globalchange  > 气候变化与战略
DOI: 10.3390/nu12030649
论文题名:
The modelled population obesity-related health benefits of reducing consumption of discretionary foods in Australia
作者: Lal A.; Peeters A.; Brown V.; Nguyen P.; Tran H.N.Q.; Nguyen T.; Tonmukayakul U.; Sacks G.; Calache H.; Martin J.; Moodie M.; Ananthapavan J.
刊名: Nutrients
ISSN: 20726643
出版年: 2020
卷: 12, 期:3
语种: 英语
英文关键词: Discretionary foods ; Healthcare costs ; Obesity ; Sugar-sweetened beverages
Scopus关键词: yoghurt ; adolescent ; adult ; aged ; Article ; Australia ; biscuit ; body weight ; breast cancer ; caloric intake ; cerebrovascular accident ; child ; chocolate ; colorectal cancer ; cost benefit analysis ; cost control ; cost effectiveness analysis ; dairy product ; diabetes mellitus ; dietary intake ; disability ; endometrium cancer ; fast food ; food intake ; fruit ; global disease burden ; groups by age ; health adjusted life year ; health care cost ; health care policy ; human ; incidence ; ischemic heart disease ; kidney cancer ; low fat milk ; major clinical study ; morbidity ; mortality ; non insulin dependent diabetes mellitus ; obesity ; outcome assessment ; pastry ; population ; quality adjusted life year ; sensitivity analysis ; soft drink ; sugar-sweetened beverage
英文摘要: Over one third of Australians’ daily energy intake is from discretionary foods and drinks. While many health promotion efforts seek to limit discretionary food intake, the population health impact of reductions in the consumption of different types of discretionary foods (e.g., sugar-sweetened beverages (SSBs), confectionery, sweet biscuits) has not been quantified. This study estimated the potential reductions in body weight, obesity-related disease incidence, and healthcare cost savings associated with consumption of one less serving per week of different discretionary foods. Reductions in the different types of discretionary food were modelled individually to estimate the impact on energy consumption and population body weight by 5-year age and sex groups. It was assumed that one serving of discretionary food each week was replaced with either a serving of fruit or popcorn, and a serving (375 mL) of SSBs was replaced with coffee, tea, or milk. Proportional multi-state multiple-cohort Markov modelling estimated likely resultant health adjusted life years (HALYs) gained and healthcare costs saved over the lifetime of the 2010 Australian population. A reduction of one serving of SSBs (375 mL) had the greatest potential impact in terms of weight reduction, particularly in ages 19–24 years (mean 0.31 kg, 95% UI: 0.23 kg to 0.37 kg) and overall healthcare cost savings of AUD 793.4 million (95% UI: 589.1 M to 976.1 M). A decrease of one serving of sweet biscuits had the second largest potential impact on weight change overall, with healthcare cost savings of $640.7 M (95% CI: $402.6 M to $885.8 M) and the largest potential weight reduction amongst those aged 75 years and over (mean 0.21 kg, 95% UI: 0.14 kg to 0.27 kg). The results demonstrate that small reductions in discretionary food consumption are likely to have substantial health benefits at the population level. Moreover, the study highlights that policy responses to improve population diets may need to be tailored to target different types of foods for different population groups. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.
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资源类型: 期刊论文
标识符: http://119.78.100.158/handle/2HF3EXSE/159098
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作者单位: Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, VIC 3220, Australia; Global Obesity Centre (GLOBE), Institute for Health Transformation, Deakin University, Geelong, VIC 3220, Australia; Obesity Policy Coalition, Cancer Council Victoria, Melbourne, VIC 3004, Australia

Recommended Citation:
Lal A.,Peeters A.,Brown V.,et al. The modelled population obesity-related health benefits of reducing consumption of discretionary foods in Australia[J]. Nutrients,2020-01-01,12(3)
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