{"doi":"10.1002/oby.23788","title":"The societal costs and health impacts on obesity of BMI report cards in <scp>US</scp> schools","abstract":"OBJECTIVE: This study aimed to estimate the 10-year cost-effectiveness of school-based BMI report cards, a commonly implemented program for childhood obesity prevention in the US where student BMI is reported to parents/guardians by letter with nutrition and physical activity resources, for students in grades 3 to 7. METHODS: A microsimulation model, using data inputs from evidence reviews on health impacts and costs, estimated: how many students would be reached if the 15 states currently measuring student BMI (but not reporting to parents/guardians) implemented BMI report cards from 2023 to 2032; how many cases of childhood obesity would be prevented; expected changes in childhood obesity prevalence; and costs to society. RESULTS: BMI report cards were projected to reach 8.3 million children with overweight or obesity (95% uncertainty interval [UI]: 7.7-8.9 million) but were not projected to prevent any cases of childhood obesity or significantly decrease childhood obesity prevalence. Ten-year costs totaled $210 million (95% UI: $30.5-$408 million) or $3.33 per child per year with overweight or obesity (95% UI: $3.11-$3.68). CONCLUSIONS: School-based BMI report cards are not cost-effective childhood obesity interventions. Deimplementation should be considered to free up resources for implementing effective programs.","journal":"Obesity","year":2023,"id":367125,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8768,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":616362,"name":"Steven L. Gortmaker","orcid":"0000-0003-4904-9377","position":1,"is_corresponding":false},{"id":1074362,"name":"Jessica L. Barrett","orcid":"0000-0003-1011-934X","position":2,"is_corresponding":false},{"id":1074363,"name":"Stephanie McCulloch","orcid":"0000-0003-3998-4257","position":3,"is_corresponding":false},{"id":14733,"name":"Eric B. Rimm","orcid":"0000-0002-1402-7250","position":4,"is_corresponding":false},{"id":332605,"name":"Karen M. Emmons","orcid":"0000-0002-0685-6446","position":5,"is_corresponding":false},{"id":318592,"name":"Zachary J. Ward","orcid":"0000-0002-4007-2207","position":6,"is_corresponding":false},{"id":379537,"name":"Erica L. Kenney","orcid":"0000-0003-1437-3724","position":7,"is_corresponding":false},{"id":379536,"name":"Mary Kathryn Poole","orcid":"0000-0003-3466-8650","position":0,"is_corresponding":true}],"reference_count":37,"raw_metadata":null,"created_at":"2026-07-19T01:15:12.215513Z","pmid":"37395361","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}