Public health interventions for addressing childhood overweight: analysis of the business case

Am J Public Health. 2008 Mar;98(3):411-5. doi: 10.2105/AJPH.2007.114991. Epub 2008 Jan 30.


We investigated the appropriateness of basing childhood obesity interventions on expectations of return on investment (ROI). We show that excess weight is indeed associated with greater medical expenditures even among children and adolescents. However, under current best practices, it is unlikely that interventions will be able to meet the level of effectiveness required at a low enough implementation cost to show positive ROI. The merits of childhood obesity interventions should be based on their ability to efficiently control weight and improve health compared with alternative uses for available resources. They should not be based on the potential for short-term financial savings.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adolescent Health Services
  • Adult
  • Body Mass Index
  • Child
  • Child Health Services
  • Child Welfare*
  • Female
  • Health Services Research
  • Humans
  • Male
  • Overweight / epidemiology*
  • Prevalence
  • Public Health*
  • Quality of Life
  • Risk Assessment
  • Risk Factors
  • United States / epidemiology