Nutr Res Pract.  2019 Apr;13(2):134-140. 10.4162/nrp.2019.13.2.134.

Socioeconomic burden of sugar-sweetened beverages consumption in Korea

• Shim JS
• Kang NH
• Lee JS
• Kim KN
• Chung HK
• Chung HR
• Kim HJ
• Ahn YS
• Chang MJ

• KMID: 2442370
• DOI: http://doi.org/10.4162/nrp.2019.13.2.134

Abstract

BACKGROUND/OBJECTIVES
Excessive sugar consumption may increase the risk for development of several diseases. Although average dietary sugar intake of Koreans is within the recommended level, an increasing trend has been found in all age groups. This study aimed to evaluate the population attributable fractions (PAF) to dietary sugar for disease and death in Korea, and to estimate the socioeconomic effects of a reduction in dietary sugar.
MATERIALS/METHODS
The prevalence of sugar-sweetened beverages (SSB) overconsumption (≥ 20 g of sugar from beverages) was analyzed using the Korean National Health and Nutrition Examination Survey 2015. Disease-specific relative risks of excessive SSB consumption were obtained through reviewing previous studies. Using the prevalence of SSB overconsumption and each relative risk, PAFs for morbidity and mortality were calculated. Socioeconomic costs of diseases and death attributable to SSB overconsumption were estimated by using representative data on national medical expenditures, health insurance statistics, employment information, and previous reports.
RESULTS
Disease-specific PAF to SSB consumption ranged from 3.11% for stroke to 9.05% for obesity and dental caries, respectively. Costs from disease caused by SSB overconsumption was estimated at 594 billion won in 2015. About 39 billion won was estimated to be from SSB consumption-related deaths, and a total of 633 billion won was predicted to have been saved through preventing SSB overconsumption.
CONCLUSIONS
Sugars overconsumption causes considerable public burdens, although the cost estimates do not include any informal expenditure. Information on these socioeconomic effects helps both health professionals and policy makers to create and to implement programs for reducing sugar consumption.

Keyword

Dietary sugars; sugar-sweetened beverages; public health; costs

MeSH Terms

Administrative Personnel
Beverages*
Carbohydrates
Dental Caries
Dietary Sucrose
Employment
Health Expenditures
Health Occupations
Humans
Insurance
Korea*
Mortality
Nutrition Surveys
Obesity
Prevalence
Public Health
Stroke
Carbohydrates
Dietary Sucrose

Figure

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  Fig. 1 Socioeconomic burden derived from sugar-sweetened beverages overconsumption according to age group

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