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 |
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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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