Costa Rica’s trans-fat ban impact on cardiovascular disease
A macrosimulation study
Bibliographic Data
Objective: This study uses a modeling framework to assess the potential impact of implementing the World Health Organization (WHO) REPLACE strategy to reduce the intake of industrially produced trans-fatty acids (IP-TFAs) on cardiovascular disease (CVD) in Costa Rica. Methods: The TFA Macrosimulation Model was used to estimate reductions in CVD mortality under three regulatory scenarios: (1) setting IP-TFA limits at 2% in oils and fats and 5% in other foods; (2) applying a uniform 2% IP-TFA limit across all foods; and (3) implementing a complete ban on partially hydrogenated oils (PHOs). Results: The model estimates that enforcing a 2% IP-TFA limit across all foods could prevent or delay approximately 128 deaths annually (3.0% of CVD mortality), while a full PHO ban could avert about 215 deaths per year (5.0% of CVD mortality). Economically, the PHO ban could yield annual savings of approximately US$2.1 million by reducing productivity losses associated with premature mortality. Conclusion: Implementing the WHO REPLACE strategy has the potential to substantially reduce CVD mortality, while also improving the population’s health and economic productivity. These findings offer strong evidence to advocate for regulatory actions in Costa Rica and other nations across the Americas region to eliminate IP-TFAs from the food supply
Disease · Food security · Government (linguistics · Investment (military · Legislation · Public health · Consumer Attitudes and Food Labeling · Fatty Acid Research and Health · Global Public Health Policies and Epidemiology
Diet and Lifestyle Recommendations Revision 2006
Measuring the Global Burden of Disease
The Global Burden of Disease Study at 30 years
Global burden of 87 risk factors in 204 countries and territories, 1990–2019
Health effects of dietary risks in 195 countries, 1990–2017
Development and application of the TFA macrosimulation model
Effects of reducing processed culinary ingredients and ultra-processed foods in the Brazilian diet
Progress towards elimination of trans -fatty acids in foods commonly consumed in four Latin American cities
Evaluating progress and addressing actions to eliminate industrially produced trans-fatty acids in the Americas
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