Health economic consequences of reducing salt intake and replacing saturated fat with polyunsaturated fat in the adult Finnish population: estimates based on the FINRISK and FINDIET studies

Autor: David E. Laaksonen, Janne Martikainen, Leo Niskanen, Erkki Soini
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Male
saturated fat
Cost effectiveness
Saturated fat
Cost-Benefit Analysis
Medicine (miscellaneous)
030204 cardiovascular system & hematology
Choice Behavior
dynamic modelling
Polyunsaturated fat
0302 clinical medicine
Quality of life
cardiovascular disease
Risk Factors
Medicine
salt
030212 general & internal medicine
Food science
Finland
2. Zero hunger
education.field_of_study
Nutrition and Dietetics
Incidence (epidemiology)
Fatty Acids
Middle Aged
3. Good health
Cardiovascular Diseases
Original Article
Female
Quality-Adjusted Life Years
Adult
Population
Health Promotion
03 medical and health sciences
Food Preferences
Dietary Fats
Unsaturated
Environmental health
cost savings
Humans
Computer Simulation
Salt intake
Sodium Chloride
Dietary
education
cost-effectiveness
Aged
business.industry
Feeding Behavior
Quality-adjusted life year
Diet
Logistic Models
business
Energy Intake
Zdroj: European Journal of Clinical Nutrition
ISSN: 1476-5640
0954-3007
Popis: Background/Objectives: To predict the health economic consequences of modest reductions in the daily intake of salt (−1.0 g per day) and replacement of saturated fat (SFA, −1.0 energy percent (E%)) with polyunsaturated fat (PUFA, +1.0 E%) in the Finnish population aged 30–74 years. Subjects/Methods: A Markov model with dynamic population structure was constructed to present the natural history of cardiovascular diseases (CVDs) based on the most current information about the age- and sex-specific cardiovascular risk factors, dietary habits and nutrient intake. To predict the undiscounted future health economic consequences of the reduction of dietary salt and SFA, the model results were extrapolated for the years 2010–2030 by replacing the baseline population in the year 2007 with the extrapolated populations from the official Finnish statistics. Finnish costs (€2009, societal perspective) and EQ-5D utilities were obtained from published references. Results: During the next 20 years, a population-wide intervention directed at salt intake and dietary fat quality could potentially lead to 8000–13 000 prevented CVD cases among the Finnish adults compared the situation in year 2007. In addition, the reduced incidence of CVDs could gain 26 000–45 000 quality-adjusted life years and save €150–225 million over the same time period. Conclusion: A modest reduction of salt and replacement of SFA with PUFA in food products can significantly reduce the burden of CVD in the adult Finnish population. This impact may be even larger in the near future due to the ageing of Finnish population.
Databáze: OpenAIRE
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