Pearson-Stuttard, J; Hooton, W; Critchley, J; Capewell, S; Collins, M; Mason, H; Guzman-Castillo, M; O'Flaherty, M
(2017)
Cost-effectiveness analysis of eliminating industrial and all trans fats in England and Wales: modelling study.
Journal of Public Health, 39 (3).
pp. 574-582.
ISSN 1741-3850
https://doi.org/10.1093/pubmed/fdw095
SGUL Authors: Critchley, Julia
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Abstract
Introduction Coronary Heart Disease (CHD) remains a leading cause of UK mortality. Dietary trans fats (TFA) represent a powerful CHD risk factor. However, UK efforts to reduce intake have been less successful than other nations. We modelled the potential health and economic effects of eliminating industrial and all TFA up to 2020. Methods We extended the previously validated IMPACTsec model, to estimate the potential effects on health and economic outcomes of mandatory reformulation or a complete ban on dietary TFA in England and Wales from 2011-2020. We modelled two policy scenarios: 1) elimination of industrial TFA consumption, from 0.8%-0.4% daily energy 2) elimination of all TFA consumption, from 0.8%-0% Results Elimination of industrial-TFA across the England and Wales population could result in approximately 1,600 fewer deaths per year, with some 4,000 fewer hospital admissions; gaining approximately 14,000 additional life years. Health inequalities would be substantially reduced in both scenarios. Elimination of industrial-TFA would be cost saving. This would include approximately £100m saved in direct healthcare costs. Elimination of all TFA would double the health and economic gains. Conclusions Eliminating industrial or all UK dietary intake of TFA could substantially reduce CHD mortality and inequalities, whilst resulting in substantial annual savings.
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Additional Information: | © Oxford University Press 2016. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Journal of Public Health following peer review. The version of record Pearson-Stuttard, J; Hooton, W; Critchley, J; Capewell, S; Collins, M; Mason, H; Guzman-Castillo, M; O'Flaherty, M (2016) Cost-effectiveness analysis of eliminating industrial and all trans fats in England and Wales: modelling study. Journal of Public HealthPearson-Stuttard, J; Hooton, W; Critchley, J; Capewell, S; Collins, M; Mason, H; Guzman-Castillo, M; O'Flaherty, M (2016) Cost-effectiveness analysis of eliminating industrial and all trans fats in England and Wales: modelling study. Journal of Public Health, Volume 39, Issue 3, 1 September 2017, Pages 574–582 is available online at: https://doi.org/10.1093/pubmed/fdw095 | ||||||||||||
Keywords: | Public Health, 1117 Public Health And Health Services | ||||||||||||
SGUL Research Institute / Research Centre: | Academic Structure > Population Health Research Institute (INPH) | ||||||||||||
Journal or Publication Title: | Journal of Public Health | ||||||||||||
ISSN: | 1741-3850 | ||||||||||||
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Publisher License: | Publisher's own licence | ||||||||||||
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URI: | https://openaccess.sgul.ac.uk/id/eprint/108117 | ||||||||||||
Publisher's version: | https://doi.org/10.1093/pubmed/fdw095 |
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