Table 1

IMPACTNCD key assumptions

Population moduleMigration is not considered.
Social mobility is not considered.
QIMD is a marker of relative area deprivation with several versions since 2003. We considered all version of QIMD identical.
We assume all salt that is consumed is excreted from urine and all urine sodium comes from salt consumption.
We assume that the surveys used are truly representative of the population.
We assume that the decline in salt consumption observed since 2003 was fully attributable to the implemented policy.
Disease moduleWe assume multiplicative risk effects.
We assume log-linear dose–response for the continuous risk factors.
We assume that the effects of the risk factors on incidence and mortality are equal and risk factors are not modifying survival.
We assume 5-year mean lag time for CVD and 8-year for GCa (except for the cumulative effect of smoking on GCa where lag was assumed similar to CVD one).
We assume 100% risk reversibility.
We assume that trends in disease incidence are attributable only to trends of the relevant modelled risk factors.
Only well-accepted associations between upstream and downstream risk factors that have been observed in longitudinal studies are considered. However, the magnitudes of the associations are extracted from a series of nationally representative cross-sectional surveys (Health Survey for England).
For GCa, we assume that survival of 10 years after diagnosis equals remission.
  • CVD, cardiovascular disease; GCa, gastric cancer; QIMD, quantile group of Index of Multiple Deprivation.