Why the study?
Reducing dietary salt intake is expected to prevent cardiovascular disease and constrain healthcare spending, but the impact of achieving specific targets in Japan was unknown.
Does achieving dietary salt-reduction targets reduce cardiovascular events and healthcare expenditures in Japanese adults?
Does achieving dietary salt-reduction targets reduce cardiovascular events and healthcare expenditures in Japanese adults?
Achieving dietary salt-reduction targets in Japan could avert 1-3% of cardiovascular events and save up to 2% of related healthcare costs over 10 years.
Modeled moderate savings from salt targets inform Japan planning; leaves open real-world confirmation in trials.
Reducing population dietary salt intake is expected to help prevent cardiovascular disease and thus constrain increasing national healthcare expenditures in Japan’s super-aged society. We aimed to estimate the impact of achieving global and national salt-reduction targets (8, <6, and <5 grams/day) on cardiovascular events and national healthcare spending in Japan. Using published data including mean salt intake and systolic blood pressure from the 2019 National Health and Nutrition Survey, we developed a Markov model of a closed cohort of adults aged 40−79 years in 2019 (n = 66,955,000) transitioning among six health states based on the disease course of ischemic heart disease (IHD) and stroke. If mean salt intake were to remain at 2019 levels over 10 years, cumulative incident cases in the cohort would be approximately 2.0 million for IHD and 2.6 million for stroke, costing USD 61.6 billion for IHD and USD 104.6 billion for stroke. Compared with the status quo, reducing mean salt intake towards the targets over 10 years would avert 1−3% of IHD and stroke events and save up to 2% of related national healthcare costs. Attaining dietary salt-reduction goals among adults would yield moderate health economic benefits in Japan.
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Ikeda et al. (2022) studied this question.
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