Socioeconomic burden of sugar-sweetened beverages consumption in Korea
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BACKGROUND/OBJECTIVES: Excessive sugar consumption may increase the risk for development of several diseases. Although average dietary sugar intake of Koreans is within the recommended level, an increasing trend has been found in all age groups. This study aimed to evaluate the population attributable fractions (PAF) to dietary sugar for disease and death in Korea, and to estimate the socioeconomic effects of a reduction in dietary sugar. MATERIALS/METHODS: The prevalence of sugar-sweetened beverages (SSB) overconsumption (≥ 20 g of sugar from beverages) was analyzed using the Korean National Health and Nutrition Examination Survey 2015. Disease-specific relative risks of excessive SSB consumption were obtained through reviewing previous studies. Using the prevalence of SSB overconsumption and each relative risk, PAFs for morbidity and mortality were calculated. Socioeconomic costs of diseases and death attributable to SSB overconsumption were estimated by using representative data on national medical expenditures, health insurance statistics, employment information, and previous reports. RESULTS: Disease-specific PAF to SSB consumption ranged from 3.11% for stroke to 9.05% for obesity and dental caries, respectively. Costs from disease caused by SSB overconsumption was estimated at 594 billion won in 2015. About 39 billion won was estimated to be from SSB consumption-related deaths, and a total of 633 billion won was predicted to have been saved through preventing SSB overconsumption. CONCLUSIONS: Sugars overconsumption causes considerable public burdens, although the cost estimates do not include any informal expenditure. Information on these socioeconomic effects helps both health professionals and policy makers to create and to implement programs for reducing sugar consumption.
Abstract
BACKGROUND/OBJECTIVES: Excessive sugar consumption may increase the risk for development of several diseases. Although average dietary sugar intake of Koreans is within the recommended level, an increasing trend has been found in all age groups. This study aimed to evaluate the population attributable fractions (PAF) to dietary sugar for disease and death in Korea, and to estimate the socioeconomic effects of a reduction in dietary sugar. MATERIALS/METHODS: The prevalence of sugar-sweetened beverages (SSB) overconsumption (≥ 20 g of sugar from beverages) was analyzed using the Korean National Health and Nutrition Examination Survey 2015. Disease-specific relative risks of excessive SSB consumption were obtained through reviewing previous studies. Using the prevalence of SSB overconsumption and each relative risk, PAFs for morbidity and mortality were calculated. Socioeconomic costs of diseases and death attributable to SSB overconsumption were estimated by using representative data on national medical expenditures, health insurance statistics, employment information, and previous reports. RESULTS: Disease-specific PAF to SSB consumption ranged from 3.11% for stroke to 9.05% for obesity and dental caries, respectively. Costs from disease caused by SSB overconsumption was estimated at 594 billion won in 2015. About 39 billion won was estimated to be from SSB consumption-related deaths, and a total of 633 billion won was predicted to have been saved through preventing SSB overconsumption. CONCLUSIONS: Sugars overconsumption causes considerable public burdens, although the cost estimates do not include any informal expenditure. Information on these socioeconomic effects helps both health professionals and policy makers to create and to implement programs for reducing sugar consumption.
참고문헌 (48)
- Singh GM, "Estimated global, regional, and national disease burdens related to sugar-sweetened beverage consumption in 2010", Circulation, 132, pp.639~666 (2015)
- Jayalath VH, "Sugar-sweetened beverage consumption and incident hypertension: a systematic review and meta-analysis of prospective cohorts", Am J Clin Nutr, 102, pp.914~921 (2015)
- Imamura F, "Consumption of sugar sweetened beverages, artificially sweetened beverages, and fruit juice and incidence of type 2 diabetes: systematic review, meta-analysis, and estimation of population attributable fraction", BMJ, 351, pp.h3576~ (2015)
- Huang C, "Sugar sweetened beverages consumption and risk of coronary heart disease: a meta-analysis of prospective studies", Atherosclerosis, 234, pp.11~16 (2014)
- Dhingra R, "Soft drink consumption and risk of developing cardiometabolic risk factors and the metabolic syndrome in middle-aged adults in the community", Circulation, 116, pp.480~488 (2007)
- Bernabé E, "Sugar-sweetened beverages and dental caries in adults: a 4-year prospective study", J Dent, 42, pp.952~958 (2014)
- World Health Organization, "Guideline: Sugars Intake for Adults and Children", World Health Organization, ~ (2015)
- Hess J, "The confusing world of dietary sugars: definitions, intakes, food sources and international dietary recommendations", Food Funct, 3, pp.477~486 (2012)
- Long MW, "Cost effectiveness of a sugar-sweetened beverage excise tax in the U.S", Am J Prev Med, 49, pp.112~123 (2015)
- Colchero MA, "Beverage purchases from stores in Mexico under the excise tax on sugar sweetened beverages: observational study", BMJ, 352, pp.h6704~ (2016)
- Kelly B, "Consumer testing of the acceptability and effectiveness of front-of-pack food labelling systems for the Australian grocery market", Health Promot Int, 24, pp.120~129 (2009)
- Capacci S, "Breaking habits: the effect of the french vending machine ban on school snacking and sugar intakes", J Policy Anal Manage, 37, pp.88~111 (2018)
- Wrieden WL, "‘Change4Life Smart Swaps’: quasiexperimental evaluation of a natural experiment", Public Health Nutr, 19, pp.2388~2392 (2016)
- Barragan NC, "The “sugar pack” health marketing campaign in Los Angeles County, 2011-2012", Health Promot Pract, 15, pp.208~216 (2014)
- Øverby NC, "Introduction of a school fruit program is associated with reduced frequency of consumption of unhealthy snacks", Am J Clin Nutr, 96, pp.1100~1103 (2012)
- 이행신, "한국인의 총 당류 섭취실태 평가: 2008~2011년 국민건강영양조사 자료를 이용하여", Journal of Nutrition and Health, 47(4), pp.268~276 (2014), 한국영양학회[DOI]
- Azaïs-Braesco V, "A review of total & added sugar intakes and dietary sources in Europe", Nutr J, 16, pp.6~ (2017)
- Newens KJ, "A review of sugar consumption from nationally representative dietary surveys across the world", J Hum Nutr Diet, 29, pp.225~240 (2016)
- Korean Nutrition Society, "Dietary Reference Intakes for Koreans 2015", The Korean Nutrition Society, ~ (2015)
- Jung J, "Action plan for sugars reduction", Food Sci Ind, 49, pp.12~16 (2016)
- Korea Health Industry Development Institute, "Sugar Database Compilation for Commonly Consumed Foods 2015", Korea Health Industry Development Institute, ~ (2015)
- Kahn R, "Dietary sugar and body weight: have we reached a crisis in the epidemic of obesity and diabetes?: we have, but the pox on sugar is overwrought and overworked", Diabetes Care, 37, pp.957~962 (2014)
- Malik VS, "Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis", Diabetes Care, 33, pp.2477~2483 (2010)
- Greenwood DC, "Association between sugar-sweetened and artificially sweetened soft drinks and type 2 diabetes: systematic review and dose-response meta-analysis of prospective studies", Br J Nutr, 112, pp.725~734 (2014)
- Cheungpasitporn W, "Sugar and artificially sweetened soda consumption linked to hypertension: a systematic review and meta-analysis", Clin Exp Hypertens, 37, pp.587~593 (2015)
- Xi B, "Sugar-sweetened beverages and risk of hypertension and CVD: a dose-response meta-analysis", Br J Nutr, 113, pp.709~717 (2015)
- Kim Y, "Prospective association of sugar-sweetened and artificially sweetened beverage intake with risk of hypertension", Arch Cardiovasc Dis, 109, pp.242~253 (2016)
- Gordis L, "Epidemiology" (2004), Elsevier Saunders
- Health Insurance Review and Assessment Service, "2015 National Health Insurance Statistical Yearbook" (2016), National Health Insurance Service
- Annual Report on the Cause of Death Statistics, "Statistics Korea", Statistics Korea, ~ (2016)
- 이철희, "나트륨 섭취량 감소 정책의 비용편익 분석", 대한지역사회영양학회지, 17(3), pp.341~352 (2012), 대한지역사회영양학회[DOI]
- The Socioeconomic Effects of Major Health Risk Factors and the Evaluation of Effects of Their Regulation Policies, "National Health Insurance Service (KR)", National Health Insurance Service, ~ (2015)
- 2015 Survey on Medical Expenditure of Patients Insured by National Health Insurance, "National Health Insurance Corporation", National Health Insurance Service, ~ (2016)
- The Third Korea National Health and Nutrition Examination Survey (KNHANES III), "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2005)
- 2015 Survey Report on Labor Conditions by Employment Type, "Ministry of Employment and Labor (KR)", Ministry of Employment and Labor, ~ (2016)
- 2015 Economically Active Population Survey, "Statistics Korea", Statistics Korea, ~ (2016)
- Korea Centers for Disease Control and Prevention, "Guide Book for Using the Data from Korea National Health and Nutrition Examination Survey 2013-2015", Korea Centers for Disease Control and Prevention, ~ (2017)
- Comprehensive Plan for Reduction of Sugars 2016, "Ministry of Food and Drug Safety (KR)", Ministry of Food and Drug Safety, ~ (2016)
- Wittekind A, "Worldwide trends in dietary sugars intake", Nutr Res Rev, 27, pp.330~345 (2014)
- European Food Safety Authority, "Scientific opinion on dietary reference values for carbohydrates and dietary fibre", EFSA J, 8, pp.1462~1539 (2010)
- Institute of Medicine, "Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids" (2002), The National Academies Press
- Gibson S, "Sugar-sweetened soft drinks and obesity: a systematic review of the evidence from observational studies and interventions", Nutr Res Rev, 21, pp.134~147 (2008)
- Navarrete-Muñoz EM, "Sweetbeverage consumption and risk of pancreatic cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC)", Am J Clin Nutr, 104, pp.760~768 (2016)
- "2015 Budget of the Ministry of Health and Welfare" (2014)[URL]
- "2015 Overview of budget of the Ministry of Food and Drug Safety" (2014)[URL]
- 2015 Statistics on Health-Related Behaviors and Chronic Diseases: the 6th Korea National Health and Nutrition Survey and 11th Korean Youth Risk Behavior Survey, "Korea Centers for Diseases Control and Prevention", Ministry of Health and Welfare, ~ (2016)
- Larsson SC, "Consumption of sugar and sugar-sweetened foods and the risk of pancreatic cancer in a prospective study", Am J Clin Nutr, 84, pp.1171~1176 (2006)
- Genkinger JM, "Coffee, tea, and sugar-sweetened carbonated soft drink intake and pancreatic cancer risk: a pooled analysis of 14 cohort studies", Cancer Epidemiol Biomarkers Prev, 21, pp.305~318 (2012)