A scoping review of the public health impact of vitamin D-fortified dairy products for fracture prevention

Mickael Hiligsmann*, Audrey Neuprez, Fanny Buckinx, Medea Locquet, Jean-Yves Reginster

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

11 Citations (Web of Science)

Abstract

Purpose Dairy products are rich in nutrients that positively influence bone health and hence fracture risk, and have therefore been recommended and used for fracture prevention. To help decision makers to efficiently allocate scare resources, it is further important to assess the public health and economic impact of any health intervention. In recent years, several studies have been conducted to estimate the public health and/or economic impact of dairy products but no overview is currently available. This article aims therefore to summarize evidence and review articles that estimated the public health and/or economic impact of vitamin D-fortified dairy products for fracture prevention.

Methods A literature review was conducted using PubMed to identify original studies that assessed the public health and/or economic impact of dairy products (or of calcium/vitamin D supplementation) for fracture prevention up to January 15, 2017.

Results Seven articles were identified. Different strategies were used by the authors to model the economic/public health impact of dairy products. The four studies assessing the public health impact of dairy products revealed a substantial benefit in terms of fracture prevented, life years, disability-adjusted life years and/or quality-adjusted life years gained. Studies assessing the cost-effectiveness revealed that the use of dairy products is generally cost-effective in the general population aged above 70 years, and from the age of 60 years in populations at high risk of fractures.

Conclusion This systematic review suggests that the use of dairy products could substantially reduce the burden of osteoporotic fractures and seem to be an economically beneficial strategy.

Original languageEnglish
Article number57
Number of pages7
JournalArchives of Osteoporosis
Volume12
Issue number1
DOIs
Publication statusPublished - 21 Jun 2017

Keywords

  • Cost-effectiveness
  • Dairy products
  • Fractures
  • Nutrition
  • Osteoporosis
  • Public health
  • COST-EFFECTIVENESS
  • EUROPEAN-SOCIETY
  • ECONOMIC-ASPECTS
  • POSTMENOPAUSAL WOMEN
  • MUSCULOSKELETAL DISEASES
  • INTERVENTION THRESHOLDS
  • CALCIUM SUPPLEMENTATION
  • OSTEOPOROTIC FRACTURES
  • OSTEOARTHRITIS ESCEO
  • MANAGEMENT

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