Table 3 Costs (NIS at 2010 price levels) and Effects of Dietary Interventions to Reduce Obesity.
From: Economic effects of interventions to reduce obesity in Israel
Intervention (for fuller description See Appendix 1) | Study | Ref | Cost per Person | Cost per QALY | BMI decrease | |
|---|---|---|---|---|---|---|
25 ≤ BMI < 40 | (f) | |||||
Clinical setting | ||||||
Nutritional counseling | ||||||
Various staff providing nutritional counseling over one year, modeled over lifetime | Ginsberg | [10] | (a, d) | 57 | 50,543 | 0.05 |
General practitioner-based nutritional counseling over one year, modeled over lifetime | Olsen | [33] | (c) | 395 | 4,379 | 0.22 |
Dietician-based nutritional counseling, over one year, modeled over lifetime | Olsen | [33] | (c) | 860 | 31,982 | 0.07 |
Clinic-based, intensive lifestyle counseling for the obese over 3 years modeled over lifetime | J-van der Bruggen | [32] | (c, e) | 798 | 26,769 | 0.90 |
Combined nutritional counseling and office support | ||||||
Counseling by primary care internists trained in nutrition counseling with an office-support program tracked for one year Cost-utility estimates based on Israeli data | Ockene | [31] | (b, d) | 74 | < 0 | 0.81 |
Community setting | ||||||
Community-based strategy using mass media campaigns, social support, risk factor screening and counseling in various settings over 5 years modeled over lifetime | J-van der Bruggen | [32] | (c, e) | 35 | 19,938 | 0.15 |
BMI > 40 | ||||||
Clinical setting | ||||||
Medical center staff counseling to adhere to a low carbohydrate diet over one year. Time horizon for cost utility analysis also one year | Tsai 2003 | [34] | (c) | 5,767 | 39,591 | 1.59 |
Medical center staff counseling to adhere to Standard NCEP 1 diet [g] over one year. Time horizon for cost utility analysis also one year | Tsai 2003 | [34] | (c) | 5,584 | 38,759 | 0.97 |