The estimated health impact of sodium reduction through food reformulation in Australia: A modeling study.

<h4>Background</h4>The Australian Government recently established sodium targets for packaged foods to encourage voluntary reformulation to reduce population sodium consumption and related diseases. We modeled the health impact of Australia's sodium reformulation targets and additio...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kathy Trieu, Daisy H Coyle, Ashkan Afshin, Bruce Neal, Matti Marklund, Jason H Y Wu
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/40990257e34e4285afff370520a1e733
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:40990257e34e4285afff370520a1e733
record_format	dspace
spelling	oai:doaj.org-article:40990257e34e4285afff370520a1e7332021-12-02T19:55:43ZThe estimated health impact of sodium reduction through food reformulation in Australia: A modeling study.1549-12771549-167610.1371/journal.pmed.1003806https://doaj.org/article/40990257e34e4285afff370520a1e7332021-10-01T00:00:00Zhttps://doi.org/10.1371/journal.pmed.1003806https://doaj.org/toc/1549-1277https://doaj.org/toc/1549-1676<h4>Background</h4>The Australian Government recently established sodium targets for packaged foods to encourage voluntary reformulation to reduce population sodium consumption and related diseases. We modeled the health impact of Australia's sodium reformulation targets and additional likely health gains if more ambitious, yet feasible sodium targets had been adopted instead.<h4>Methods and findings</h4>Using comparative risk assessment models, we estimated the averted deaths, incidence, and disability-adjusted life years (DALYs) from cardiovascular disease (CVD), chronic kidney disease (CKD) and stomach cancer after implementation of (a) Australia's sodium targets (overall and by individual companies); (b) United Kingdom's targets (that covers more product categories); and (c) an optimistic scenario (sales-weighted 25th percentile sodium content for each food category included in the UK program). We used nationally representative data to estimate pre- and post-intervention sodium intake, and other key data sources from the Global Burden of Disease study. Full compliance with the Australian government's sodium targets could prevent approximately 510 deaths/year (95% UI, 335 to 757), corresponding to about 1% of CVD, CKD, and stomach cancer deaths, and prevent some 1,920 (1,274 to 2,600) new cases and 7,240 (5,138 to 10,008) DALYs/year attributable to these diseases. Over half (59%) of deaths prevented is attributed to reformulation by 5 market-dominant companies. Compliance with the UK and optimistic scenario could avert approximately an additional 660 (207 to 1,227) and 1,070 (511 to 1,856) deaths/year, respectively, compared to Australia's targets. The main limitation of this study (like other modeling studies) is that it does not prove that sodium reformulation programs will prevent deaths and disease events; rather, it provides the best quantitative estimates and the corresponding uncertainty of the potential effect of the different programs to guide the design of policies.<h4>Conclusions</h4>There is significant potential to strengthen Australia's sodium reformulation targets to improve its health impact. Promoting compliance by market-dominant food companies will be critical to achieving the potential health gains.Kathy TrieuDaisy H CoyleAshkan AfshinBruce NealMatti MarklundJason H Y WuPublic Library of Science (PLoS)articleMedicineRENPLoS Medicine, Vol 18, Iss 10, p e1003806 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Kathy Trieu Daisy H Coyle Ashkan Afshin Bruce Neal Matti Marklund Jason H Y Wu The estimated health impact of sodium reduction through food reformulation in Australia: A modeling study.
description	<h4>Background</h4>The Australian Government recently established sodium targets for packaged foods to encourage voluntary reformulation to reduce population sodium consumption and related diseases. We modeled the health impact of Australia's sodium reformulation targets and additional likely health gains if more ambitious, yet feasible sodium targets had been adopted instead.<h4>Methods and findings</h4>Using comparative risk assessment models, we estimated the averted deaths, incidence, and disability-adjusted life years (DALYs) from cardiovascular disease (CVD), chronic kidney disease (CKD) and stomach cancer after implementation of (a) Australia's sodium targets (overall and by individual companies); (b) United Kingdom's targets (that covers more product categories); and (c) an optimistic scenario (sales-weighted 25th percentile sodium content for each food category included in the UK program). We used nationally representative data to estimate pre- and post-intervention sodium intake, and other key data sources from the Global Burden of Disease study. Full compliance with the Australian government's sodium targets could prevent approximately 510 deaths/year (95% UI, 335 to 757), corresponding to about 1% of CVD, CKD, and stomach cancer deaths, and prevent some 1,920 (1,274 to 2,600) new cases and 7,240 (5,138 to 10,008) DALYs/year attributable to these diseases. Over half (59%) of deaths prevented is attributed to reformulation by 5 market-dominant companies. Compliance with the UK and optimistic scenario could avert approximately an additional 660 (207 to 1,227) and 1,070 (511 to 1,856) deaths/year, respectively, compared to Australia's targets. The main limitation of this study (like other modeling studies) is that it does not prove that sodium reformulation programs will prevent deaths and disease events; rather, it provides the best quantitative estimates and the corresponding uncertainty of the potential effect of the different programs to guide the design of policies.<h4>Conclusions</h4>There is significant potential to strengthen Australia's sodium reformulation targets to improve its health impact. Promoting compliance by market-dominant food companies will be critical to achieving the potential health gains.
format	article
author	Kathy Trieu Daisy H Coyle Ashkan Afshin Bruce Neal Matti Marklund Jason H Y Wu
author_facet	Kathy Trieu Daisy H Coyle Ashkan Afshin Bruce Neal Matti Marklund Jason H Y Wu
author_sort	Kathy Trieu
title	The estimated health impact of sodium reduction through food reformulation in Australia: A modeling study.
title_short	The estimated health impact of sodium reduction through food reformulation in Australia: A modeling study.
title_full	The estimated health impact of sodium reduction through food reformulation in Australia: A modeling study.
title_fullStr	The estimated health impact of sodium reduction through food reformulation in Australia: A modeling study.
title_full_unstemmed	The estimated health impact of sodium reduction through food reformulation in Australia: A modeling study.
title_sort	estimated health impact of sodium reduction through food reformulation in australia: a modeling study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/40990257e34e4285afff370520a1e733
work_keys_str_mv	AT kathytrieu theestimatedhealthimpactofsodiumreductionthroughfoodreformulationinaustraliaamodelingstudy AT daisyhcoyle theestimatedhealthimpactofsodiumreductionthroughfoodreformulationinaustraliaamodelingstudy AT ashkanafshin theestimatedhealthimpactofsodiumreductionthroughfoodreformulationinaustraliaamodelingstudy AT bruceneal theestimatedhealthimpactofsodiumreductionthroughfoodreformulationinaustraliaamodelingstudy AT mattimarklund theestimatedhealthimpactofsodiumreductionthroughfoodreformulationinaustraliaamodelingstudy AT jasonhywu theestimatedhealthimpactofsodiumreductionthroughfoodreformulationinaustraliaamodelingstudy AT kathytrieu estimatedhealthimpactofsodiumreductionthroughfoodreformulationinaustraliaamodelingstudy AT daisyhcoyle estimatedhealthimpactofsodiumreductionthroughfoodreformulationinaustraliaamodelingstudy AT ashkanafshin estimatedhealthimpactofsodiumreductionthroughfoodreformulationinaustraliaamodelingstudy AT bruceneal estimatedhealthimpactofsodiumreductionthroughfoodreformulationinaustraliaamodelingstudy AT mattimarklund estimatedhealthimpactofsodiumreductionthroughfoodreformulationinaustraliaamodelingstudy AT jasonhywu estimatedhealthimpactofsodiumreductionthroughfoodreformulationinaustraliaamodelingstudy
_version_	1718375834424705024

The estimated health impact of sodium reduction through food reformulation in Australia: A modeling study.

Ejemplares similares