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

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

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

DOI 10.1016/s0140-6736(10)61514-0

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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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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
ORCID: Cecchini, Michele
Sassi, Franco
Lauer, Jeremy A
Lee, Yong Y
Chisholm, Daniel
Venue: The Lancet
Publisher: Elsevier BV
Published: 2010-11
Volume: 376
Issue: 9754
Pages: 1775-1784
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(10)61514-0
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: cc-by
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Public Health Policies and Epidemiology
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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Tackling of unhealthy diets, physical inactivity, and obesity: health effects and cost-effectiveness

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