dc.contributor.author |
Wilson, N |
en |
dc.contributor.author |
Nghiem, N |
en |
dc.contributor.author |
Eyles, Helen |
en |
dc.contributor.author |
Ni Mhurchu, Cliona |
en |
dc.contributor.author |
Shields, E |
en |
dc.contributor.author |
Cobiac, LJ |
en |
dc.contributor.author |
Cleghorn, CL |
en |
dc.contributor.author |
Blakely, T |
en |
dc.date.accessioned |
2017-11-16T02:04:00Z |
en |
dc.date.issued |
2016-04-26 |
en |
dc.identifier.citation |
Nutrition Journal 15:10 pages Article number 44 26 Apr 2016 |
en |
dc.identifier.issn |
1475-2891 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/36438 |
en |
dc.description.abstract |
Dietary salt reduction is included in the top five priority actions for non-communicable disease control internationally. We therefore aimed to identify health gain and cost impacts of achieving a national target for sodium reduction, along with component targets in different food groups.We used an established dietary sodium intervention model to study 10 interventions to achieve sodium reduction targets. The 2011 New Zealand (NZ) adult population (2.3 million aged 35+ years) was simulated over the remainder of their lifetime in a Markov model with a 3 % discount rate.Achieving an overall 35 % reduction in dietary salt intake via implementation of mandatory maximum levels of sodium in packaged foods along with reduced sodium from fast foods/restaurant food and discretionary intake (the "full target"), was estimated to gain 235,000 QALYs over the lifetime of the cohort (95 % uncertainty interval [UI]: 176,000 to 298,000). For specific target components the range was from 122,000 QALYs gained (for the packaged foods target) down to the snack foods target (6100 QALYs; and representing a 34-48 % sodium reduction in such products). All ten target interventions studied were cost-saving, with the greatest costs saved for the mandatory "full target" at NZ$1260 million (US$820 million). There were relatively greater health gains per adult for men and for Māori (indigenous population).This work provides modeling-level evidence that achieving dietary sodium reduction targets (including specific food category targets) could generate large health gains and cost savings for a national health sector. Demographic groups with the highest cardiovascular disease rates stand to gain most, assisting in reducing health inequalities between sex and ethnic groups. |
en |
dc.format.medium |
Electronic |
en |
dc.language |
eng |
en |
dc.publisher |
BioMed Central |
en |
dc.relation.ispartofseries |
Nutrition Journal |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1475-2891/ |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
en |
dc.subject |
Humans |
en |
dc.subject |
Sodium Chloride, Dietary |
en |
dc.subject |
Diet, Sodium-Restricted |
en |
dc.subject |
Markov Chains |
en |
dc.subject |
Reproducibility of Results |
en |
dc.subject |
Quality-Adjusted Life Years |
en |
dc.subject |
Models, Theoretical |
en |
dc.subject |
Nutrition Policy |
en |
dc.subject |
Food Packaging |
en |
dc.subject |
Restaurants |
en |
dc.subject |
Adult |
en |
dc.subject |
Aged |
en |
dc.subject |
Aged, 80 and over |
en |
dc.subject |
Middle Aged |
en |
dc.subject |
Cost Savings |
en |
dc.subject |
Health Care Costs |
en |
dc.subject |
New Zealand |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Fast Foods |
en |
dc.subject |
Snacks |
en |
dc.title |
Modeling health gains and cost savings for ten dietary salt reduction targets |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1186/s12937-016-0161-1 |
en |
pubs.volume |
15 |
en |
dc.description.version |
VoR - Version of Record |
en |
dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
27118548 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
526977 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Population Health |
en |
pubs.org-id |
Epidemiology & Biostatistics |
en |
pubs.org-id |
Pacific Health |
en |
dc.identifier.eissn |
1475-2891 |
en |
pubs.number |
44 |
en |
pubs.record-created-at-source-date |
2017-11-16 |
en |
pubs.dimensions-id |
27118548 |
en |