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; Sacks, Gary

doi:10.3390/nu9090983

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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

Michelle Crino

^1,2,*,†

Ana Maria Mantilla Herrera

^3,†

^4,†

^1,†

^1,5,6,†,

^3,7

⁸,

^4,† and

^8,†,‡

The George Institute for Global Health, University of New South Wales, Sydney 2042, Australia

School of Public Health, Faculty of Medicine, The University of Sydney, Sydney 2042, Australia

School of Public Health, Faculty of Medicine, University of Queensland, Brisbane 4001, Australia

⁴

Deakin Health Economics, Centre for Population Health Research, Deakin University, Geelong 3220, Australia

⁵

The Royal Prince Alfred Hospital, Sydney 2042, Australia

⁶

School of Public Health, Faculty of Medicine, Imperial College, London SW7 2AZ, UK

⁷

Queensland Centre for Mental Health Research (QCMHR), The Park Centre for Mental Health, Wacol 4076, Australia

⁸

Global Obesity Centre, Centre for Population Health Research, Deakin University, Geelong 3220, Australia

Author to whom correspondence should be addressed.

^†

M.C., A.M.M.H., J.A., J.H.Y.W., B.N., A.L. and G.S. are researchers within a NHMRC Centre for Research Excellence in Obesity Policy and Food Systems (APP1041020).

^‡

G.S. is the recipient of an Australian Research Council Discovery Early Career Researcher Award (DE160100307).

Nutrients 2017, 9(9), 983; https://doi.org/10.3390/nu9090983

Received: 18 July 2017 / Revised: 31 August 2017 / Accepted: 31 August 2017 / Published: 6 September 2017

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Abstract

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. View Full-Text

Keywords: obesity prevention; cost-effectiveness; portion size; sugar-sweetened beverages; economic evaluation

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MDPI and ACS Style

Crino, M.; Herrera, A.M.M.; Ananthapavan, J.; Wu, J.H.Y.; Neal, B.; Lee, Y.Y.; Zheng, M.; Lal, A.; Sacks, G. Modelled Cost-Effectiveness of a Package Size Cap and a Kilojoule Reduction Intervention to Reduce Energy Intake from Sugar-Sweetened Beverages in Australia. Nutrients 2017, 9, 983. https://doi.org/10.3390/nu9090983

AMA Style

Crino M, Herrera AMM, Ananthapavan J, Wu JHY, Neal B, Lee YY, Zheng M, Lal A, Sacks G. Modelled Cost-Effectiveness of a Package Size Cap and a Kilojoule Reduction Intervention to Reduce Energy Intake from Sugar-Sweetened Beverages in Australia. Nutrients. 2017; 9(9):983. https://doi.org/10.3390/nu9090983

Chicago/Turabian Style

Crino, Michelle, Ana M.M. Herrera, Jaithri Ananthapavan, Jason H.Y. Wu, Bruce Neal, Yong Y. Lee, Miaobing Zheng, Anita Lal, and Gary Sacks. 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 9, no. 9: 983. https://doi.org/10.3390/nu9090983

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