Tackling of unhealthy diets, physical inactivity, and obesity: health effects and cost-effectiveness
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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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Physical inactivity and an unhealthy diet are leading risk factors for noncommunicable diseases and death worldwide.
“Physical inactivity and an unhealthy diet continue to be some of the leading risk factors for noncommunicable diseases (NCDs), such as cardiovascular disease, diabetes, and obesity [1,2], and death worldwide [3].”
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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
- green
- figshare.com
- Licence
- 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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