Lifestyle Interventions Are Cost-Effective in People With Different Levels of Diabetes Risk

Jacobs-van der Bruggen, Monique A.M.; Bos, Griët; Bemelmans, Wanda J.; Hoogenveen, Rudolf T.; Vijgen, Sylvia M.; Baan, Caroline A.

doi:10.2337/dc06-0690

Cited by 137Health Systems, Economic Evaluations, Quality of LifeDiabetes, Cardiovascular Risks, and LipoproteinsPhysical Activity and Health

Lifestyle Interventions Are Cost-Effective in People With Different Levels of Diabetes Risk

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Jacobs-van der Bruggen, Monique A.M., Bos, Griët, Bemelmans, Wanda J., Hoogenveen, Rudolf T., Vijgen, Sylvia M., Baan, Caroline A.·2007·Diabetes Care

DOI 10.2337/dc06-0690

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Abstract

OBJECTIVE—In the current study we explore the long-term health benefits and cost-effectiveness of both a community-based lifestyle program for the general population (community intervention) and an intensive lifestyle intervention for obese adults, implemented in a health care setting (health care intervention). RESEARCH DESIGN AND METHODS—Short-term intervention effects on BMI and physical activity were estimated from the international literature. The National Institute for Public Health and the Environment Chronic Diseases Model was used to project lifetime health effects and effects on health care costs for minimum and maximum estimates of short-term intervention effects. Cost-effectiveness was evaluated from a health care perspective and included intervention costs and related and unrelated medical costs. Effects and costs were discounted at 1.5 and 4.0% annually. RESULTS—One new case of diabetes per 20 years was prevented for every 7–30 participants in the health care intervention and for every 300–1,500 adults in the community intervention. Intervention costs needed to prevent one new case of diabetes (per 20 years) were lower for the community intervention (€2,000–9,000) than for the health care intervention (€5,000–21,000). The cost-effectiveness ratios were €3,100–3,900 per quality-adjusted life-year (QALY) for the community intervention and €3,900–5,500 per QALY for the health care intervention. CONCLUSIONS—Health care interventions for high-risk groups and community-based lifestyle interventions targeted to the general population (low risk) are both cost-effective ways of curbing the growing burden of diabetes.

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Delivering these programs requires extensive access to resources, staff, and space, although they are cost-effective overall.
“Delivering these programs requires extensive access to resources, staff, and space, although they are cost-effective overall ( 121 , 122 ).”
From Exercise and Type 2 Diabetes (2010) · cites this paper as [121]
The Results table reports favorable cost-effectiveness ratios for both lifestyle interventions, and Research Design and Methods estimates their implementation costs (page numbers unavailable). The paper does not state that delivering them requires extensive access to resources, staff, and space. (LLM, conf=0.86)
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Kahn EB, Ramsey LT, Brownson RC, Heath GW, Howze EH, Powell KE, Stone EJ, Rajab MW, Corso P: The effectiveness of interventions to increase physical activ- ity: a systematic review. Am J Prev Med 22:73-107, 2002

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Briggs, A. D. M., Wolstenholme, J. L., Blakely, T. A., & Scarborough, P. (2016) · Population Health Metrics · doi:10.1186/s12963-016-0085-1 · Cited by 97 · see citing works
Partners reducing effects of diabetes (PREDICT): a diabetes prevention physical activity and dietary intervention through African-American churches
Faridi, Z., Shuval, K., Njike, V. Y., Katz, J. A., Jennings, G., Williams, M., Katz, D. L., & The PREDICT Project Working Group (2009) · Health Education Research · doi:10.1093/her/cyp005 · Cited by 96 · see citing works
“lifestyle interventions have been found to be cost effective in curbing the growing incidence of diabetes [15].”
Background
Lifestyle intervention for prevention of diabetes: determinants of success for future implementation
Roumen, C., Blaak, E. E., & Corpeleijn, E. (2009) · Nutrition Reviews · doi:10.1111/j.1753-4887.2009.00181.x · Cited by 95 · see citing works
Predictors of lifestyle intervention outcome and dropout: the SLIM study
Roumen, C., Feskens, E. J. M., Corpeleijn, E., Mensink, M., Saris, W. H. M., & Blaak, E. E. (2011) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2011.74 · Cited by 88 · see citing works
Reduction in Incidence of Type 2 Diabetes by Lifestyle Intervention in a Middle Eastern Community
Harati, H., Hadaegh, F., Momenan, A. A., Ghanei, L., Bozorgmanesh, M., Ghanbarian, A., Mirmiran, P., & Azizi, F. (2010) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2010.03.003 · Cited by 86 · see citing works
Cost-effectiveness of optimizing prevention in patients with coronary heart disease: the EUROASPIRE III health economics project
Smedt, D. D., Kotseva, K., Bacquer, D. D., Wood, D., Backer, G. D., Dallongeville, J., Lehto, S., Pająk, A., Reiner, Ž., Vanuzzo, D., et al. (2012) · European Heart Journal · doi:10.1093/eurheartj/ehs210 · Cited by 72 · see citing works
Community-Based Physical Activity Interventions for Treatment of Type 2 Diabetes: A Systematic Review with Meta-Analysis
Plotnikoff, R. C., Costigan, S. A., Karunamuni, N. D., & Lubans, D. R. (2013) · Frontiers in Endocrinology · doi:10.3389/fendo.2013.00003 · Cited by 70 · see citing works
“Other studies have shown community-based programs that target PA appear to be cost-effective for individuals with diabetes (Jacobsvan der Bruggen et al., 2007; Roux et al., 2008).”
Background
Cost-Effectiveness of Lifestyle Modification in Diabetic Patients
Jacobs-van der Bruggen, M. A. M., van Baal, P. H., Hoogenveen, R. T., Feenstra, T. L., Briggs, A. H., Lawson, K., Feskens, E. J. M., & Baan, C. A. (2009) · Diabetes Care · doi:10.2337/dc09-0363 · Cited by 69 · see citing works
Self-citation
The Role of Cost-Effectiveness Analysis in Developing Nutrition Policy
Cobiac, L. J., Veerman, L. J., & Vos, T. (2013) · Annual Review of Nutrition · doi:10.1146/annurev-nutr-071812-161133 · Cited by 67 · see citing works
Economic evaluation and the postponement of health care costs
van Baal, P. H. M., Feenstra, T., Polder, J. J., Hoogenveen, R. T., & Brouwer, W. B. F. (2011) · Research portal (Tilburg University) · Cited by 61 · see citing works
Self-citation
The Sydney Diabetes Prevention Program: A community-based translational study
Colagiuri, S., Vita, P., Cardona, M., Singh, M. F., Farrell, L., Milat, A., Haas, M. R., & Bauman, A. E. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-328 · Cited by 59 · see citing works
Nationwide prediction of type 2 diabetes comorbidities
Dworzynski, P., Aasbrenn, M., Rostgaard, K., Melbye, M., Gerds, T., Hjalgrim, H., & Pers, T. (2019) · Scientific Reports · doi:10.1038/s41598-020-58601-7 · Cited by 51 · see citing works
Identification and Treatment of Prediabetes to Prevent Progression to Type 2 Diabetes
Fonseca, V. A. (2007) · Clinical cornerstone · doi:10.1016/s1098-3597(09)60004-1 · Cited by 58 · see citing works
Barriers to Physical Activity Between Adults with Stroke and Their Care Partners
Zalewski, K. R., & Dvorák, L. (2011) · Topics in Stroke Rehabilitation · doi:10.1310/tsr18s01-666 · Cited by 55 · see citing works
A lifestyle intervention to reduce Type 2 diabetes risk in Dutch primary care: 2.5‐year results of a randomized controlled trial
Vermunt, P. W. A., Milder, I. E. J., Wielaard, F., de Vries, J. H. M., Baan, C. A., OERS, H. A. M. V., & Westert, G. P. (2012) · Diabetic Medicine · doi:10.1111/j.1464-5491.2012.03648.x · Cited by 51 · see citing works
Self-citation
A review of nutritional tracking mobile applications for diabetes patient use.
Darby, A., Strum, M. W., Holmes, E., & Gatwood, J. (2016) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2015.0299 · Cited by 46 · see citing works
Cost-Effectiveness of a Low-Calorie Diet and Orlistat for Obese Persons: Modeling Long-Term Health Gains through Prevention of Obesity-Related Chronic Diseases
van Baal, P. H. M., van den Berg, M., Hoogenveen, R. T., Vijgen, S. M. C., & Engelfriet, P. M. (2008) · Value in Health · doi:10.1111/j.1524-4733.2008.00328.x · Cited by 46 · see citing works
Self-citation
Effective Nutrition Education for Aboriginal Australians: Lessons from a Diabetes Cooking Course
Abbott, P., Davison, J., Moore, L. F., & Rubinstein, R. (2011) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2010.10.006 · Cited by 45 · see citing works
Cost-Effectiveness of an Opportunistic Screening Programme and Brief Intervention for Excessive Alcohol Use in Primary Care
Tariq, L., van den Berg, M., Hoogenveen, R. T., & van Baal, P. H. M. (2009) · PLoS ONE · doi:10.1371/journal.pone.0005696 · Cited by 45 · see citing works
“The relative risks for the diseases related to alcohol consumption and all cause mortality employed in the CDM were all derived from the meta-analysis by Holman et al. [35].”
MethodInfluentialSelf-citation
Are Lifestyle Interventions in Primary Care Cost-Effective? – An Analysis Based on a Markov Model, Differences-In-Differences Approach and the Swedish Björknäs Study
Saha, S., Carlsson, K. S., Gerdtham, U., Eriksson, M. K., Hagberg, L., Eliasson, M., & Johansson, P. (2013) · PLoS ONE · doi:10.1371/journal.pone.0080672 · Cited by 43 · see citing works
Lifestyle Interventions to Improve Glycemic Control in Adults with Type 2 Diabetes Living in Low-and-Middle Income Countries: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (RCTs)
O’Donoghue, G., O'Sullivan, C. M., Corridan, I., Daly, J., Finn, R., Melvin, K., & Peiris, C. L. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18126273 · Cited by 45 · see citing works
“Healthcare and communitybased lifestyle interventions have been shown to be both clinically and cost-effective ways of curbing the growth of diabetes [7].”
Background
Healthy behaviours and 10-year incidence of diabetes: A population cohort study
Long, G. H., Johansson, I., Rolandsson, O., Wennberg, P., Fhärm, E., Weinehall, L., Griffin, S. J., Simmons, R. K., & Norberg, M. (2014) · Preventive Medicine · doi:10.1016/j.ypmed.2014.12.013 · Cited by 40 · see citing works
The polypill in the primary prevention of cardiovascular disease: cost-effectiveness in the Dutch population
van Gils, P. F., Over, E. A. B., Reenen, H. H. H.-V., de Wit, G. A., van den Berg, M., Schuit, A. J., & Engelfriet, P. M. (2011) · BMJ Open · doi:10.1136/bmjopen-2011-000363 · Cited by 41 · see citing works
Implementation of a lifestyle intervention for type 2 diabetes prevention in Dutch primary care: opportunities for intervention delivery
Vermunt, P. W. A., Milder, I. E. J., Wielaard, F., Baan, C. A., Schelfhout, J. D. M., Westert, G. P., & van Oers, H. (2012) · BMC Family Practice · doi:10.1186/1471-2296-13-79 · Cited by 40 · see citing works
Self-citation
Diabetes in the Torres Strait Islands of Australia: better clinical systems but significant increase in weight and other risk conditions among adults, 1999–2005
McDermott, R. A., McCulloch, B. G., Campbell, S., & Young, D. M. (2007) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2007.tb01023.x · Cited by 39 · see citing works
Cost-effectiveness of counseling and pedometer use to increase physical activity in the Netherlands: a modeling study
Over, E. A. B., Wendel‐Vos, W., van den Berg, M., Reenen, H. H. H.-V., Tariq, L., Hoogenveen, R. T., & van Baal, P. H. M. (2012) · Cost Effectiveness and Resource Allocation · doi:10.1186/1478-7547-10-13 · Cited by 36 · see citing works
“47 [18]”
BackgroundSelf-citation
Economic evaluations of public health interventions for physical activity and healthy diet: A systematic review
Gebreslassie, M., Sampaio, F., Nystrand, C., Ssegonja, R., & Feldman, I. (2020) · Preventive Medicine · doi:10.1016/j.ypmed.2020.106100 · Cited by 36 · see citing works
The cost-effectiveness of increasing alcohol taxes: a modelling study
van den Berg, M., van Baal, P. H. M., Tariq, L., Schuit, A. J., de Wit, G. A., & Hoogenveen, R. T. (2008) · BMC Medicine · doi:10.1186/1741-7015-6-36 · Cited by 37 · see citing works
“The National Institute for Public Health and the Environment chronic disease model To extrapolate from decreased alcohol consumption due to tax increases to effects on health-care costs, life-years gained and quality-adjusted life-years (QALYs) gained, the Dutch National Institute for Public Health and the Environment…”
Self-citation
Identifying Barriers to Remaining Physically Active After Rehabilitation: Differences in Perception Between Physical Therapists and Older Adult Patients
Zalewski, K. R., Alt, C. A., & Arvinen‐Barrow, M. (2014) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2014.5171 · Cited by 33 · see citing works
Patient versus general practitioner perception of problems with treatment adherence in type 2 diabetes: From adherence to concordance
Moreau, A., Aroles, V., Souweine, G., Flori, M., Erpeldinger, S., Figon, S., Imbert, P., Denis, A., Iwaz, J., Riou, J. P., et al. (2009) · European Journal of General Practice · doi:10.3109/13814780903329510 · Cited by 32 · see citing works
“glucose tolerance and type 2 diabetes (4,5).”
The costs, effects and cost-effectiveness of counteracting overweight on a population level. A scientific base for policy targets for the Dutch national plan for action
Bemelmans, W. J. E., van Baal, P. H. M., Wendel‐Vos, W., Schuit, A. J., Feskens, E. J. M., Ament, A. J. H. A., & Hoogenveen, R. T. (2007) · Preventive Medicine · doi:10.1016/j.ypmed.2007.07.029 · Cited by 31 · see citing works
Self-citation
Study protocol: a pragmatic randomised controlled trial of a 12-week physical activity and nutritional education program for overweight Aboriginal and Torres Strait Islander women
Canuto, K. J., McDermott, R. A., Cargo, M., & Esterman, A. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-655 · Cited by 31 · see citing works
Weight Change and Incident Diabetes: Addressing an Unresolved Issue
der Bruggen, M. A. M. J.-V., Spijkerman, A. M. W., van Baal, P. H. M., Baan, C. A., Feskens, E. J. M., Picavet, H. S. J., van der A, D. L., & Verschuren, W. M. M. (2010) · American Journal of Epidemiology · doi:10.1093/aje/kwq134 · Cited by 31 · see citing works
Self-citation
Systematic review of effectiveness and cost-effectiveness of lifestyle interventions to improve clinical diabetes outcome measures in women with a history of GDM
Hewage, S. S., Wu, S., Neelakantan, N., & Yoong, J. (2019) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2019.10.011 · Cited by 30 · see citing works
Different surgical approaches in laparoscopic sleeve gastrectomy and their influence on metabolic syndrome
Hady, H. R., Olszewska, M., Czerniawski, M., Groth, D., Diemieszczyk, I., Pawłuszewicz, P., Kretowski, A. J., Ładny, J. R., & Dadan, J. (2018) · Medicine · doi:10.1097/md.0000000000009699 · Cited by 29 · see citing works
Understanding social forces involved in diabetes outcomes: a systems science approach to quality-of-life research
Lounsbury, D. W., Hirsch, G. B., Vega, C., & Schwartz, C. E. (2013) · Quality of Life Research · doi:10.1007/s11136-013-0532-4 · Cited by 29 · see citing works
Modelling the Economics of Type 2 Diabetes Mellitus Prevention: A Literature Review of Methods
Watson, P., Preston, L. R., Squires, H., Chilcott, J. B., & Brennan, A. (2014) · Applied Health Economics and Health Policy · doi:10.1007/s40258-014-0091-z · Cited by 27 · see citing works
Identification and Treatment of Prediabetes to Prevent Progression to Type 2 Diabetes
Fonseca, V. A. (2008) · Clinical cornerstone · doi:10.1016/s1098-3597(09)62039-1 · Cited by 26 · see citing works
Cost-Effectiveness and Value of Information Analysis of Brief Interventions to Promote Physical Activity in Primary Care
Gc, V. S., Suhrcke, M., Hardeman, W., Sutton, S. R., & Wilson, E. (2017) · Value in Health · doi:10.1016/j.jval.2017.07.005 · Cited by 26 · see citing works
“However, previously reported modelling studies [84, 86, 90] assumed similar base-case decay rates, varying between 50% and 55%.”
Result
Economic Evaluations of Adult Weight Management Interventions
Griffiths, U. K., Anigbogu, B., & Nanchahal, K. (2012) · Applied Health Economics and Health Policy · doi:10.2165/11599250-000000000-00000 · Cited by 23 · see citing works
“these studies, the decision analytic methods were already published in another paper, either by the same authors([19-21]) or by directly referring to a primary paper and not describing the methods in detail in the excluded paper.”
Method
Evaluation of AUSDRISK as a screening tool for lifestyle modification programs: international implications for policy and cost-effectiveness
Malo, J., Versace, V. L., Janus, E. D., Laatikainen, T. K., Peltonen, M., Vartiainen, E. A., Coates, M. J., & Dunbar, J. (2015) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2015-000125 · Cited by 22 · see citing works
Healthcare Costs and Obesity Prevention
Rappange, D. R., Brouwer, W. B. F., Hoogenveen, R. T., & van Baal, P. H. M. (2009) · PharmacoEconomics · doi:10.2165/11319900-000000000-00000 · Cited by 22 · see citing works
“5 Among other things, the CDM has previously been used for projections of risk factors and disease prevalence rates, and cost-effectiveness analyses.([32,33])”
MethodSelf-citation
Cost-Effectiveness of a Community-Based Weight Control Intervention Targeting a Low-Socioeconomic-Status Mexican-Origin Population
Wilson, K. J., Brown, H. S., & Bastida, E. (2014) · Health Promotion Practice · doi:10.1177/1524839914537274 · Cited by 21 · see citing works
Bariatric surgery: unstressing or boosting the β‐cell?
Mingrone, G., & Castagneto, M. (2009) · Diabetes Obesity and Metabolism · doi:10.1111/j.1463-1326.2009.01120.x · Cited by 20 · see citing works
The American College of Sports Medicine and the American Diabetes Association: joint position statement
Colberg, S. R., Sigal, R. J., Fernhall, B., Regensteiner, J. G., Blissmer, B. J., Rubin, R. R., Chasan‐Taber, L., Albright, A. L., & Braun, B. (2010) · Cited by 20 · see citing works
Translation of Lifestyle Modification Programs Focused on Physical Activity and Dietary Habits Delivered in Community Settings
Stoutenberg, M., Stanzilis, K., & Falcon, A. L. (2014) · International Journal of Behavioral Medicine · doi:10.1007/s12529-014-9438-y · Cited by 20 · see citing works
Relationship between costs of lifestyle interventions and weight loss in overweight adults
Bogers, R. P., Barte, J. C. M., Schipper, C. M. A., Vijgen, S. M. C., de Hollander, E. L., Tariq, L., Milder, I. E. J., & Bemelmans, W. J. E. (2009) · Obesity Reviews · doi:10.1111/j.1467-789x.2009.00606.x · Cited by 19 · see citing works
“Intervention costs were calculated in a standardized manner (see (49)) using Dutch reference prices.”
MethodSelf-citation
Achievable Cost Saving and Cost-Effective Thresholds for Diabetes Prevention Lifestyle Interventions in People Aged 65 Years and Older: A Single-Payer Perspective
Anderson, J. M. (2012) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2012.08.033 · Cited by 18 · see citing works
Estimating the potential population impact of stepwise screening strategies for identifying and treating individuals at high risk of Type 2 diabetes: a modelling study
Chamnan, P., Simmons, R. K., Khaw, K., Wareham, N. J., & Griffin, S. J. (2012) · Diabetic Medicine · doi:10.1111/j.1464-5491.2012.03609.x · Cited by 18 · see citing works
Cost effectiveness and return on investment of a scalable community weight loss intervention
Michaud, T. L., You, W., Wilson, K. E., Su, D., McGuire, T. J., Almeida, F. A., Bayer, A. L., & Estabrooks, P. A. (2017) · Preventive Medicine · doi:10.1016/j.ypmed.2017.10.011 · Cited by 17 · see citing works
“We found that one new T2D case was prevented for every 364 participants, which is similar to what Jacobs-van der Bruggen et al. (2007) have reported previously in a community intervention to facilitate weight loss.”
MethodResult
Determining the Predictors of Self-Management Behaviors in Patients With Type 2 Diabetes: An Application of Socio-Ecological Approach
Soola, A. H., Davari, M., & Moghaddam, H. R. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.820238 · Cited by 17 · see citing works
Cost-effectiveness of the SLIMMER diabetes prevention intervention in Dutch primary health care: economic evaluation from a randomised controlled trial
Duijzer, G., Bukman, A. J., Meints-Groenveld, A., Haveman‐Nies, A., Jansen, S. C., Heinrich, J., Hiddink, G. J., Feskens, E. J. M., & de Wit, G. A. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-4529-8 · Cited by 16 · see citing works
Cost and cost-effectiveness analysis of a digital diabetes prevention program: results from the PREDICTS trial
Michaud, T. L., Wilson, K. E., Katula, J. A., You, W., & Estabrooks, P. A. (2023) · Translational Behavioral Medicine · doi:10.1093/tbm/ibad008 · Cited by 12 · see citing works
Rationale and design of the PREDICE project: cost-effectiveness of type 2 diabetes prevention among high-risk Spanish individuals following lifestyle intervention in real-life primary care setting
Costa, B., Cabré, J.-J., Sagarra-Alamo, R., Solà-Morales, O., Barrio, F., Piñol, J. L., Cos, X., Bolíbar, B., Castell, C., Kissimova‐Skarbek, K., et al. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-623 · Cited by 15 · see citing works
Economic effects of interventions to reduce obesity in Israel
Ginsberg, G. M., & Rosenberg, E. (2012) · Israel Journal of Health Policy Research · doi:10.1186/2045-4015-1-17 · Cited by 15 · see citing works
Markers of Sleep-Disordered Breathing and Prediabetes in US Adults
Alshaarawy, O., Teppala, S., & Shankar, A. (2012) · International Journal of Endocrinology · doi:10.1155/2012/902324 · Cited by 14 · see citing works
“Hindawi Publishing Corporation International Journal of Endocrinology Volume 2012, Article ID 902324, 8 pages doi:10.1155/2012/902324”
Influential
National evidence based guideline for the primary prevention of type 2 diabetes
Gómez, M. D. C., Walker, K. Z., & Buckley, A. (2009) · Cited by 14 · see citing works
Cost-effectiveness of a stepwise cardiometabolic disease prevention program: results of a randomized controlled trial in primary care
Stol, D. M., Over, E. A. B., Badenbroek, I. F., Hollander, M., Nielen, M. M. J., Kraaijenhagen, R. A., Schellevis, F., de Wit, N. J., & de Wit, G. A. (2021) · BMC Medicine · doi:10.1186/s12916-021-01933-6 · Cited by 13 · see citing works
“used as input for the model [19, 30] to simulate future healthcare costs and effects on CVD incidence and prevalence, and effects on mortality (see Additional file 3).”
Method
Postpartum life interventions to prevent type 2 diabetes in women with gestational diabetes: A systematic review and meta‐analysis
Wang, Y., Wei, W., Guo, H., Wang, D., Wei, X., Zhang, C., Zhang, X., & Huang, Y. (2024) · Journal of Diabetes Investigation · doi:10.1111/jdi.14220 · Cited by 13 · see citing works
“Lifestyle intervention programs have been reported to be cost-effective 13 .”
Background
Policy evaluation in diabetes prevention and treatment using a population‐based macro simulation model: the MICADO model
van der Heijden, A. A. W. A., Feenstra, T., Hoogenveen, R. T., Niessen, L. W., de Bruijne, M. C., Dekker, J. M., Baan, C. A., & Nijpels, G. (2015) · Diabetic Medicine · doi:10.1111/dme.12811 · Cited by 13 · see citing works
Self-citation
Belangrijke randvoorwaarden bij de ontwikkeling van leefstijlinterventies voor mensen met een lage sociaaleconomische status
Nagelhout, G. E., Verhagen, D., Loos, V., & de Vries, H. (2018) · TSG - Tijdschrift voor gezondheidswetenschappen · doi:10.1007/s12508-018-0101-x · Cited by 12 · see citing works
Diabetes mellitus in Nederland: schatting van de huidige ziektelast en prognose voor 2025
Baan, C. A., Hoogenveen, R. T., & Schoemaker, C. (2009) · Rivm (National Institute for Public Health and the Environment) · Cited by 12 · see citing works
Self-citation
Adapting an effective lifestyle intervention towards individuals with low socioeconomic status of different ethnic origins: the design of the MetSLIM study
Teuscher, D., Bukman, A., Meershoek, A., Renes, R., Feskens, E., & van Baak, M. V. (2015) · BMC Public Health · doi:10.1186/s12889-015-1343-z · Cited by 13 · see citing works
Lipid-lowering treatment for all could substantially reduce the burden of macrovascular complications of diabetes patients in the Netherlands
der Bruggen, M. A. M. J.-V., Engelfriet, P. M., Hoogenveen, R. T., van Baal, P. H. M., Struijs, J. N., Verschuren, W. M. M., Smit, H. A., & Baan, C. A. (2008) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/hjr.0b013e3283041523 · Cited by 11 · see citing works
Self-citation
Translating the SLIM diabetes prevention intervention into SLIMMER: implications for the Dutch primary health care
Duijzer, G., Jansen, S., Haveman‐Nies, A., van Bruggen, R., ter Beek, J., Hiddink, G. J., & Feskens, E. J. M. (2012) · Family Practice · doi:10.1093/fampra/cmr096 · Cited by 10 · see citing works
A cluster-randomized controlled trial to study the effectiveness of a protocol-based lifestyle program to prevent type 2 diabetes in people with impaired fasting glucose
Hesselink, A. E., Bilo, H. J. G., Jonkers, R., Martens, M. K., de Weerdt, I., & Rutten, G. E. H. M. (2013) · BMC Family Practice · doi:10.1186/1471-2296-14-184 · Cited by 10 · see citing works
“Abbreviations T2DM: Type 2 diabetes mellitus; IFG: Impaired fasting glucose; NDF: Netherlands Diabetes Federation; RM: Route map diabetes prevention; DRT: Diabetes Risk Test; BMI: Body Mass Index; SQUASH: Short questionnaire to assess health enhancing physical activity; t0: Just after the diagnosis; t1: 1-year follow-…”
MethodInfluential
The Effect and Cost-Effectiveness of Offering a Combined Lifestyle Intervention for the Prevention of Cardiovascular Disease in Primary Care: Results of the Healthy Heart Stepped-Wedge Trial
Nieuwenhuijse, E. A., Vos, R. C., van den Hout, W. B., Struijs, J. N., Verkleij, S., Busch, K., Numans, M. E., & Bonten, T. N. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20065040 · Cited by 10 · see citing works
“[15] suggested in a large modelling study that offering lifestyle interventions to people at risk could be cost-effective, in contrast to offering the”
Background
The Association between Self-Reported Energy Intake and Intra-Abdominal Adipose Tissue in Perimenopausal Women
Kazlauskaite, R., Karavolos, K., Janssen, İ., Carlson, K., Shipp-Johnson, K. J., Dugan, S. A., & Powell, L. H. (2012) · Journal of Obesity · doi:10.1155/2012/567320 · Cited by 10 · see citing works
“Abdominal obesity, characterized by preferential accumulation of intra-abdominal adipose tissue (IAT), contributes to cardiovascular and metabolic risk beyond the risk defined by body mass index [1, 2] Thus, prevention of abdominal obesity is key to reducing cardiometabolic risk [3].”
Background
A multicomponent intervention to reduce daily sitting time in office workers: the SMART Work & Life three-arm cluster RCT
Edwardson, C. L., Maylor, B. D., Biddle, S., Clemes, S. A., Cox, E., Davies, M. J., Dunstan, D. W., Eborall, H., Granat, M. H., Gray, L. J., et al. (2023) · Public Health Research · doi:10.3310/dnyc2141 · Cited by 9 · see citing works
Do Interventions to Prevent Lifestyle-Related Diseases Reduce Healthcare Expenditures? A Randomized Controlled Clinical Trial
Babazono, A., Kuwabara, K., Hagiihara, A., Nagano, J., & Ishihara, R. (2010) · Journal of Epidemiology · doi:10.2188/jea.je20100095 · Cited by 9 · see citing works
Targeted versus universal prevention. a resource allocation model to prioritize cardiovascular prevention
Feenstra, T., van Baal, P. H. M., der Bruggen, M. A. M. J.-V., Hoogenveen, R. T., Kommer, G., & Baan, C. A. (2011) · Cost Effectiveness and Resource Allocation · doi:10.1186/1478-7547-9-14 · Cited by 8 · see citing works
“Earlier publications provide more details on the intervention cost estimates [27-32].”
BackgroundMethodInfluentialSelf-citation
Insulin Therapy and Diabetic Pregnancy
Napoli, A. (2019) · American Journal of Therapeutics · doi:10.1097/mjt.0000000000001095 · Cited by 8 · see citing works
Researching how to realize the potential of diabetes prevention
Simmons, R. K., Griffin, S. J., & Wareham, N. J. (2007) · Diabetic Medicine · doi:10.1111/j.1464-5491.2007.02260.x · Cited by 8 · see citing works
INVESTING IN OBESITY TREATMENT TO DELIVER SIGNIFICANT HEALTHCARE SAVINGS: ESTIMATING THE HEALTHCARE COSTS OF OBESITY AND THE BENEFITS OF TREATMENT
Erixon, F., Brandt, L., & Król, M. (2014) · Econstor (Econstor) · Cited by 8 · see citing works
Sit–stand desks to reduce sedentary behaviour in 9- to 10-year-olds: the Stand Out in Class pilot cluster RCT
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Grout, L. M., Telfer, K., Wilson, N., Cleghorn, C., & Mizdrak, A. (2021) · Journal of Medical Internet Research · doi:10.2196/31702 · Cited by 8 · see citing works
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“Lifestyle intervention programs with a community-based approach are recommended to reduce healthcare costs in order to curb the burden of NCDs (American Diabetes Association, 2019; Gaziano, 2007; Jacobs-van der Bruggen et al., 2007).”
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Lifestyle Interventions Are Cost-Effective in People With Different Levels of Diabetes Risk: Results from a modeling study.
Jacobs-van der Bruggen, M. A. M., Bos, G., Bemelmans, W. J., Hoogenveen, R. T., Vijgen, S. M. C., & Baan, C. A. (2007) · Rivm (National Institute for Public Health and the Environment)
Self-citation
Results from a modeling study
M, M. A., Bruggen, J.-V. D., Bos, G., Bemelmans, W. J., Hoogenveen, R. T., Vijgen, S. M. C., & Baan, C. A. (2016)
Self-citation
Cost-effectiveness of lifestyle intervention among adults at a high risk for hypertension and diabetes: A health plan perspective
Zhuo, X., & Zhang, P. (2013) · Value in Health · doi:10.1016/j.jval.2013.03.960
Review Economic Evaluation of Lifestyle Interventions for Preventing Diabetes and Cardiovascular Diseases
Saha, S., Gerdtham, U.-G., & Johansson, P. (2010)
Cost-effectiveness of a lifestyle intervention in high-risk individuals for diabetes in a low- and middle-income setting: Trial-based analysis of the Kerala Diabetes Prevention Program
Sathish, T., Oldenburg, B. F., Thankappan, K. R., Absetz, P., Shaw, J. E., Tapp, R. J., Zimmet, P., Balachandran, S., Shetty, S. S., Aziz, Z., et al. (2020) · BMC Medicine · doi:10.1186/s12916-020-01704-9 · Cited by 38 · see citing works

Authors: Jacobs-van der Bruggen, M. A. M., Bos, G., Bemelmans, W. J., Hoogenveen, R. T., Vijgen, S. M., & Baan, C. A.
Affiliations: National Institute for Public Health and the Environment, Bilthoven, the Netherlands
National Institute for Public Health and the Environment (NL)
ORCID: Bemelmans, Wanda J.
Baan, Caroline A.
Venue: Diabetes Care
Publisher: American Diabetes Association
Published: 2007-01-01
Volume: 30
Issue: 1
Pages: 128-134
ISSN: 0149-5992 (ISSN-L)
1935-5548
DOI: 10.2337/dc06-0690
OpenAlex: W2014598008
Cited by: 137
References: 57
Citations by year: 2026: 1 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 7 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 6 · 2016: 4 · 2015: 4 · 2014: 8 · 2013: 8 · 2012: 14
FWCI: 26.48
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Diabetes Care (publishedVersion)
PubMed (publishedVersion)
Rivm Repository (Netherlands National Institute for Public Health and the Environment) (submittedVersion)
Topics: Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords: lifestyle intervention, diabetes prevention, cost-effectiveness, community-based intervention, intensive lifestyle intervention, obesity, type 2 diabetes, health care costs, quality-adjusted life years, physical activity, body mass index
MeSH terms: Diabetes Mellitus, Diabetes Mellitus, Type 2, Humans, Life Style, National Institutes of Health (U.S.), Patient Education as Topic, Physical Fitness, Risk Factors, United States, Models, Statistical, Exercise, Body Mass Index

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Lifestyle Interventions Are Cost-Effective in People With Different Levels of Diabetes Risk

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