applied to elementary school children. METHOD:Complete longitudinal data across 11 assessments were available from 1494 elementary school children (from 7599 students in...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12025

    authors: Chen TA,Baranowski T,Moreno JP,O'Connor TM,Hughes SO,Baranowski J,Woehler D,Kimbro RT,Johnston CA

    更新日期:2016-04-01 00:00:00

  • Physical activity in children and adolescents with autism assessed by triaxial accelerometry.

    abstract:OBJECTIVE:This study aimed to examine physical activity (PA) patterns in children with autism spectrum disorder (ASD) as well as to address PA determinant factors by employing triaxial accelerometry. METHODS:In a school-based cross-sectional study of 80 children and adolescents with ASD (mean = 9.6, standard deviation...

    journal_title:Pediatric obesity

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.2047-6310.2012.00101.x

    authors: Memari AH,Ghaheri B,Ziaee V,Kordi R,Hafizi S,Moshayedi P

    更新日期:2013-04-01 00:00:00

  • Asthma prevalence trends by weight status among US children aged 2-19 years, 1988-2014.

    abstract:BACKGROUND:Obesity is a risk factor for asthma. However, it is unclear if increased obesity prevalence contributed to rising childhood asthma prevalence. OBJECTIVE:To assess if population-level changes in weight status impacted asthma prevalence over time. METHODS:Using nationally representative 1988-2014 National He...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12246

    authors: Akinbami LJ,Rossen LM,Fakhouri THI,Fryar CD

    更新日期:2018-06-01 00:00:00

  • High intake of added sugars is linked to rapid weight gain in infancy, breastfeeding ≥12 months may protect against this: A preliminary investigation.

    abstract:BACKGROUND:Consumption of added sugars is linked to excess adiposity in older age groups and breastfeeding has been shown to protect against later obesity. OBJECTIVES:This investigation aimed to determine whether intake of added sugars associates with rapid weight gain in individuals under 2 years of age, if intake of...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12728

    authors: Kong KL,Burgess B,Morris KS,Faith MS,Paluch RA

    更新日期:2020-09-23 00:00:00

  • Impact of obesity on outcomes of paediatric acute pancreatitis based on a national administrative database.

    abstract:BACKGROUND:Insufficient information is available on the relationship between obesity and outcome of paediatric patients with acute pancreatitis. OBJECTIVES:This study aimed to investigate the effect of obesity on outcomes of paediatric patients with acute pancreatitis based on a national administrative database. METH...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12041

    authors: Murata A,Ohtani M,Muramatsu K,Kobori S,Tomioka S,Matsuda S

    更新日期:2016-06-01 00:00:00

  • Young microbes for adult obesity.

    abstract::Gut microbes are active participants of host metabolism. At birth, child physiology is committed towards healthiness or sickness depending, in part, on maternal condition (i.e. lean vs obesity) and delivery. Finally, changes from breastfeeding to solid food also account to define gut microbiota ecology in adulthood. N...

    journal_title:Pediatric obesity

    pub_type: 杂志文章,评审

    doi:10.1111/ijpo.12146

    authors: Serino M,Nicolas S,Trabelsi MS,Burcelin R,Blasco-Baque V

    更新日期:2017-08-01 00:00:00

  • The sequence of prenatal growth restraint and post-natal catch-up growth leads to a thicker intima-media and more pre-peritoneal and hepatic fat by age 3-6 years.

    abstract:BACKGROUND:Infants born small-for-gestational-age (SGA) who develop post-natal weight catch-up are at risk for insulin resistance, central adiposity and cardiovascular disease in later life, even in the absence of overweight. OBJECTIVE:In young (age 3-6 years) non-obese SGA children, we assessed arterial health (as ju...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12053

    authors: Sebastiani G,Díaz M,Bassols J,Aragonés G,López-Bermejo A,de Zegher F,Ibáñez L

    更新日期:2016-08-01 00:00:00

  • Objectively measured physical activity and longitudinal changes in adolescent body fatness: an observational cohort study.

    abstract:BACKGROUND:The data regarding prospective associations between physical activity (PA) and adiposity in youth are inconsistent. OBJECTIVE:The objective of this study was to investigate associations between baseline levels of objectively measured PA and changes in adiposity over 2.5 years from mid-to-late adolescence. ...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12031

    authors: Collings PJ,Wijndaele K,Corder K,Westgate K,Ridgway CL,Sharp SJ,Atkin AJ,Stephen AM,Bamber D,Goodyer I,Brage S,Ekelund U

    更新日期:2016-04-01 00:00:00

  • Parental beliefs about portion size, not children's own beliefs, predict child BMI.

    abstract:BACKGROUND:Increases in portion size are thought by many to promote obesity in children. However, this relationship remains unclear. Here, we explore the extent to which a child's BMI is predicted both by parental beliefs about their child's ideal and maximum portion size and/or by the child's own beliefs. METHODS:Par...

    journal_title:Pediatric obesity

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/ijpo.12218

    authors: Potter C,Ferriday D,Griggs RL,Hamilton-Shield JP,Rogers PJ,Brunstrom JM

    更新日期:2018-04-01 00:00:00

  • Parental adiposity differentially associates with newborn body composition.

    abstract:BACKGROUND:Maternal obesity increases offspring's obesity risk. However, studies have not often considered maternal metabolic and exercise patterns as well as paternal adiposity as potential covariates. OBJECTIVE:To assess the relationship between parental and newborn adiposity. METHODS:Participants were mother-child...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12596

    authors: Diaz EC,Cleves MA,DiCarlo M,Sobik SR,Ruebel ML,Thakali KM,Sims CR,Dajani NK,Krukowski RA,Børsheim E,Badger TM,Shankar K,Andres A

    更新日期:2020-04-01 00:00:00

  • Executive functioning and disinhibited eating in children and adolescents.

    abstract:BACKGROUND:Executive functioning (EF) difficulties may be associated with problems regulating eating behaviours. Few studies have evaluated this question in youth using diverse measures of EF or objective measures of energy intake. METHODS:The current study used neuropsychological tasks and a laboratory test meal to e...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12614

    authors: Kelly NR,Jaramillo M,Ramirez S,Altman DR,Rubin SG,Yang SB,Courville AB,Shank LM,Byrne ME,Lemay-Russell S,Brady SM,Broadney MM,Tanofsky-Kraff M,Yanovski JA

    更新日期:2020-06-01 00:00:00

  • Observational analysis of disparities in obesity in children in the UK: Has Leeds bucked the trend?

    abstract:BACKGROUND:The prevalence of obesity in childhood is of high concern, especially in deprived populations. We explored trends in obesity following the introduction of a citywide strategy focused on preschool children. METHODS:Analysis of obesity prevalence using the National Child Measurement Programme 2009 to 2017 for...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12529

    authors: Rudolf M,Perera R,Swanston D,Burberry J,Roberts K,Jebb S

    更新日期:2019-09-01 00:00:00

  • Greater early weight gain and shorter breastfeeding are associated with low adolescent adiponectin levels.

    abstract:BACKGROUND:Early life factors can programme future risk for cardiovascular disease. OBJECTIVES:We explored associations between adolescent adiponectin levels and concomitant metabolic alteration and also looked at the association between early life factors and adolescent adiponectin levels. METHODS:We studied a longi...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12212

    authors: Reyes M,Burrows R,Blanco E,Lozoff B,Gahagan S

    更新日期:2018-05-01 00:00:00

  • Does consumption of high-fructose corn syrup beverages cause obesity in children?

    abstract::The consumption of high-fructose corn syrup (HFCS) beverages has increased since the 1970s. At the same time, childhood obesity is on the rise, causing children to be at risk of heart disease, diabetes and other diseases. Healthcare providers have attributed childhood obesity to the consumption of HFCS in the form of ...

    journal_title:Pediatric obesity

    pub_type: 杂志文章,评审

    doi:10.1111/j.2047-6310.2013.00173.x

    authors: Morgan RE

    更新日期:2013-08-01 00:00:00

  • The appropriateness of opt-out consent for monitoring childhood obesity in Australia.

    abstract::Childhood obesity monitoring is a fundamental component of obesity prevention but is poorly done in Australia. Monitoring obesity prevalence in children provides important population health data that can be used to track trends over time, identify areas at greatest risk of obesity, determine the effectiveness of inter...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/j.2047-6310.2012.00076.x

    authors: Lacy K,Kremer P,de Silva-Sanigorski A,Allender S,Leslie E,Jones L,Fornaro S,Swinburn B

    更新日期:2012-10-01 00:00:00

  • Pitfalls of the self-regulation of advertisements directed at children on Mexican television.

    abstract:BACKGROUND:There are no academic studies that characterize advertisements directed at children from the companies that signed the self-regulation. OBJECTIVE:The aim of this paper was to assess the extent and nature of food advertisements and the persuasive techniques used to market unhealthy food and beverages (UFB) t...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12144

    authors: Théodore FL,Tolentino-Mayo L,Hernández-Zenil E,Bahena L,Velasco A,Popkin B,Rivera JA,Barquera S

    更新日期:2017-08-01 00:00:00

  • Thyroid dysfunction and hepatic steatosis in overweight children and adolescents.

    abstract:BACKGROUND:Overt or subclinical hypothyroidism is a common finding in adult populations affected by non-alcoholic fatty liver disease (NAFLD). Currently, there are only sparse data available on the association of thyroid dysfunction and NAFLD in obese children and adolescents. OBJECTIVE:The study aims to investigate t...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12110

    authors: Kaltenbach TE,Graeter T,Oeztuerk S,Holzner D,Kratzer W,Wabitsch M,Denzer C

    更新日期:2017-02-01 00:00:00

  • Validity assessment of a portable bioimpedance scale to estimate body fat percentage in white and African-American children and adolescents.

    abstract:OBJECTIVE:The objective of the study was to determine accuracy of the Tanita SC-240 body composition analyser to measure paediatric percent body fat (%BF). METHODS:Eighty-nine African-American and white 5-18-year-olds participated in this study. %BF was estimated by dual-energy X-ray absorptiometry (DXA) and by the Ta...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/j.2047-6310.2012.00122.x

    authors: Barreira TV,Staiano AE,Katzmarzyk PT

    更新日期:2013-04-01 00:00:00

  • Trends in prevalence of childhood overweight and obesity in a community-based programme: The VIF Programme.

    abstract:BACKGROUND:Obesity in children is considered the main childhood health problem. OBJECTIVE:To assess the impact of 7-year community-based interventions on the trend prevalence of overweight and obesity in French preschool children and primary school children between 2008 and 2015. METHODS:Two cross-sectional studies w...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12761

    authors: Vanhelst J,Deken V,Boulic G,Raffin S,Duhamel A,Romon M

    更新日期:2020-12-17 00:00:00

  • Before-school and after-school childcare and children's risk of obesity.

    abstract:BACKGROUND:In the USA, half of children are regularly cared for before or after school by someone other than a parent. OBJECTIVE:Describe the relationship between childcare arrangements and obesity among school-aged children. METHODS:Data are from the fifth-grade wave of the Early Childhood Longitudinal Study - Kinde...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12107

    authors: Shah PM,Sudharsanan N,Cunningham SA

    更新日期:2017-02-01 00:00:00

  • Prevalence of obesity and extreme obesity in children aged 3-5 years.

    abstract:BACKGROUND:Early childhood adiposity may have significant later health effects. This study examines the prevalence and recognition of obesity and severe obesity among preschool-aged children. METHODS:The electronic medical record was used to examine body mass index (BMI), height, sex and race/ethnicity in 42,559 child...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/j.2047-6310.2013.00154.x

    authors: Lo JC,Maring B,Chandra M,Daniels SR,Sinaiko A,Daley MF,Sherwood NE,Kharbanda EO,Parker ED,Adams KF,Prineas RJ,Magid DJ,O'Connor PJ,Greenspan LC

    更新日期:2014-06-01 00:00:00

  • Taking the sweetness out of the 'Share a Coke' marketing campaign: the influence of personalized labelling on elementary school children's bottled drink choices.

    abstract:BACKGROUND:Drink personalization (featuring names on bottle labels) has been used by soft drink companies to make their drinks attractive to children, potentially increasing consumption. To date, no publically available research has evaluated the influence of personalization on children's drink choices. OBJECTIVES:To ...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12193

    authors: McDarby F,O'Hora D,O'Shea D,Byrne M

    更新日期:2018-01-01 00:00:00

  • Residential mobility in early childhood and obesity at kindergarten age among children from the United States.

    abstract:BACKGROUND:Children who frequently move have poorer behavioural, emotional, and overall health. For similar reasons, the experience of changing home may contextualize children's risk for obesity. Few studies have assessed the relationship between residential mobility and obesity; even fewer explore this relationship wi...

    journal_title:Pediatric obesity

    pub_type: 杂志文章,评审

    doi:10.1111/ijpo.12576

    authors: Krupsky KL,Andridge RR,Anderson SE

    更新日期:2020-02-01 00:00:00

  • Adherence to the Mediterranean diet during pregnancy and offspring adiposity and cardiometabolic traits in childhood.

    abstract:BACKGROUND:In adults, adherence to the Mediterranean diet has been inversely associated with cardiovascular risk, but the extent to which diet in pregnancy is associated with offspring adiposity is unclear. We aimed to investigate the association between adherence to Mediterranean diet in pregnancy and offspring cardio...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12191

    authors: Chatzi L,Rifas-Shiman SL,Georgiou V,Joung KE,Koinaki S,Chalkiadaki G,Margioris A,Sarri K,Vassilaki M,Vafeiadi M,Kogevinas M,Mantzoros C,Gillman MW,Oken E

    更新日期:2017-08-01 00:00:00

  • The relationship between pancreas steatosis and the risk of metabolic syndrome and insulin resistance in Chinese adolescents with concurrent obesity and non-alcoholic fatty liver disease.

    abstract:BACKGROUND:The incidence of childhood obesity and associated comorbidities are on an increasing trend worldwide. More than 340 million children and adolescents aged between 5 and 19 years old were overweight or had obesity in 2016, from which over 124 million children and adolescents (6% of girls and 8% of boys) had ob...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12653

    authors: Chiyanika C,Chan DFY,Hui SCN,So HK,Deng M,Yeung DKW,Nelson EAS,Chu WCW

    更新日期:2020-09-01 00:00:00

  • Prevention and treatment of pediatric obesity using mobile and wireless technologies: a systematic review.

    abstract::Mobile health (mHealth) is a relatively nascent field, with a variety of technologies being explored and developed. Because of the explosive growth in this field, it is of interest to examine the design, development and efficacy of various interventions as research becomes available. This systematic review examines cu...

    journal_title:Pediatric obesity

    pub_type: 杂志文章,评审

    doi:10.1111/ijpo.12002

    authors: Turner T,Spruijt-Metz D,Wen CK,Hingle MD

    更新日期:2015-12-01 00:00:00

  • 37 year snacking trends for US children 1977-2014.

    abstract:BACKGROUND:Previous studies have indicated that snacking is contributing to increased calorie intake of American children and that the energy density of snacks in US diets has increased in recent decades. OBJECTIVE:Examine short-term and long-term trends in the energy density and food sources of snacks for US children...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12220

    authors: Dunford EK,Popkin BM

    更新日期:2018-04-01 00:00:00

  • Increased brain cortical thickness associated with visceral fat in adolescents.

    abstract:BACKGROUND:There has been a growing amount of evidence indicating that excess visceral fat is associated with alterations in brain structure and function, including brain cortical thinning in adults. OBJECTIVES:This study aims to investigate the relationship between brain cortical thickness with obesity assessments, i...

    journal_title:Pediatric obesity

    pub_type: 杂志文章

    doi:10.1111/ijpo.12190

    authors: Saute RL,Soder RB,Alves Filho JO,Baldisserotto M,Franco AR

    更新日期:2018-01-01 00:00:00

  • Strategies to reduce attrition in managing paediatric obesity: A systematic review.

    abstract:OBJECTIVE:To conduct a systematic review of the literature for strategies designed to reduce attrition in managing paediatric obesity. METHODS:We searched Ovid Medline (1946 to May 6, 2020), Ovid Embase (1974 to May 6, 2020), EBSCO CINAHL (inception to May 6, 2020), Elsevier Scopus (inception to April 14, 2020), and P...

    journal_title:Pediatric obesity

    pub_type: 杂志文章,评审

    doi:10.1111/ijpo.12733

    authors: Ball GDC,Sebastianski M,Wijesundera J,Keto-Lambert D,Ho J,Zenlea I,Perez A,Nobles J,Skelton JA

    更新日期:2020-09-22 00:00:00