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Modelled cost-effectiveness of a package size cap and a kilojoule reduction intervention to reduce energy intake from sugar-sweetened beverages in Australia

Crino, Michelle, Herrera, Ana Maria Mantilla, Ananthapavan, Jaithri, Wu, Jason H. Y., Neal, Bruce, Lee, Yong Yi, Zheng, Miaobing, Lal, Anita and Sacks, Gary 2017, Modelled cost-effectiveness of a package size cap and a kilojoule reduction intervention to reduce energy intake from sugar-sweetened beverages in Australia, Nutrients, vol. 9, no. 9, doi: 10.3390/nu9090983.

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Title Modelled cost-effectiveness of a package size cap and a kilojoule reduction intervention to reduce energy intake from sugar-sweetened beverages in Australia
Author(s) Crino, Michelle
Herrera, Ana Maria Mantilla
Ananthapavan, JaithriORCID iD for Ananthapavan, Jaithri orcid.org/0000-0002-5957-6931
Wu, Jason H. Y.
Neal, Bruce
Lee, Yong Yi
Zheng, MiaobingORCID iD for Zheng, Miaobing orcid.org/0000-0002-4151-3502
Lal, AnitaORCID iD for Lal, Anita orcid.org/0000-0001-6921-6617
Sacks, GaryORCID iD for Sacks, Gary orcid.org/0000-0001-9736-1539
Journal name Nutrients
Volume number 9
Issue number 9
Article ID 983
Total pages 17
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2017-09-06
ISSN 2072-6643
Keyword(s) cost-effectiveness
economic evaluation
obesity prevention
portion size
sugar-sweetened beverages
Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
PORTION-SIZE
SERVING SIZE
OBESITY
FOOD
CONSUMPTION
CONSUMERS
DENSITY
MEAL
Summary Interventions targeting portion size and energy density of food and beverage products have been identified as a promising approach for obesity prevention. This study modelled the potential cost-effectiveness of: a package size cap on single-serve sugar sweetened beverages (SSBs) >375 mL ( package size cap ), and product reformulation to reduce energy content of packaged SSBs ( energy reduction ). The cost-effectiveness of each intervention was modelled for the 2010 Australia population using a multi-state life table Markov model with a lifetime time horizon. Long-term health outcomes were modelled from calculated changes in body mass index to their impact on Health-Adjusted Life Years (HALYs). Intervention costs were estimated from a limited societal perspective. Cost and health outcomes were discounted at 3%. Total intervention costs estimated in AUD 2010 were AUD 210 million. Both interventions resulted in reduced mean body weight ( package size cap : 0.12 kg; energy reduction : 0.23 kg); and HALYs gained ( package size cap : 73,883; energy reduction : 144,621). Cost offsets were estimated at AUD 750.8 million ( package size cap ) and AUD 1.4 billion ( energy reduction ). Cost-effectiveness analyses showed that both interventions were "dominant", and likely to result in long term cost savings and health benefits. A package size cap and kJ reduction of SSBs are likely to offer excellent "value for money" as obesity prevention measures in Australia.
Language eng
DOI 10.3390/nu9090983
Field of Research 1111 Nutrition And Dietetics
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30105712

Document type: Journal Article
Collections: School of Exercise and Nutrition Sciences
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.