Nutr Res Pract.  2015 Aug;9(4):400-403. 10.4162/nrp.2015.9.4.400.

Evidence-based estimation of health care cost savings from the use of omega-3 supplementation among the elderly in Korea

• Hwang JY
• Kim WS
• Jeong S
• Kwon O

• KMID: 2313857
• DOI: http://doi.org/10.4162/nrp.2015.9.4.400

Abstract

BACKGROUND/OBJECTIVES
By the year 2050, thirty-eight percent of the Korean population will be over the age of 65. Health care costs for Koreans over age 65 reached 15.4 trillion Korean won in 2011, accounting for a third of the total health care costs for the population. Chronic degenerative diseases, including coronary heart disease (CHD), drive long-term health care costs at an alarming annual rate. In the elderly population, loss of independence is one of the main reasons for this increase in health care costs. Korean heath policies place a high priority on the prevention of CHD because it is a major cause of morbidity and mortality.
SUBJECTS/METHODS
This evidence-based study aims to the estimate potential health care cost savings resulting from the daily intake of omega-3 fatty acid supplementation. Potential cost savings associated with a reduced risk of CHD and the medical costs potentially avoided through risk reduction, including hospitalizations and physician services, were estimated using a Congressional Budget Office cost accounting methodology.
RESULTS
The estimate of the seven-year (2005-2011) net savings in medical costs resulting from a reduction in the incidence of CHD among the elderly population through the daily use of omega-3 fatty acids was approximately 210 billion Korean won. Approximately 92,997 hospitalizations due to CHD could be avoided over the seven years.
CONCLUSIONS
Our findings suggest that omega-3 supplementation in older individuals may yield substantial cost-savings by reducing the risk of CHD. It should be noted that additional health and cost benefits need to be revisited and re-evaluated as more is known about possible data sources or as new data become available.

Keyword

Cost-effectiveness; omega-3 fatty acid; functional food; health cost; elderly

MeSH Terms

Aged*
Budgets
Coronary Disease
Cost Savings
Cost-Benefit Analysis
Surveys and Questionnaires
Fatty Acids, Omega-3
Functional Food
Health Care Costs*
Hospitalization
Humans
Incidence
Income*
Korea
Mortality
Risk Reduction Behavior
Fatty Acids, Omega-3

Reference

1. Government of the Republic of Korea, Ministry of Health and Welfare. Plan for Ageing Society and Population 2011-2015. Seoul: Ministry of Health and Welfare;2011.

2. Jeong HS, Song YM. Contributing factors to the increases in health insurance expenditures for the aged and their forecasts. Korean J Health Econ Policy. 2013; 19:21–38.

3. World Health Organization. International Statistical Classification of Diseases and Related Health Problems 10th Revision [Internet]. Geneva: World Health Organization;2010. cited 2013 March 7. Available from: http://apps.who.int/classifications/icd10/browse/2010/en.

4. Din JN, Newby DE, Flapan AD. Omega 3 fatty acids and cardiovascular disease--fishing for a natural treatment. BMJ. 2004; 328:30–35.

5. DaVanzo JE, Dobson A, Tannamor M, Dollard J. An Evidence-Based Study of the Role of Dietary Supplements in Helping Seniors Maintain their Independence. Falls Church (VA): The Lewin Group Inc.;2006.

6. Schmier JK, Rachman NJ, Halpern MT. The cost-effectiveness of omega-3 supplements for prevention of secondary coronary events. Manag Care. 2006; 15:43–50.

7. Jeong S, Kim JY, Paek JE, Kim J, Kwak JS, Kwon O. Systematic review of the effect of omega-3 fatty acids on improvement of blood flow while focused on evaluation of claims for health functional food. J Nutr Health. 2013; 46:226–238.

8. National Health Insurance Corporation, Health Insurance Policy Research Institute (KR). 2005-2011 Survey on medical expenditure of patients insured by National Health Insurance [Internet]. Seoul: Health Insurance Policy Research Institute;2013. cited 2013 March 5. Available from: http://www.nhis.or.kr/.

9. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. The Third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005: Health Interview Survey. Cheongwon: Korea Centers for Disease Control and Prevention;2006.

10. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Cheongwon: Korea Centers for Disease Control and Prevention;2010.

11. Ministry of Strategy and Finance. Foreign exchange rate, each year [Internet]. Sejong: Ministry of Strategy and Finance;2013. cited 2013 March 7. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1068.

12. National Health Insurance Service, Health Insurance Review & Assessment Service. 2005-2011 National Health Insurance Statistical Yearbook [Internet]. Seoul: Health Insurance Review & Assessment Service;2006-2012. cited 2013 March 5. Available from: http://www.nhis.or.kr/.

13. Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto miocardico. Lancet. 1999; 354:447–455.

14. MacLean CH, Issa AM, Mojica WA, Newberry SJ, Morton SC, Shekelle PG, Hilton LG, Hasenfeld Garland R, McGowan J, Rhodes S, Rolon C, Traina S. Evidence Report/Technology Assessment: No. 114. Effects of Omega-3 Fatty Acids on Cognitive Function with Aging, Dementia, and Neurological Diseases. AHRQ Publication No. 05-E011-1. Rockville (MD): Agency for Healthcare Research and Quality;2005.