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The cost‐effectiveness of the LighterLife weight management programme as an intervention for obesity in E ngland
Author(s) -
Lewis L.,
Taylor M.,
Broom J.,
Johnston K. L.
Publication year - 2014
Publication title -
clinical obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 12
eISSN - 1758-8111
pISSN - 1758-8103
DOI - 10.1111/cob.12060
Subject(s) - medicine , body mass index , obesity , quality of life (healthcare) , body weight , weight loss , cost effectiveness , zoology , risk analysis (engineering) , nursing , biology
Summary L ighter L ife Total is a very low calorie diet total dietary replacement weight reduction programme that provides Foodpacks, behavioural change therapy and group support appropriate for people with a body mass index of 30 kg m −2 or above. A model was built to assess the cost‐effectiveness of L ighter L ife Total, compared with (i) no treatment, C ounterweight, W eight W atchers and S limming W orld, as a treatment for obesity in those with a body mass index of 30 kg m −2 or above, and (ii) no treatment, gastric banding and gastric bypass in those with a body mass index of 40 kg m −2 or above. Change in body mass index over time was modelled, and prevalence of comorbidities (diabetes, coronary heart disease and colorectal cancer) was calculated. Costs (of intervention and treatment for comorbidities) and quality‐adjusted life years were calculated. L ighter L ife Total was cost‐effective against no treatment, C ounterweight, W eight W atchers and S limming W orld in the 30+ kg m −2 group (incremental cost‐effectiveness ratios: £11 895, £12 453, £12 585 and £12 233, respectively). In the 40+ kg m −2 group, L ighter L ife Total was cost‐effective against no treatment (incremental cost‐effectiveness ratio: £4356), but less effective than gastric banding and bypass.