Cardiometabolic & kidneyResearch article

Estimating the health impact of menu calorie labelling policy and sugar-sweetened beverage taxation in two European countries: a microsimulation study

Eur J Prev CardiolPublished

  • Microsimulation study
  • 20-year simulation horizon (2022-2041)

Authors' conclusion

Menu calorie labelling and SSB taxation have substantial impacts on reducing obesity prevalence and preventing CVD deaths in Belgium and Germany.

Study context

Population
Populations of Belgium and Germany
Comparison
Menu calorie labelling vs sugar-sweetened beverage (SSB) taxation vs counterfactual scenario
Outcome
Obesity prevalence, CVD mortality and equity-related impacts
Follow-up
20 years (2022-2041)

Main finding

As reported in the abstract

Reduction in obesity prevalence and CVD deaths vs counterfactual (consumer and industry effects) · 20 years
GroupObesity prevalence reduction, BelgiumObesity prevalence reduction, GermanyCardiovascular disease (CVD) deaths prevented, BelgiumCVD deaths prevented, GermanyCVD deaths postponed, BelgiumCVD deaths postponed, Germany
Menu calorie labelling3.61 percentage points (95% UI 2.78, 4.30)4.28 percentage points (95% UI 3.64, 5.06)1600 (95% UI 400, 3800)30 000 (95% UI 10 000, 58 000)
SSB tax0.27 percentage points (95% UI 0.17, 0.43)0.27 percentage points (95% UI 0.17, 0.39)2500 (95% UI 800, 5200)16 000 (95% UI 7500, 28 000)

Further findings

Equity: CVD deaths by education group

SSB taxation had a larger impact on CVD deaths for lower (vs higher) education groups
Menu calorie labelling prevented more CVD deaths for higher (vs lower) education groups

Original publication

Estimating the health impact of menu calorie labelling policy and sugar-sweetened beverage taxation in two European countries: a microsimulation study. Eur J Prev Cardiol. Published 13 June 2025. doi:10.1093/eurjpc/zwaf333

Summarised from the published abstract; every number is checked against it