Modelling impacts of food industry co-regulation on noncommunicable disease mortality, Portugal
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2019 |
| Outros Autores: | , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10451/39135 |
Resumo: | © Copyright World Health Organization (WHO). Some rights reserved. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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7160 |
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Modelling impacts of food industry co-regulation on noncommunicable disease mortality, Portugal© Copyright World Health Organization (WHO). Some rights reserved.Objective: To model the reduction in premature deaths attributed to noncommunicable diseases if targets for reformulation of processed food agreed between the Portuguese health ministry and the food industry were met. Methods: The 2015 co-regulation agreement sets voluntary targets for reducing sugar, salt and trans-fatty acids in a range of products by 2021. We obtained government data on dietary intake in 2015–2016 and on population structure and deaths from four major noncommunicable diseases over 1990–2016. We used the Preventable Risk Integrated ModEl tool to estimate the deaths averted if reformulation targets were met in full. We projected future trends in noncommunicable disease deaths using regression modelling and assessed whether Portugal was on track to reduce baseline premature deaths from noncommunicable diseases in the year 2010 by 25% by 2025, and by 30% before 2030. Findings: If reformulation targets were met, we projected reductions in intake in 2015–2016 for salt from 7.6 g/day to 7.1 g/day; in total energy from 1911 kcal/day to 1897 kcal/day due to reduced sugar intake; and in total fat (% total energy) from 30.4% to 30.3% due to reduced trans-fat intake. This consumption profile would result in 248 fewer premature noncommunicable disease deaths (95% CI: 178 to 318) in 2016. We projected that full implementation of the industry agreement would reduce the risk of premature death from 11.0% in 2016 to 10.7% by 2021. Conclusion: The co-regulation agreement could save lives and reduce the risk of premature death in Portugal. Nevertheless, the projected impact on mortality was insufficient to meet international targets.The WHO Regional Office for Europe and the Portuguese government funded this study.World Health OrganizationRepositório da Universidade de LisboaGoiana da Silva, FranciscoSilva, David Cruz eAllen, LukeGregório, Maria JoãoSevero, MiltonNogueira, Paulo JorgeNunes, Alexandre MoraisGraça, PedroLopes, CarlaMiraldo, MarisaBreda, JoãoWickramasinghe, KremlinDarzi, AraAraújo, FernandoMikkelsen, Bente2019-07-16T14:37:06Z20192019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/39135engBull World Health Organ 2019;97:450–4590042-968610.2471/BLT.18.220566info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:37:21Zoai:repositorio.ul.pt:10451/39135Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:52:51.724187Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Modelling impacts of food industry co-regulation on noncommunicable disease mortality, Portugal |
| title |
Modelling impacts of food industry co-regulation on noncommunicable disease mortality, Portugal |
| spellingShingle |
Modelling impacts of food industry co-regulation on noncommunicable disease mortality, Portugal Goiana da Silva, Francisco |
| title_short |
Modelling impacts of food industry co-regulation on noncommunicable disease mortality, Portugal |
| title_full |
Modelling impacts of food industry co-regulation on noncommunicable disease mortality, Portugal |
| title_fullStr |
Modelling impacts of food industry co-regulation on noncommunicable disease mortality, Portugal |
| title_full_unstemmed |
Modelling impacts of food industry co-regulation on noncommunicable disease mortality, Portugal |
| title_sort |
Modelling impacts of food industry co-regulation on noncommunicable disease mortality, Portugal |
| author |
Goiana da Silva, Francisco |
| author_facet |
Goiana da Silva, Francisco Silva, David Cruz e Allen, Luke Gregório, Maria João Severo, Milton Nogueira, Paulo Jorge Nunes, Alexandre Morais Graça, Pedro Lopes, Carla Miraldo, Marisa Breda, João Wickramasinghe, Kremlin Darzi, Ara Araújo, Fernando Mikkelsen, Bente |
| author_role |
author |
| author2 |
Silva, David Cruz e Allen, Luke Gregório, Maria João Severo, Milton Nogueira, Paulo Jorge Nunes, Alexandre Morais Graça, Pedro Lopes, Carla Miraldo, Marisa Breda, João Wickramasinghe, Kremlin Darzi, Ara Araújo, Fernando Mikkelsen, Bente |
| author2_role |
author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
| dc.contributor.author.fl_str_mv |
Goiana da Silva, Francisco Silva, David Cruz e Allen, Luke Gregório, Maria João Severo, Milton Nogueira, Paulo Jorge Nunes, Alexandre Morais Graça, Pedro Lopes, Carla Miraldo, Marisa Breda, João Wickramasinghe, Kremlin Darzi, Ara Araújo, Fernando Mikkelsen, Bente |
| description |
© Copyright World Health Organization (WHO). Some rights reserved. |
| publishDate |
2019 |
| dc.date.none.fl_str_mv |
2019-07-16T14:37:06Z 2019 2019-01-01T00:00:00Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/39135 |
| url |
http://hdl.handle.net/10451/39135 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
Bull World Health Organ 2019;97:450–459 0042-9686 10.2471/BLT.18.220566 |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
World Health Organization |
| publisher.none.fl_str_mv |
World Health Organization |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799134465545469952 |