ArticleNutrition journal2016
Modeling health gains and cost savings for ten dietary salt reduction targets.
Article in Nutrition journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Monitoring and implementation of salt reduction initiatives in Africa: A systematic review.Journal of clinical hypertension (Greenwich, Conn.) · 2020Pooled it
- Cost-effectiveness of salt reduction to prevent hypertension and CVD: a systematic review.Public health nutrition · 2017Pooled it
- The Science of Salt: A regularly updated systematic review of the implementation of salt reduction interventions (March-August 2016).Journal of clinical hypertension (Greenwich, Conn.) · 2017Pooled it
- Estimating the Potential Impact of the 2024 UK Salt Reduction Targets on Cardiovascular Health Outcomes and Health Care Costs in Adults: A Modeling Study.Hypertension (Dallas, Tex. : 1979) · 2026Article
- Public health economic modelling in evaluations of salt and/or alcohol policies: a systematic scoping review.BMC public health · 2025Article
- Prioritization of intervention domains to prevent cardiovascular disease: a country-level case study using global burden of disease and local data.Population health metrics · 2023Article
- Article
- Dietary sources of sodium across the diverse New Zealand adult population.Preventive medicine reports · 2022Article
- Estimating the cost-effectiveness of the Sodium Reduction in Communities Program.Public health nutrition · 2022Article
- The estimated health impact of sodium reduction through food reformulation in Australia: A modeling study.PLoS medicine · 2021Article
- Simulation Modeling for the Economic Evaluation of Population-Based Dietary Policies: A Systematic Scoping Review.Advances in nutrition (Bethesda, Md.) · 2021Article
- Impact of the 2003 to 2018 Population Salt Intake Reduction Program in England: A Modeling Study.Hypertension (Dallas, Tex. : 1979) · 2021Article
- Preventive Pharmacotherapy for Cardiovascular Disease: A Modelling Study Considering Health Gain, Costs, and Cost-Effectiveness when Stratifying by Absolute Risk.Scientific reports · 2019Article
- Estimating the cost-effectiveness of salt reformulation and increasing access to leisure centres in England, with PRIMEtime CE model validation using the AdViSHE tool.BMC health services research · 2019Article
- PRIMEtime CE: a multistate life table model for estimating the cost-effectiveness of interventions affecting diet and physical activity.BMC health services research · 2019Article
- Modelling impacts of food industry co-regulation on noncommunicable disease mortality, Portugal.Bulletin of the World Health Organization · 2019Article
- Health Benefits and Cost-Effectiveness From Promoting Smartphone Apps for Weight Loss: Multistate Life Table Modeling.JMIR mHealth and uHealth · 2019Article
- Comparing Strategies to Prevent Stroke and Ischemic Heart Disease in the Tunisian Population: Markov Modeling Approach Using a Comprehensive Sensitivity Analysis Algorithm.Computational and mathematical methods in medicine · 2019Article
- The impact of food reformulation on nutrient intakes and health, a systematic review of modelling studies.BMC nutrition · 2019Article
- Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDietary 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.
methodsWe 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.
resultsAchieving 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).
conclusionsThis 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.
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