Cited by 891Obesity, Physical Activity, DietGlobal Public Health Policies and EpidemiologyPhysical Activity and Health

Tackling of unhealthy diets, physical inactivity, and obesity: health effects and cost-effectiveness

Open access
Cecchini, Michele, Sassi, Franco, Lauer, Jeremy A, Lee, Yong Y, Guajardo-Barron, Veronica, Chisholm, Daniel·2010·The Lancet

Abstract

The obesity epidemic is spreading to low-income and middle-income countries as a result of new dietary habits and sedentary ways of life, fuelling chronic diseases and premature mortality. In this report we present an assessment of public health strategies designed to tackle behavioural risk factors for chronic diseases that are closely linked with obesity, including aspects of diet and physical inactivity, in Brazil, China, India, Mexico, Russia, and South Africa. England was included for comparative purposes. Several population-based prevention policies can be expected to generate substantial health gains while entirely or largely paying for themselves through future reductions of health-care expenditures. These strategies include health information and communication strategies that improve population awareness about the benefits of healthy eating and physical activity; fiscal measures that increase the price of unhealthy food content or reduce the cost of healthy foods rich in fibre; and regulatory measures that improve nutritional information or restrict the marketing of unhealthy foods to children. A package of measures for the prevention of chronic diseases would deliver substantial health gains, with a very favourable cost-effectiveness profile.

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Crossref · 10.1016/s0140-6736(10)61514-0

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Authors
Cecchini, M., Sassi, F., Lauer, J. A., Lee, Y. Y., Guajardo-Barron, V., & Chisholm, D.
Affiliations
  • Organisation de Coopération et de Développement Economiques (FR)
  • World Health Organization (CH)
  • The University of Queensland (AU)
Corresponding author
Sassi, Franco
Venue
The Lancet
Publisher
Elsevier BV
Published
2010-11
Volume
376
Issue
9754
Pages
1775-1784
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
OpenAlex
W2139530732
Cited by
889
References
25
Citations by year
2026: 18 · 2025: 33 · 2024: 50 · 2023: 50 · 2022: 60 · 2021: 71 · 2020: 64 · 2019: 56 · 2018: 54 · 2017: 60 · 2016: 61 · 2015: 71 · 2014: 65 · 2013: 54 · 2012: 71
FWCI
55.67
Type
journal article
Language
en
Open access
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
  • BORIS (University Library Bern) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords
obesity, unhealthy diet, physical inactivity, chronic disease prevention, cost-effectiveness, health information communication, fiscal measures, sugar-sweetened beverage tax, healthy food subsidies, food labeling, behavioral risk factors, low- and middle-income countries, health care expenditure
MeSH terms
Adult, Aged, Aged, 80 and over, Brazil, China, Chronic Disease, Cost-Benefit Analysis, Diet, Health Expenditures, Food, Health Promotion, Humans, India, Life Style, Mexico, Middle Aged, Models, Theoretical, Obesity, Risk Factors, Russia, South Africa, Exercise, Quality-Adjusted Life Years

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