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dc.contributor.author
Rubinstein, Adolfo Luis
dc.contributor.author
Elorriaga, Natalia
dc.contributor.author
Garay, Ulises
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Poggio, Rosana
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Caporale, Joaquin
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Matta, Maria Gabriela
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Augustovski, Federico Ariel
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Pichón-Riviere, Andrés
dc.contributor.author
Mozaffarian, Dariush
dc.date.available
2018-04-20T17:51:21Z
dc.date.issued
2015-09
dc.identifier.citation
Rubinstein, Adolfo Luis; Elorriaga, Natalia; Garay, Ulises; Poggio, Rosana; Caporale, Joaquin; et al.; Eliminating artificial trans fatty acids in Argentina: estimated effects on the burden of coronary heart disease and costs; World Health Organization; Bulletin of the World Health Organization; 93; 9; 9-2015; 614-622
dc.identifier.issn
0042-9686
dc.identifier.uri
http://hdl.handle.net/11336/42859
dc.description.abstract
Objective: To estimate the impact of Argentine policies to reduce trans fatty acids (TFA) on coronary heart disease (CHD), disability-adjusted life years (DALYs) and associated health-care costs.
Methods: We estimated the baseline intake of TFA before 2004 to be 1.5% of total energy intake. We built a policy model including baseline intake of TFA, the oils and fats used to replace artificial TFAs, the clinical effect of reducing artificial TFAs and the costs and DALYs saved due to averted CHD events. To calculate the percentage of reduction of CHD, we calculated CHD risks on a population-based sample before and after implementation. The effect of the policies was modelled in three ways, based on projected changes: (i) in plasma lipid profiles; (ii) in lipid and inflammatory biomarkers; and (iii) the results of prospective cohort studies. We also estimated the present economic value of DALYs and associated health-care costs of coronary heart disease averted.
Findings: We estimated that projected changes in lipid profile would avert 301 deaths, 1066 acute CHD events, 5237 DALYs and 17 million United States dollars (US$) in health-care costs annually. Based on the adverse effects of TFA intake reported in prospective cohort studies, 1517 deaths, 5373 acute CHD events, 26 394 DALYs and US$ 87 million would be averted annually.
Conclusion: Even under the most conservative scenario, reduction of TFA intake had a substantial effect on public health. These findings will help inform decision-makers in Argentina and other countries on the potential public health and economic impact of this policy.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
World Health Organization
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Trans Fatty Acids
dc.subject
Argentina
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Burden of Coronary Heart Disease
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Costs
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Medicina Critica y de Emergencia
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Medicina Clínica
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Eliminating artificial trans fatty acids in Argentina: estimated effects on the burden of coronary heart disease and costs
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2018-04-12T14:32:07Z
dc.journal.volume
93
dc.journal.number
9
dc.journal.pagination
614-622
dc.journal.pais
Suiza
dc.journal.ciudad
Ginebra
dc.description.fil
Fil: Rubinstein, Adolfo Luis. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Elorriaga, Natalia. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Garay, Ulises. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Poggio, Rosana. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Caporale, Joaquin. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Matta, Maria Gabriela. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Augustovski, Federico Ariel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Pichón-Riviere, Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Mozaffarian, Dariush. Tufts University; Estados Unidos
dc.journal.title
Bulletin of the World Health Organization
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.2471/BLT.14.150516
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info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4581646/
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/http://www.who.int/bulletin/volumes/93/9/14-150516-ab/en/
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