The cost-effectiveness analysis of a nationwide vitamin D supplementation program among Iranian adolescents for adulthood cardiovascular diseases prevention
50,000 IU monthly, 9 months of the year
Public Health Volume 198, September 2021, Pages 340-347 https://doi.org/10.1016/j.puhe.2021.07.019
Narges Zandieha MohsenRezaei Hemamic AliDarvishidSeyed Mohammad Hasheminejade Zahra AbdollahifMaryam ZareifRamin Heshmatb
Vitamin D would reduce far more costs than just CVD
- One vitamin D pill every 4 weeks should cost-effectively reduce diabetes in Iran – Jan 2022
- Employers should give night shift workers free vitamin D – GMB Union June 2019
- A Health Insurance company is giving free Vitamin D to members who are deficient – Aug 2018
- Biology of Vitamin D – 30ng min., 50ng preferred, 1000X lower cost than health problem – Feb 2019
- Increasing the vitamin D level of all Canadians to 40 ng would save 6 to 18 billion dollars a year – Nov 2016
- VA showed increased vitamin D associated with lower health costs - Lancet May 2012
- Save 2 billion dollars annually in fractures if take Vitamin D and Calcium – Frost and Sullivan Sept 2013
- UK would save as least 636 million dollars annually by giving 800 IU vitamin D free to all seniors – June 2014
- note: 800 IU X 30 days/month = 24,000 IU monthly
- People supplemented with Vitamin D had 13 percent fewer Cancer deaths – Meta-analysis of RCT June 2019
- 2,000 IU of Vitamin D daily to German Seniors would save 30,000 lives a year – March 2021
- 2,000 IU X 30 days a month = 60,000 IU monthly
- Taking vitamin D extends life - 56 trials with 100,000 people - Dr. Greger video July 2016
- Monthly 60,000 IU of Vitamin D did not reduce mortality (too infrequent)- Feb 2022monthly) will reduce mortality – results due 2024 - Why wait?
Vitamin D reduce CVD
- Those raising Vitamin D above 30 ng were 1.4 X less likely to die of Heart Attack (VA 19 years) – Oct 2021
- Cardiovascular death 1.5X more likely if less than 20 ng of Vitamin D – 22nd meta-analysis Nov 2019
- Vitamin D supplementation reduces many Cardiovascular Disease markers– meta-analysis July 2018
- Far more lobbyists will OPPOSE Vitamin D than PROMOTE Vitamin D
- Off topic – More money to be made in TREATING cancer than PREVENTING it – NYT Dec 2015
- Do not expect a doctor to recommend a pill which will eliminate his job (vitamin D)
50,000 IU twice a month has been proven to reduce a wide range of health problems
Diabetes + Heart Failure + Chronic Pain + Depression + Autism + Breast Cancer + Colon Cancer + Prostate Cancer + BPH (prostate) + Preeclampsia + Premature Birth + Falls + Cognitive Decline + Respiratory Tract Infection + Influenza + Tuberculosis + Chronic Obstructive Pulmonary Disease + Lupus + Inflammatory Bowel Syndrome + Urinary Tract Infection + Poor Sleep + Growing Pain + Multiple Sclerosis + PMS + Schizophrenia + Endometriosis + Smoking 27 problems
Note: Once a week also fights: COVID, Headaches, Colds, Fibromyalgia, Asthma, Hives, Colitis etc.
Objective: This study aimed to evaluate a national vitamin D supplementation program's cost-effectiveness among Iranian adolescents to prevent cardiovascular diseases (CVDs) in adulthood.
Study design: A cost-effectiveness analytical study.
A decision tree model was adopted to evaluate the cost per quality-adjusted life-year (QALY) of monthly intake of nine pearls of 50,000 IU vitamin D for nine months to prevent CVD a one-year horizon compared to no intervention. The analysis was conducted in Iranian adolescents in first or second high school grades of 47 climatically different Iran regions.
Our analytical analysis estimated the 1090$ cost per QALY gained of the monthly intake of 50,000 IU vitamin D for nine monthsamong adolescents over a one-year horizon. Based on the incremental cost-effectiveness ratio (ICER) threshold of 1032–2666, vitamin D supplementation was cost-effective for adolescents to prevent adulthood CVD.
It means that vitamin D supplementation costs were substantially less than the costs of CVD treatments compared to the no intervention.
Based on these findings, the national program of vitamin D supplementation in adolescents would be cost effective to prevent CVD development in adulthood. From an economic perspective, vitamin D supplementation, especially in adolescents with vitamin D deficiency, would be administrated.