PMID- 31769843
OWN - NLM
STAT- MEDLINE
DCOM- 20200717
LR  - 20200717
IS  - 1753-4887 (Electronic)
IS  - 0029-6643 (Linking)
VI  - 78
IP  - 5
DP  - 2020 May 1
TI  - Impact of interventions to reduce overnutrition on healthcare costs related to 
      obesity and type 2 diabetes: a systematic review.
PG  - 412-435
LID - 10.1093/nutrit/nuz070 [doi]
AB  - CONTEXT: In recent decades, obesity and type 2 diabetes mellitus (T2DM) have both 
      become global epidemics associated with substantial healthcare needs and costs. 
      OBJECTIVE: The aim of this review was to critically assess nutritional 
      interventions for their impact on healthcare costs to community-dwelling 
      individuals regarding T2DM or obesity or both, specifically using CHEERS 
      (Consolidated Health Economic Evaluation Reporting Standards) criteria to assess 
      the economic components of the evidence. DATA SOURCES: Searches were executed in 
      Embase, EconLit, AgEcon, PubMed, and Web of Science databases. STUDY SELECTION: 
      Studies were included if they had a nutritional perspective, reported an economic 
      evaluation that included healthcare costs, and focused on obesity or T2DM or 
      both. Studies were excluded if they examined clinical nutritional preparations, 
      dietary supplements, industrially modified dietary components, micronutrient 
      deficiencies, or undernutrition; if they did not report the isolated impact of 
      nutrition in complex or lifestyle interventions; or if they were conducted in 
      animals or attempted to transfer findings from animals to humans. DATA 
      EXTRACTION: A systematic review was performed according to PRISMA guidelines. 
      Using predefined search terms, 21 studies evaluating food habit interventions or 
      taxation of unhealthy foods and beverages were extracted and evaluated using 
      CHEERS criteria. RESULTS: Overall, these studies showed that nutrition 
      interventions and taxation approaches could lead to cost savings and improved 
      health outcomes when compared with current practice. All of the included studies 
      used external sources and economic modeling or risk estimations with 
      population-attributable risks to calculate economic outcomes. CONCLUSIONS: Most 
      evidence supported taxation approaches. The effect of nutritional interventions 
      has not been adequately assessed. Controlled studies to directly measure economic 
      impacts are warranted.
CI  - (c) The Author(s) 2019. Published by Oxford University Press on behalf of the 
      International Life Sciences Institute. All rights reserved. For permissions, 
      please e-mail: journals.permissions@oup.com.
FAU - Olm, Michaela
AU  - Olm M
AD  - Institute for Medical Information Processing, Biometry, and Epidemiology, 
      Ludwig-Maximilians University Munich, Munich, Bavaria, Germany.
AD  - Institute of Health Economics and Health Care Management, Helmholtz Zentrum 
      Munchen, Neuherberg, Germany.
AD  - Institute of General Practice and Health Services Research, University Hospital 
      rechts der Isar, Technical University of Munich, Munich, Germany.
FAU - Stark, Renee G
AU  - Stark RG
AD  - Institute of Health Economics and Health Care Management, Helmholtz Zentrum 
      Munchen, Neuherberg, Germany.
FAU - Beck, Nathanael
AU  - Beck N
AD  - Munich Center of Health Sciences, Ludwig-Maximilians University Munich, Munich, 
      Bavaria, Germany.
FAU - Roger, Christina
AU  - Roger C
AD  - Competence Center for Nutrition and the Institute of the Bavarian State Ministry 
      of Food, Agriculture and Forestry, Freising, Bavaria, Germany.
FAU - Leidl, Reiner
AU  - Leidl R
AD  - Institute of Health Economics and Health Care Management, Helmholtz Zentrum 
      Munchen, Neuherberg, Germany.
AD  - Munich Center of Health Sciences, Ludwig-Maximilians University Munich, Munich, 
      Bavaria, Germany.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Systematic Review
PL  - United States
TA  - Nutr Rev
JT  - Nutrition reviews
JID - 0376405
SB  - IM
MH  - Diabetes Mellitus, Type 2/*diet therapy/*economics
MH  - *Health Care Costs
MH  - Humans
MH  - Obesity/*diet therapy/*economics
MH  - Taxes
OTO - NOTNLM
OT  - healthcare costs
OT  - nutrition
OT  - obesity
OT  - taxation
OT  - type 2 diabetes mellitus
EDAT- 2019/11/27 06:00
MHDA- 2020/07/18 06:00
CRDT- 2019/11/27 06:00
PHST- 2019/11/27 06:00 [pubmed]
PHST- 2020/07/18 06:00 [medline]
PHST- 2019/11/27 06:00 [entrez]
AID - 5643891 [pii]
AID - 10.1093/nutrit/nuz070 [doi]
PST - ppublish
SO  - Nutr Rev. 2020 May 1;78(5):412-435. doi: 10.1093/nutrit/nuz070.