|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$1||Benefits minus costs||($393)|
|Participants||$0||Benefit to cost ratio||($0.49)|
|Others||$1||Chance the program will produce|
|Indirect||($132)||benefits greater than the costs||45 %|
|Net program cost||($264)|
|Benefits minus cost||($393)|
|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|
Obese based on clinical guidelines for adults (body mass index of 30 or higher) or children (body mass index at or above the 95th percentile for children of the same age and sex), as appropriate.
|Detailed Monetary Benefit Estimates Per Participant|
|Affected outcome:||Resulting benefits:1||Benefits accrue to:|
|Obesity||Labor market earnings associated with obesity||$0||$0||$0||$0||$0|
|Health care associated with obesity||$1||$0||$1||$0||$2|
|Mortality associated with obesity||$0||$0||$0||$0||$0|
|Program cost||Adjustment for deadweight cost of program||$0||$0||$0||($132)||($132)|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$247||2014||Present value of net program costs (in 2018 dollars)||($264)|
|Comparison costs||$0||2014||Cost range (+ or -)||20 %|
Benefits Minus Costs
Benefits by Perspective
Taxpayer Benefits by Source of Value
|Benefits Minus Costs Over Time (Cumulative 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 discounted dollars. 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.|
Bayer, O., von Kries, R., Strauss, A., Mitschek, C., Toschke, A. M., Hose, A. et al. (2009). Short- and mid-term effects of a setting based prevention program to reduce obesity risk factors in children: a cluster-randomized trial. Clinical Nutrition, 28, 122-128.
De Bock, F., Breitenstein, L., & Fischer, J. E. (2012). Positive impact of a pre-school-based nutritional intervention on children's fruit and vegetable intake: results of a cluster-randomized trial. Public Health Nutrition, 15(3), 466-475.
Eliakim, A., Nemet, D., Balakirski, Y., & Epstein, Y. (2007). The effects of nutritional-physical activity school-based intervention on fatness and fitness in preschool children. Journal of Pediatric Endocrinology & Metabolism, 20(6), 711-718.
Fitzgibbon, M.L., Stolley, M.R., Schiffer, L., Van Horn, L., KauferChristoffel, K., & Dyer, A. (2005). Two-year follow-up results for Hip-Hop to Health Jr.: a randomized controlled trial for overweight prevention in preschool minority children. The Journal of pediatrics, 146(5), 618-625.
Fitzgibbon, M.L., Stolley, M.R., Schiffer, L., Van, H.L., Kauferchristoffel, K., Dyer, A. (2006). Hip-Hop to Health Jr. for Latino Preschool Children. Obesity, 14(9), 1616.
Fitzgibbon, M.L., Stolley, M.R., Schiffer, L.A., Braunschweig, C.L., Gomez, S.L., Van, H.L., & Dyer, A.R. (2011). Hip-Hop to Health Jr. Obesity Prevention Effectiveness Trial: postintervention results. Obesity, 19(5), 994-1003.
Jouret, B., Ahluwalia, N., Dupuy, M., Cristini, C., Nègre-Pages, L., Grandjean, H., & Tauber, M. (2009). Prevention of overweight in preschool children: results of kindergarten-based interventions. International Journal of Obesity, 33(10), 1075-1083.
Nemet, D., Geva, D., Pantanowitz, M., Igbaria, N., Meckel, Y., & Eliakim, A. (2011). Health promotion intervention in Arab-Israeli kindergarten children. Journal of Pediatric Endocrinology & Metabolism, 24(11-12), 1001-1007.
Nemet, D., Geva, D., & Eliakim, A. (2011). Health Promotion Intervention in Low Socioeconomic Kindergarten Children. The Journal of Pediatrics, 158(5), 796-801.
Puder, JJ, Marques-Vidal, P, Schindler, C, Zahner, L, Niederer, I, Bürgi, F, Ebenegger, V, ... Kriemler, S. (2011.). Effect of multidimensional lifestyle intervention on fitness and adiposity in predominantly migrant preschool children (Ballabeina): cluster randomised controlled trial. BMJ, 343, d6195.
Reilly, J.J., Kelly, L., Montgomery, C., Williamson, A., Fisher, A., McColl, J.H., ... & Grant, S. (2006). Physical activity to prevent obesity in young children: cluster randomised controlled trial. BMJ, 333(7577), 1041-3.
Zask, A., Adams, J.K., Brooks, L O., & Hughes, D F. (2012). Tooty Fruity Vegie: an obesity prevention intervention evaluation in Australian preschools. Health Promotion Journal of Australia, 23(1), 10-5.