Tackling unhealthy diets and obesity
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Tackling unhealthy diets and obesity
- 1. TACKLING UNHEALTHY DIETS AND OBESITY: THE HEALTH EFFECTS OF PREVENTION POLICIES The Economics of Prevention OECD – Health Division
- 2. In Any Given Moment, Obese Patients Cost More 90 95 100 105 110 115 Normal-weight patient Obese patient (US) Obese patient (EU) Relativecostofpatients Source:Brunello et al., 2008 Bhattacharia & Sood, 2005
- 3. The Burden of Obesity on Health Systems 0% 1% 2% 3% 4% 5% 6% 7% US Portugal New Zealand Canada Germany Australia France % of total healthcare budget Roux & Donaldson, 2004 Konnopka, Bodemann, Konig, 2011
- 4. A Comprehensive & Affordable Prevention Package to Tackle Obesity OECD Countries Emerging Economies Mass media campaigns Mass media campaigns Compulsory food labelling Compulsory food labelling Industry self-regulation of food advertising to children Government regulation of food advertising to children Physician-dietician counselling Fiscal measures School-based interventions Canada Europe Brazil China 24.03 $/cap 22.45 $/cap 0.40 $/cap 0.20 $/cap
- 5. Expectations Must Be Realistic • Does prevention improve health? • Does it reduce health expenditure? • Does it improve health inequalities? • Is it cost-effective?
- 6. Prevention Saves Lives Life Years Saved Every Year by Preventing Obesity 0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 China Europe Brazil Canada Life years (millions) 1 LY / 19 persons. 1 LY / 8 1 LY / 20 1 / 8
- 7. Prevention Keeps Healthy Years of Life Free of Chronic Diseases 0 10 20 30 40 50 60 70 80 90 100 0 10 20 30 40 50 Millionlifeyears Time (years) 0 10 20 30 40 50 60 70 80 90 100 0 10 20 30 40 50 Millionlifeyears Time (years) Europe China Brazil Canada Cancers (lung, colorectal, breast) Cardiovascular diseases
- 8. Prevention is a Good Investment Impact on Health Expenditure of Preventing Obesity -140 -120 -100 -80 -60 -40 -20 0 0 10 20 30 40 50 $/capita Time (years) Europe Canada Brazil China
- 9. Cost-Effectiveness of Prevention Brazil China Canada Europe 05101520253035 Thousand $ / DALY After 20 years After 50 years 0 5 10 15 20 25 30 35 Thousand $ / DALY
- 10. Key Policy Implications • Obesity and NCDs are global economic issues • Prices and regulations work best in emerging economies. Primary care doctors play a role in countries with stronger health systems • Comprehensive intersectoral prevention strategies are more efficient and generate larger health gains • We can afford to tackle obesity and prevention is good value for money
- 11. • OECD Obesity update 2014 – [The economic crisis & obesity] • OECD/WHO-Euro/Europ. Observatory book • OECD health working papers HWP 32, 45, 46, 48, [65], 66 • Lancet papers on NCDs and priority interventions • WHO/OECD “Best buys” paper for the UN Summit on NCDs OECD Work on Health Behaviours http://www.oecd.org/health/economics-of-prevention.htm http://www.oecd.org/health/obesity-update.htm
Hinweis der Redaktion
- Cross-sectional costs are higher for obese patients; obese patients cost 30% more than normal-weight patients But lower costs in a life perspective as lower life-expectancy Obesity accounts for 1 to 3% of total health expenditure in most countries and up to 10% in the US Obesity accounts for up to 1% of GDP in most OECD countries, over 1% in the US and up to 4% in China