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A significant risk factor for NCDs is low fruit and vegetables (F/V) consumption, which leads to economic and social costs in all countries, regardless of income level. Aim To evaluate the economic burden of NCDs associated with low F/V consumption in the RF in 2016, including the direct costs and the economic losses caused by reduced productivity. Materials and Methods An analytical review of the literature on the search for relative risks (RR) of morbility and mortality from NCDs associated with low F/V consumption was carried out. Based on data on the prevalence of low F/V consumption in the RF (41.9%) and RR, the attributive risk for the population (PAR) was calculated for CVD, diabetes and several types of cancer. To assess the economic burden, the proportion of risk factor in morbidity and mortality from NCDs included in the analysis based on PAR was determined. Direct costs were calculated on the basis of tariffs for the provision of medical care in the RF in 2016 and the amount of disability benefits. Indirect costs included the loss of gross domestic product due to premature mortality and disability. Results PAR of low F/V consumption in the RF in 2016 in mortality for all CVD was 5%, in morbility about 7%, in morbility of stroke - 10%. PAR of low F/V consumption in morbility of diabetes was 6%, COPD - about 5%. PAR of low F/V consumption in mortality for ovarian cancer was 27%, for kidney cancer - 20%, in morbility from 3% for stomach cancer to 40% for pancreatic cancer. The economic burden associated with low F/V consumption in the RF in 2016 amounted to about 162 billion rubles (0.19% of GDP). A significant contribution to the economic burden was made by cancer: pancreatic cancer (38.2%), colorectal cancer (21.3%), ovarian cancer (26.3%), kidney cancer (26.4%). Conclusions An assessment of the economic burden will be an argument for justifying the feasibility of investing in the prevention of NCDs associated with low F/V consumption. Key messages To evaluate the economic burden of NCDs associated with low F/V consumption in the RF in 2016, including the direct costs and the economic losses caused by reduced productivity. The economic burden associated with low F/V consumption in the RF in 2016 amounted to about 162 billion rubles (0.19% of GDP).

The economic burden of NCDs due to low fruit and vegetables consumption in the Russia in 2016