Impact of Austria's 2009 trans fatty acids regulation on all-cause, cardiovascular and coronary heart disease mortality.
Background Unhealthy diet, especially consumption of trans fatty acids (TFAs), is a known risk factor for cardiovascular disease (CVD), a leading cause of death in Austria. In 2009, Austria introduced a law regulating the content of TFAs in foods. The aim of this study was to assess the impact of th...
| Publicado en: | European Journal of Public Health Vol. 28; pp. 4 - 10 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
2018 Supplement 2
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=132825290&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132825290 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: 2018 Supplement 2 vid: 28 pid: 622 pub: Oxford University Press / USA artinfo: ui: 132825290 132825290 132825290 10.1093/eurpub/cky147 132825290 ppf: 4 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Impact of Austria's 2009 trans fatty acids regulation on all-cause, cardiovascular and coronary heart disease mortality. aug: au: Grabovac, Igor Hochfellner, Lisa Rieger, Matthias Jewell, Jo Snell, Andrew Weber, Adelheid Stüger, Hans-Peter Schindler, Karin E Mikkelsen, Bente Dorner, Thomas E affil: Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria sug: subj: Trans Fatty Acids Legislation and Jurisprudence Cardiovascular Diseases Mortality Coronary Disease Mortality Cause of Death Austria Human Austria Cardiovascular Diseases Prevention and Control Coronary Disease Prevention and Control Age Factors Organisation for Economic Co-Operation and Development Comparative Studies Adult Trans Fatty Acids Adverse Effects Cardiovascular Risk Factors Coronary Disease Risk Factors Prevalence Smoking Epidemiology Noncommunicable Diseases Risk Factors Noncommunicable Diseases Prevention and Control Adult: 19-44 years ab: Background Unhealthy diet, especially consumption of trans fatty acids (TFAs), is a known risk factor for cardiovascular disease (CVD), a leading cause of death in Austria. In 2009, Austria introduced a law regulating the content of TFAs in foods. The aim of this study was to assess the impact of the TFA regulation on CVD-related outcomes. Methods The study evaluated the TFA regulation as an intervention in a natural experiment. Two study periods were assessed: pre-intervention (1995–2009) and post-intervention (2010–14). The study compared the age-standardized death rates per 100 000 population for CVD outcomes with those of a 'synthetic' international comparator population, created from data of OECD countries where TFA regulation has not been implemented, but where the population is otherwise comparable. Results There was a continuous decrease in CVD-related mortality throughout the study period in both the synthetic international comparator population, as well as in the adult Austrian population, with no significant change in this trend observed as an effect of TFA regulation. Conclusions Whilst the results are counterintuitive, given the established link between TFA consumption and an increased risk of CVD, there are many possible explanations: high prevalence of tobacco smoking, changes in TFA content in foods due to international guidance as opposed to formal regulation and a beneficial impact of TFA regulation on sub-groups of the population that might not be detected with nationally aggregated data. However, reduction in TFAs should still be considered an important part of risk factor reduction for CVD and other non-communicable diseases. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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