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Public Health Nutr. 2017 Jul;20(10):1874-1883. doi: 10.1017/S1368980015003171. Epub 2015 Nov 16.

Economic evaluation of vitamin D and calcium food fortification for fracture prevention in Germany.

Author information

1
1Department of Osteology and Biomechanics,University Medical Center Hamburg-Eppendorf,Martinistraße 52,D-20246 Hamburg,Germany.
2
2Department of Health Economics and Health Services Research,Hamburg Center for Health Economics,University Medical Center Hamburg-Eppendorf,Hamburg,Germany.

Abstract

OBJECTIVE:

The study evaluates the economic benefit of population-wide vitamin D and Ca food fortification in Germany.

DESIGN:

Based on a spreadsheet model, we compared the cost of a population-wide vitamin D and Ca food-fortification programme with the potential cost savings from prevented fractures in the German female population aged 65 years and older.

SETTING:

The annual burden of disease and the intervention cost were assessed for two scenarios: (i) no food fortification; and (ii) voluntary food fortification with 20 µg (800 IU) of cholecalciferol (vitamin D3) and 200 mg of Ca. The analysis considered six types of fractures: hip, clinical vertebral, humerus, wrist, other femur and pelvis.

SUBJECTS:

Subgroups of the German population defined by age and sex.

RESULTS:

The implementation of a vitamin D and Ca food-fortification programme in Germany would lead to annual net cost savings of €315 million and prevention of 36 705 fractures in the target population.

CONCLUSIONS:

Vitamin D and Ca food fortification is an economically beneficial preventive health strategy that has the potential to reduce the future health burden of osteoporotic fractures in Germany. The implementation of a vitamin D and Ca food-fortification programme should be a high priority for German health policy makers because it offers substantial cost-saving potential for the German health and social care systems.

KEYWORDS:

Cost savings; Deficiency; Economic evaluation; Food fortification; Fracture prevention; Nutrition policy; Vitamin D

PMID:
26568196
DOI:
10.1017/S1368980015003171
[Indexed for MEDLINE]

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