|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$3,803||Benefits minus costs||$15,177|
|Participants||$8,402||Benefit to cost ratio||$32.78|
|Others||$3,700||Chance the program will produce|
|Indirect||($250)||benefits greater than the costs||65 %|
|Net program cost||($477)|
|Benefits minus cost||$15,177|
|Detailed Monetary Benefit Estimates Per Participant|
|Benefits from changes to:1||Benefits to:|
|Labor market earnings associated with test scores||$3,819||$8,409||$3,708||$0||$15,936|
|Health care associated with obesity||($16)||($7)||($8)||($8)||($39)|
|Mortality associated with obesity||$0||$0||$0||($3)||($4)|
|Adjustment for deadweight cost of program||$0||$0||$0||($239)||($239)|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$235||2014||Present value of net program costs (in 2017 dollars)||($477)|
|Comparison costs||$0||2014||Cost range (+ or -)||20 %|
|Estimated Cumulative Net Benefits Over Time (Non-Discounted Dollars)|
|The graph above illustrates the estimated cumulative net benefits per-participant for the first fifty years beyond the initial investment in the program. We present these cash flows in non-discounted dollars to simplify the “break-even” point from a budgeting perspective. If the dollars are negative (bars below $0 line), the cumulative benefits do not outweigh the cost of the program up to that point in time. The program breaks even when the dollars reach $0. At this point, the total benefits to participants, taxpayers, and others, are equal to the cost of the program. If the dollars are above $0, the benefits of the program exceed the initial investment.|
|Meta-Analysis of Program Effects|
|Outcomes measured||Treatment age||No. of effect sizes||Treatment N||Adjusted effect sizes(ES) and standard errors(SE) used in the benefit - cost analysis||Unadjusted effect size (random effects model)|
|First time ES is estimated||Second time ES is estimated|
Ahamed, Y., Macdonald, H., Reed, K., Naylor, P. J., Liu-Ambrose, T., & McKay, H. (2007). School-based physical activity does not compromise children's academic performance. Medicine and Science in Sports and Exercise, 39(2), 371-376.
Burke, V., Milligan, R.A., Thompson, C., Taggart, A.C., Dunbar, D.L., Spencer, M.J., . . . Beilin, L.J. (1998). A controlled trial of health promotion programs in 11-year-olds using physical activity 'enrichment' for higher risk children. The Journal of Pediatrics, 132(5), 840-848.
Donnelly, J.E., Greene, J.L., Gibson, C.A., Smith, B.K., Washburn, R.A., Sullivan, D.K., . . . Williams, S.L. (2009). Physical Activity Across the Curriculum (PAAC): A randomized controlled trial to promote physical activity and diminish overweight and obesity in elementary school children. Preventive Medicine, 49(4), 336-41.
Flores, R. (1995). Dance for health: improving fitness in African American and Hispanic adolescents. Public Health Reports, 110(2), 189-193.
Graf, C., Koch, B., Falkowski, G., Jouck, S., Christ, H., Staudenmaier, K., . . . Dordel, S. (2008). School-based prevention: Effects on obesity and physical performance after 4 years. Journal of Sports Sciences, 26(10), 987-994.
Grydeland, M., Bjelland, M., Anderssen, S.A., Klepp, K.I., Bergh, I.H., Andersen, L.F., Ommundsen, Y., ... Lien, N. (2014). Effects of a 20-month cluster randomised controlled school-based intervention trial on BMI of school-aged boys and girls: the HEIA study. British Journal of Sports Medicine, 48(9), 768-773.
Harrell, J.S., McMurray, R.G., Bangdiwala, S.I., Frauman, A.C., Gansky, S.A., & Bradley, C.B. (1996). Effects of a school-based intervention to reduce cardiovascular disease risk factors in elementary-school children: the Cardiovascular Health in Children (CHIC) study. The Journal of Pediatrics, 128(6), 797-805.
Harrell, J.S., McMurray, R.G., Gansky, S.A., Bangdiwala, S.I., & Bradley, C.B. (1999). A public health vs a risk-based intervention to improve cardiovascular health in elementary school children: the Cardiovascular Health in Children Study. American Journal of Public Health, 89(10), 1529-1535.
Hopper, C.A., Munoz, K.D., Gruber, M.B., & Nguyen, K.P. (2005). The effects of a family fitness program on the physical activity and nutrition behaviors of third-grade children. Research Quarterly for Exercise and Sport, 76(2), 130-139.
Katz, D.L., Cushman, D., Reynolds, J., Njike, V., Treu, J.A., Walker, J., . . . Katz, C. (2010). Putting physical activity where it fits in the school day: Preliminary results of the ABC (Activity Bursts in the Classroom) for fitness program. Preventing Chronic Disease, 7(4). Retrieved June 15, 2011 from
Kriemler, S., Zahner, L., Schindler, C., Meyer, U., Hartmann, T., Hebestreit, H., . . . Puder, J.J. (2010). Effect of school based physical activity programme (KISS) on fitness and adiposity in primary schoolchildren: Cluster randomised controlled trial. BMJ, 340(c785). doi: 10.1136/bmj.c785
Lubans, D.R., Morgan, P.J., Okely, A.D., Dewar, D., Collins, C.E., Batterham, M., . . . Plotnikoff, R.C. (2012). Preventing obesity among adolescent girls: One-year outcomes of the Nutrition and Enjoyable Activity for Teen Girls (NEAT Girls) cluster randomized controlled trial. Archives of Pediatrics & Adolescent Medicine, 166(9), 821-7.
Manios, Y., Moschandreas, J., Hatzis, C., & Kafatos, A. (2002). Health and nutrition education in primary schools of Crete: changes in chronic disease risk factors following a 6-year intervention programme. The British Journal of Nutrition, 88(3), 315-24.
Pate, R.R., Ward, D.S., Saunders, R.P., Felton, G., Dishman, R.K., & Dowda, M. (2005). Promotion of physical activity among high-school girls: a randomized controlled trial. American Journal of Public Health, 95(9), 1582-1587.
Reed, K. E., Warburton, D. E., Macdonald, H. M., Naylor, P. J., & McKay, H. A. (2008). Action Schools! BC: A school-based physical activity intervention designed to decrease cardiovascular disease risk factors in children. Preventive Medicine, 46(6), 525-531.
Salmon, J., Ball, K., Hume, C., Booth, M., & Crawford, D. (2008). Outcomes of a group-randomized trial to prevent excess weight gain, reduce screen behaviours and promote physical activity in 10-year-old children: Switch-play. International Journal of Obesity, 32(4), 601-612.
Simon, C., Schweitzer, B., Oujaa, M., Wagner, A., Arveiler, D., Triby, E., . . . Platat, C. (2008). Successful overweight prevention in adolescents by increasing physical activity: A 4-year randomized controlled intervention. International Journal of Obesity, 32(10), 1489-1498.
Sollerhed, A.-C., & Ejlertsson, G. (2008). Physical benefits of expanded physical education in primary school: findings from a 3-year intervention study in Sweden. Scandinavian Journal of Medicine & Science in Sports, 18(1), 102-107.