Skip to main content
. Author manuscript; available in PMC: 2022 Nov 2.
Published in final edited form as: Health Aff (Millwood). 2015 Nov;34(11):1932–1939. doi: 10.1377/hlthaff.2015.0631

EXHIBIT 1.

Population reach, intervention cost, and cost per BMIa change for seven childhood obesity interventions in the United States, 2015–2025, based on microsimulation model,b with 95% uncertainty intervals (95% UI).

Intervention Population Reach (Millions) Annual Intervention Cost ($US, millions) Intervention Cost Per Unit BMI Reductionc ($US)

1) Sugar Sweetened Beverage Excise Tax (SSB Excise Tax) 306.6 $41.0 $2.15
 95% uncertainty interval 306.3–307.0 26.7–55.0 0.53–9.14

2) Restaurant menu calorie labeling
(Restaurant Calorie Labeling)
306.6 $82.4 $11.29

 95% uncertainty interval 306.3–307.0 71.3–93.6 -105–133

3) Eliminate tax subsidy for advertising unhealthy child food (Ad Tax Deduction) 72.3 $0.71 $0.57

 95% uncertainty interval 71.9–72.8 0.71–0.71 0.23–0.97

4) Nutrition standards for school meals (School Meals) 28.0 $959 $46

 95% uncertainty interval 27.8–28.2 959–959 -160–161

5) Nutrition standards for all foods and beverages sold in schools (Smart Snacks in School) 45.2 $19.2 $5.26

 95% uncertainty interval 45.0–45.4 19.2–19.2 2.01–6.66

6) Improved early care and education policies and practices:
(NAP SACC)
0.90 $65.4 $692

 95% uncertainty interval 0.86–0.94 65.2–65.7 111–965

7) Increased access to adolescent bariatric surgery (Bariatric) 0.0049 $26.2 $1389

 95% uncertainty interval 0.0025–0.0077 18.0–34.6 1070–2016

NOTES

a

BMI, Body Mass Index;

b

Authors’ calculations based on microsimulation model described in Appendix A2; costs are in 2014 dollars;

c

Cost per BMI unit reduction is an incremental cost effectiveness ratio.