Sökning: onr:"swepub:oai:DiVA.org:uu-527499" >
Estimated health be...
-
Marklund, MattiUppsala universitet,Klinisk nutrition och metabolism,George Inst Global Hlth, Food Policy, Newtown, NSW, Australia.;Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21205 USA.;Johns Hopkins Univ, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD 21218 USA.
(författare)
Estimated health benefits, costs and cost-effectiveness of eliminating industrial trans-fatty acids in Nigeria : cost-effectiveness analysis
- Artikel/kapitelEngelska2024
Förlag, utgivningsår, omfång ...
-
BMJ Publishing Group Ltd,2024
-
electronicrdacarrier
Nummerbeteckningar
-
LIBRIS-ID:oai:DiVA.org:uu-527499
-
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-527499URI
-
https://doi.org/10.1136/bmjgh-2023-014294DOI
Kompletterande språkuppgifter
-
Språk:engelska
-
Sammanfattning på:engelska
Ingår i deldatabas
Klassifikation
-
Ämneskategori:ref swepub-contenttype
-
Ämneskategori:art swepub-publicationtype
Anmärkningar
-
Introduction: Nigeria is committed to reducing industrial trans-fatty acids (iTFA) from the food supply, but the potential health gains, costs and cost-effectiveness are unknown.Methods: The effect on ischaemic heart disease (IHD) burden, costs and cost-effectiveness of a mandatory iTFA limit (≤2% of all fats) for foods in Nigeria were estimated using Markov cohort models. Data on demographics, IHD epidemiology and trans-fatty acid intake were derived from the 2019 Global Burden of Disease Study. Avoided IHD events and deaths; health-adjusted life years (HALYs) gained; and healthcare, policy implementation and net costs were estimated over 10 years and the population's lifetime. Incremental cost-effectiveness ratios using net costs and HALYs gained (both discounted at 3%) were used to assess cost-effectiveness.Results: Over the first 10 years, a mandatory iTFA limit (assumed to eliminate iTFA intake) was estimated to prevent 9996 (95% uncertainty interval: 8870 to 11 118) IHD deaths and 66 569 (58 862 to 74 083) IHD events, and to save US$90 million (78 to 102) in healthcare costs. The corresponding lifetime estimates were 259 934 (228 736 to 290 191), 479 308 (95% UI 420 472 to 538 177) and 518 (450 to 587). Policy implementation costs were estimated at US$17 million (11 to 23) over the first 10 years, and US$26 million USD (19 to 33) over the population's lifetime. The intervention was estimated to be cost-saving, and findings were robust across several deterministic sensitivity analyses.Conclusion: Our findings support mandating a limit of iTFAs as a cost-saving strategy to reduce the IHD burden in Nigeria.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
-
Aminde, Leopold N.Griffith Univ, Sch Med & Dent, Gold Coast, Qld, Australia.
(författare)
-
Wanjau, Mary NjeriGriffith Univ, Sch Med & Dent, Gold Coast, Qld, Australia.
(författare)
-
Ale, Boni M.Univ Abuja Teaching Hosp, Cardiovasc Res Unit, Gwagwalada, Abuja, Nigeria.;Holo Healthcare, Nairobi, Kenya.
(författare)
-
Ojo, Adedayo E.Univ Abuja Teaching Hosp, Cardiovasc Res Unit, Gwagwalada, Abuja, Nigeria.;Univ Med Ctr Utrecht, Dept Epidemiol & Global Hlth, Utrecht, Netherlands.
(författare)
-
Okoro, Clementina E.Fed Capital Terr Primary Hlth Care Board, Abuja, Nigeria.
(författare)
-
Adegboye, AbimbolaNatl Agcy Food & Drug Adm & Control, Abuja, Federal Capital, Nigeria.
(författare)
-
Huang, LipingGeorge Inst Global Hlth, Food Policy, Newtown, NSW, Australia.
(författare)
-
Veerman, J. LennertGriffith Univ, Sch Med & Dent, Gold Coast, Qld, Australia.
(författare)
-
Wu, Jason H. Y.George Inst Global Hlth, Food Policy, Newtown, NSW, Australia.;Univ New South Wales, Sch Publ Hlth & Community Med, Sydney, NSW, Australia.
(författare)
-
Huffman, Mark D.George Inst Global Hlth, Food Policy, Newtown, NSW, Australia.;Washington Univ St Louis, St Louis, MO USA.
(författare)
-
Ojji, Dike B.Univ Abuja Teaching Hosp, Cardiovasc Res Unit, Gwagwalada, Abuja, Nigeria.;Univ Abuja, Fac Clin Sci, Dept Internal Med, Abuja, Federal Capital, Nigeria.
(författare)
-
Uppsala universitetKlinisk nutrition och metabolism
(creator_code:org_t)
Sammanhörande titlar
-
Ingår i:BMJ Global Health: BMJ Publishing Group Ltd9:42059-7908
Internetlänk
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Marklund, Matti
-
Aminde, Leopold ...
-
Wanjau, Mary Nje ...
-
Ale, Boni M.
-
Ojo, Adedayo E.
-
Okoro, Clementin ...
-
visa fler...
-
Adegboye, Abimbo ...
-
Huang, Liping
-
Veerman, J. Lenn ...
-
Wu, Jason H. Y.
-
Huffman, Mark D.
-
Ojji, Dike B.
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Hälsovetenskap
-
och Hälso och sjukvå ...
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Hälsovetenskap
-
och Näringslära
- Artiklar i publikationen
-
BMJ Global Healt ...
- Av lärosätet
-
Uppsala universitet