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Public Health Nutrition Public Health Nutrition

Article contents

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

Published online by Cambridge University Press:  16 November 2015

Arne Sandmann ,
Michael Amling ,
Florian Barvencik ,
Hans-Helmut König  and
Florian Bleibler
Arne Sandmann
Affiliation:
Department of Osteology and Biomechanics, University Medical Center Hamburg–Eppendorf, Martinistraße 52, D-20246 Hamburg, Germany
Michael Amling*
Affiliation:
Department of Osteology and Biomechanics, University Medical Center Hamburg–Eppendorf, Martinistraße 52, D-20246 Hamburg, Germany
Florian Barvencik
Affiliation:
Department of Osteology and Biomechanics, University Medical Center Hamburg–Eppendorf, Martinistraße 52, D-20246 Hamburg, Germany
Hans-Helmut König
Affiliation:
Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg–Eppendorf, Hamburg, Germany
Florian Bleibler
Affiliation:
Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg–Eppendorf, Hamburg, Germany
*
* Corresponding author: Email amling@uke.uni-hamburg.de
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Abstract

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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

Vitamin DDeficiencyFood fortificationFracture preventionCost savingsEconomic evaluationNutrition policy
Type
Research Papers
Information
Public Health Nutrition , Volume 20 , Issue 10 , July 2017 , pp. 1874 - 1883
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Copyright
Copyright © The Authors 2015 

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