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ACE obesity prevention policy approaches

15 / 07 / 19

Assessing Cost Effectiveness (ACE)-Obesity is a priority setting study that aimed to evaluate the economic credentials of a range of obesity prevention policies. The study was performed by Deakin University and formed part of the work of the National Health and Medical Research Council funded Centre of Research Excellence on Obesity Policy and Food Systems.

The following league table shows a summary of the cost-effectiveness of interventions from the most effective to the least, along with the net cost and level of evidence supporting a decrease in BMI.

*NOTE negative figures indicates a net cost saving while positive figures are a net cost spend

Intervention

Total net cost

Strength of evidence (to lower BMI)

Alcohol price increase

-$4.8B

Low

Sugar sweetened beverage tax

-$1.7B

Low

Mandatory restriction of TV advertising unhealthy foods

-$777.9M

Low

Mandatory package size cap on sugar-sweetened beverages

-$540.9M

Low

Voluntary supermarket shelf tags on healthier products

-$638.1M

Low

Menu kilojoule labelling in fast food

-$502M

Low

School based intervention to reduce sedentary behaviour

-$676.1M

Medium

School based intervention to increase physical activity

-$630.5M

Medium

Mandatory restriction on price promotions on sugar sweetened beverages

-$481M

Low

Voluntary reformulation to reduce sugar in sugar-sweetened beverages

-$250.6M

Low

National mass media campaign related to sugar-sweetened beverages

-$127.3M

Low

Reformulation in response to the Health Star Rating system (voluntary)

$4.5M

(Net cost)

Low

Financial incentives for weight loss by private health insurers

$1.0B

High

Fuel excise: 10c per litre increase

$1.8M

Low

Community-based interventions

$425.7M

High

Workplace intervention to reduce sedentary behaviour

$215.0M

Low

You can access the full report here, as well as summary reports for each intervention, a league table ranking incremental cost effectiveness, and implementation considerations providing comparative assessments.

And in other obesity policy news, the Obesity Evidence Hub is now live. The objective is to identify, analyse and synthesise the evidence on obesity and divided into three sections: trends, impacts and prevention. The hub is a partnership between the Cancer Council Victoria, the BUPA Health Foundation and the Obesity Policy Coalition.

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