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BibTex format

@article{Goiana-da-Silva:2020:10.1371/journal.pmed.1003036,
author = {Goiana-da-Silva, F and Severo, M and Cruz-E-Silva, D and Gregório, MJ and Allen, L and Muc, M and Morais, Nunes A and Torres, D and Miraldo, M and Ashrafian, H and Rito, A and Wickramasinghe, K and Breda, J and Darzi, A and Araújo, F and Lopes, C},
doi = {10.1371/journal.pmed.1003036},
journal = {PLoS Medicine},
pages = {1--17},
title = {Projected impact of the Portuguese sugar-sweetened beverages tax on obesity incidence across different age groups: a modelling study},
url = {http://dx.doi.org/10.1371/journal.pmed.1003036},
volume = {17},
year = {2020}
}
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TY  - JOUR
AB  - BackgroundExcessive consumption of sugar has a well-established link with obesity. Preliminary results show that a tax levied on sugar-sweetened beverages (SSBs) by the Portuguese government in 2017 led to a drop in sales and reformulation of these products. This study models the impact the market changes triggered by the tax levied on SSBs had on obesity incidence across various age groups in Portugal.Methods and findingsWe performed a national market analysis and population-wide modelling study using market data for the years 2014–2018 from the Portuguese Association of Non-Alcoholic Drinks (GlobalData and Nielsen Consumer Panel), dietary data from a national survey (IAN-AF 2015–2016), and obesity incidence data from several cohort studies. Dietary energy density from SSBs was calculated by dividing the energy content (kcal/gram) of all SSBs by the total food consumption (in grams). We used the potential impact fraction (PIF) equation to model the projected impact of the tax-triggered change in sugar consumption on obesity incidence, through both volume reduction and reformulation. Results showed a reduction of 6.6 million litres of SSBs sold per year. Product reformulation led to a decrease in the average energy density of SSBs by 3.1 kcal/100 ml. This is estimated to have prevented around 40–78 cases of obesity per year between 2016 and 2018, with the biggest projected impact observed in adolescents 10 to <18 years old. The model shows that the implementation of this tax allowed for a 4 to 8 times larger projected impact against obesity than would be achieved though reformulation alone. The main limitation of this study is that the model we used includes data from various sources, which can result in biases—despite our efforts to mitigate them—related to the methodological differences between these sources.ConclusionsThe tax triggered both a reduction in demand and product reformulation. These, together, can reduce obesity levels
AU  - Goiana-da-Silva,F
AU  - Severo,M
AU  - Cruz-E-Silva,D
AU  - Gregório,MJ
AU  - Allen,L
AU  - Muc,M
AU  - Morais,Nunes A
AU  - Torres,D
AU  - Miraldo,M
AU  - Ashrafian,H
AU  - Rito,A
AU  - Wickramasinghe,K
AU  - Breda,J
AU  - Darzi,A
AU  - Araújo,F
AU  - Lopes,C
DO  - 10.1371/journal.pmed.1003036
EP  - 17
PY  - 2020///
SN  - 1549-1277
SP  - 1
TI  - Projected impact of the Portuguese sugar-sweetened beverages tax on obesity incidence across different age groups: a modelling study
T2  - PLoS Medicine
UR  - http://dx.doi.org/10.1371/journal.pmed.1003036
UR  - https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003036
UR  - http://hdl.handle.net/10044/1/77317
VL  - 17
ER  -
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