At each stage of the logic pathway, the best available sources ( Table I in the online-only Data Supplement), supplemented with reasoned assumptions ( Table II in the online-only Data Supplement), were used to estimate the potential health and economic consequences of the federal added sugar labeling policy. The model used nationally representative data on population demographics, risk factors, dietary habits, and diseases to assess cumulative cardiometabolic health outcomes and costs based on current trends. We extended the previously validated US IMPACT Food Policy model 15, 16 to estimate the cost-effectiveness of the FDA’s added sugar labeling mandate over a 20-year period (2018–2037), from both healthcare and societal perspectives. This investigation was performed as part of the Food-PRICE Project (Policy Review and Intervention Cost-Effectiveness) ( ). To elucidate the effects of implementing the added sugar label in the United States, a validated microsimulation model was used to estimate the potential cardiometabolic impact, costs, and cost-effectiveness of the FDA’s added sugar labeling policy based on (1) expected changes in consumer behavior and (2) potential additional impact of the corresponding industry reformulation. Even though some companies have already opted to implement the new label on their products, 13 the FDA recently announced another delay in mandatory implementation of the updated Nutrition Facts label until 2020. 12 Yet, the health and economic impacts of the FDA’s added sugar labeling policy have not been estimated. 10 Considering that 52 000 annual US cardiometabolic deaths are attributed to SSB consumption alone, 4 cost-effective approaches to reduce added sugar consumption are a public health priority.įood labeling supports informed consumer choice, and can effectively change consumer behavior and stimulate industry reformulation, 11 for example, as supported by recent experience with trans-fat labeling. 9 The single largest source in the United States is SSBs, followed by grain desserts (eg, cookies, cakes, and pastries), fruit drinks, candy, and dairy desserts (eg, ice cream). 7 Despite recent declines in added sugar intake in the United States, largely because of reduced SSB consumption, 8 current added sugar intake from SSBs and foods remains high: Americans still consume >300 kcal/day (>15% of total energy), 8 exceeding US guidelines of <10% of total energy. 4, 6 These conditions pose substantial economic burdens, with total US direct and indirect costs of obesity-related diseases exceeding $1.4 trillion/y and expected to escalate. 1 Overconsumption of added sugars, particularly from sugar-sweetened beverages (SSBs), is a risk factor for cardiometabolic diseases including obesity, 2, 3 type 2 diabetes mellitus, 4, 5 and cardiovascular disease (CVD). In May 2016, in the first major revision to the Nutrition Facts label since 1993, the US Food and Drug Administration (FDA) announced mandatory labeling of added sugar content as a strategy to reduce the intake of added sugars from packaged foods and beverages.
Circ: Cardiovascular Quality & Outcomes.Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB).
0 kommentar(er)
