Cost-effectiveness Analysis of Nutrition Facts Added-Sugar Labeling and Obesity-Associated Cancer Rates in the US

Du, Mengxi; Griecci, Christina; Cudhea, Frederick; Eom, Heesun; Kim, David D.; Wilde, Parke; Wong, John B.; Wang, Y Claire; Michaud, Dominique S.; Mozaffarian, Dariush; Zhang, Fang; Food-PRICE,

doi:10.1001/jamanetworkopen.2021.7501

Cited by 8 publications

(5 citation statements)

References 30 publications

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“…Second, the modelled diseases were limited to MI, stroke, DM and CKD. For example, the relationship between MetS, including obesity and cancer, is relatively well established and has been modelled in the reported studies 18 19 43 44. With the exception of MI, stroke, DM and CKD, which were examined in this study, other MetS-related diseases, such as cancer, need to be considered in further studies.…”

Section: Discussionmentioning

confidence: 97%

Cost-effectiveness of behavioural counselling intervention compared with non-intervention for adult patients with metabolic syndrome to prevent cardiovascular diseases and type 2 diabetes in Japan: a microsimulation modelling study

Akune,

Anezaki,

Nakao

et al. 2024

BMJ Open

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ObjectivesNationwide lifestyle intervention—specific health guidance (SHG) in Japan—employs counselling and education to change unhealthy behaviours that contribute to metabolic syndrome, especially obesity or abdominal obesity. We aimed to perform a model-based economic evaluation of SHG in a low participation rate setting.DesignA hypothetical population, comprised 50 000 Japanese aged 40 years who met the criteria of the SHG, used a microsimulation using the Markov model to evaluate SHG’s cost-effectiveness compared with non-SHG. This hypothetical population was simulated over a 35-year time horizon.SettingSHG is conducted annually by all Japanese insurers.Outcome measuresModel parameters, such as costs and health outcomes (including quality-adjusted life-years, QALYs), were based on existing literature. Incremental cost-effectiveness ratios were estimated from the healthcare payer’s perspective. Deterministic and probabilistic sensitivity analyses (PSA) were conducted to evaluate the uncertainty around the model input parameters.ResultsThe simulation revealed that the total costs per person in the SHG group decreased by JPY53 014 (US$480) compared with that in the non-SHG group, and the QALYs increased by 0.044, wherein SHG was considered the dominant strategy despite the low participation rates. PSA indicated that the credibility intervals (2.5th–97.5th percentile) of the incremental costs and the incremental QALYs with the SHG group compared with the non-SHG group were −JPY687 376 to JPY85 197 (−US$6226 to US$772) and −0.009 to 0.350 QALYs, respectively. Each scenario analysis indicated that programmes for improving both blood pressure and blood glucose levels among other risk factors for metabolic syndrome are essential for improving cost-effectiveness.ConclusionsThis study suggests that even small effects of counselling and education on behavioural modification may lead to the prevention of acute life-threatening events and chronic diseases, in addition to the reduction of medication resulting from metabolic syndrome, which results in cost savings.

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Section: Discussionmentioning

confidence: 97%

Cost-effectiveness of behavioural counselling intervention compared with non-intervention for adult patients with metabolic syndrome to prevent cardiovascular diseases and type 2 diabetes in Japan: a microsimulation modelling study

Akune,

Anezaki,

Nakao

et al. 2024

BMJ Open

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show abstract

“…It indicates that people with lower socioeconomic status (defined according to participants’ education, income, areas of residence or the store’s location) are affected more by FOPL. Policymakers should recognize that the pandemic negatively affected people’s food labeling awareness and that efforts must be made to provide citizens with the right information on the label of food packages 36 – 38 .…”

Section: Discussionmentioning

confidence: 99%

National prevalence and trends in food labeling awareness, comprehension, usage, and COVID-19 pandemic-related factors in South Korea, 2014–2022

Choi,

Kim,

Park

et al. 2024

Sci Rep

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Although food labeling on food packages is crucial for promoting a healthy diet, limited research has been conducted on how the COVID-19 pandemic (hereinafter “the pandemic”) has affected food labeling awareness. Therefore, this study aims to analyze the changes in trends in food labeling awareness, comprehension, and usage in South Korea during the pandemic. We utilized a nationwide, large-scale, and long-term dataset provided by the Korea Community Health Survey (KCHS) from 2014 to 2022 (total = 1,756,847 participants). This allowed the researchers to assess the long-term trends in the prevalence of food labeling awareness, comprehension, and usage. Furthermore, we investigated the factors associated with awareness specifically related to the pandemic. In total, 1,756,847 adults (54.19% women) participated in this study. The upward slope in overall food labeling awareness became less pronounced and even exhibited a downward slope during the pandemic (βdiff − 1.759; 95% CI − 1.874 to − 1.644). The upward slope in food labeling comprehension and usage became more pronounced during the pandemic (comprehension: βdiff 0.535; 95% CI 0.436–0.634; usage: βdiff 0.693; 95% CI 0.601–0.785). The vulnerability factors associated with lower food labeling awareness during the pandemic included older age, male, obesity, residing in rural areas, lower household income, lower educational level, smoking, and increased alcohol consumption. This study analyzed the 9-year trend in the prevalence of food labeling awareness, comprehension, and usage based on nationally representative data of adults in South Korea from 2014 to 2022. Our findings suggest that personalized nutrition strategies are needed to recognize vulnerable groups with risk factors and improve food labeling awareness among Korean adults during the pandemic.

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“…UPF-targeted food labeling policies may also be prioritized as these are cost-effective strategies to reduce intake, improve food quality, and alleviate disease and economic burdens by reshaping consumer behaviors and stimulating industry reformulations. 43 , 44 …”

Section: Discussionmentioning

confidence: 99%

Ultra-processed food consumption and mortality among patients with stages I–III colorectal cancer: a prospective cohort study

Hang,

Du,

Wang

et al. 2024

eClinicalMedicine

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Cost-effectiveness Analysis of Nutrition Facts Added-Sugar Labeling and Obesity-Associated Cancer Rates in the US

Cited by 8 publications

References 30 publications

Cost-effectiveness of behavioural counselling intervention compared with non-intervention for adult patients with metabolic syndrome to prevent cardiovascular diseases and type 2 diabetes in Japan: a microsimulation modelling study

Cost-effectiveness of behavioural counselling intervention compared with non-intervention for adult patients with metabolic syndrome to prevent cardiovascular diseases and type 2 diabetes in Japan: a microsimulation modelling study

National prevalence and trends in food labeling awareness, comprehension, usage, and COVID-19 pandemic-related factors in South Korea, 2014–2022

Ultra-processed food consumption and mortality among patients with stages I–III colorectal cancer: a prospective cohort study

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