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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
The Lancet, Volume 393, No. 10184, Year 2019
Notification
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Description
Background: Suboptimal diet is an important preventable risk factor for non-communicable diseases (NCDs); however, its impact on the burden of NCDs has not been systematically evaluated. This study aimed to evaluate the consumption of major foods and nutrients across 195 countries and to quantify the impact of their suboptimal intake on NCD mortality and morbidity. Methods: By use of a comparative risk assessment approach, we estimated the proportion of disease-specific burden attributable to each dietary risk factor (also referred to as population attributable fraction)among adults aged 25 years or older. The main inputs to this analysis included the intake of each dietary factor, the effect size of the dietary factor on disease endpoint, and the level of intake associated with the lowest risk of mortality. Then, by use of disease-specific population attributable fractions, mortality, and disability-adjusted life-years (DALYs), we calculated the number of deaths and DALYs attributable to diet for each disease outcome. Findings: In 2017, 11 million (95% uncertainty interval [UI]10–12)deaths and 255 million (234–274)DALYs were attributable to dietary risk factors. High intake of sodium (3 million [1–5]deaths and 70 million [34–118]DALYs), low intake of whole grains (3 million [2–4]deaths and 82 million [59–109]DALYs), and low intake of fruits (2 million [1–4]deaths and 65 million [41–92]DALYs)were the leading dietary risk factors for deaths and DALYs globally and in many countries. Dietary data were from mixed sources and were not available for all countries, increasing the statistical uncertainty of our estimates. Interpretation: This study provides a comprehensive picture of the potential impact of suboptimal diet on NCD mortality and morbidity, highlighting the need for improving diet across nations. Our findings will inform implementation of evidence-based dietary interventions and provide a platform for evaluation of their impact on human health annually. Funding: Bill & Melinda Gates Foundation. © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC6899507/bin/mmc1.pdf
Authors & Co-Authors
Afshin, Ashkan
United States, Seattle
University of Washington
Sur, Patrick John
United States, Seattle
University of Washington
United States, Riverside
University of California, Riverside
Cornaby, Leslie
United States, Seattle
University of Washington
Salama, Joseph S.
United States, Seattle
University of Washington
Mullany, Erin C.
United States, Seattle
University of Washington
Abate, Kalkidan Hassen
Ethiopia, Jimma
Jimma University
Abbafati, Cristiana
Italy, Rome
Sapienza Università Di Roma
Abebe, Zegeye
Ethiopia, Gondar
University of Gondar
Afarideh, Mohsen
Iran, Tehran
Tehran University of Medical Sciences
Aggarwal, Anju
United States, Seattle
University of Washington
Agrawal, Sutapa
India, Gurugram
Vital Strategies
India, New Delhi
Public Health Foundation of India
Akinyemiju, Tomi F.
United States, Lexington
University of Kentucky
Alahdab, Fares
United States, Rochester
Mayo Clinic
Bacha, Umar
Pakistan, Lahore
University of Management and Technology Lahore
Bachman, Victoria F.
United States, Seattle
University of Washington
Badali, Hamid
Iran, Sari
Mazandaran University of Medical Sciences
Badawi, Alaa F.
Canada, Ottawa
Public Health Agency of Canada
Canada, Toronto
University of Toronto
Benseñor, Isabela Judith Martins
Brazil, Sao Paulo
Universidade de São Paulo
Bernabe, Eduardo
United Kingdom, London
King's College London
Biryukov, Stan H.
United States, Seattle
University of Washington
Biadgilign, Sibhatu Kassa K.
Unknown Affiliation
Cahill, Leah
Canada, Halifax
Dalhousie University
United States, Cambridge
Harvard University
Carrero, Juan Jesús
Sweden, Stockholm
Karolinska Institutet
Cercy, Kelly M.
United States, Seattle
University of Washington
Dandona, Lalit
United States, Seattle
University of Washington
India, New Delhi
Public Health Foundation of India
Dandona, Rakhi
United States, Seattle
University of Washington
Dang, Anh Kim
Viet Nam, Da Nang
Duy Tan University
Degefa, Meaza Girma
Ethiopia, Makale
Mekelle University
Zaki, Maysaa El S.
Egypt, Mansoura
Mansoura University
Esteghamati, Alireza
Iran, Tehran
Tehran University of Medical Sciences
Esteghamati, Sadaf
Iran, Tehran
Tehran University of Medical Sciences
Fanzo, Jessica C.
United States, Baltimore
Johns Hopkins University
Italy, Rome
Food and Agriculture Organization of the United Nations
Sá Farinha, Carla Sofia E.
Unknown Affiliation
Farvid, Maryam S.
United States, Cambridge
Harvard University
Farzadfar, Farshad
Iran, Tehran
Tehran University of Medical Sciences
Feigin, Valery L.
United States, Seattle
University of Washington
New Zealand, Auckland
Auckland University of Technology
Fernandes, João C.
Portugal, Porto
Universidade Católica Portuguesa
Flor, Luisa Sório
Brazil, Rio de Janeiro
Fundacao Oswaldo Cruz
Brazil, Vitoria
Universidade Federal do Espírito Santo
Foigt, Nataliya A.
Ukraine, Kyiv
National Academy of Medical Sciences of Ukraine
Forouzanfar, Mohammad Hossein
United States, Seattle
University of Washington
Ganji, Morsaleh
Iran, Tehran
Tehran University of Medical Sciences
Geleijnse, Johanna Marianna
Netherlands, Wageningen
Wageningen University & Research
Gillum, Richard Frank
United States, Washington, D.c.
Howard University
Goulart, Alessandra Carvalho
Brazil, Sao Paulo
Universidade de São Paulo
Grosso, Giuseppe
Italy, Catania
Azienda Ospedaliero Universitaria Policlinico G.rodolico - San Marco
Guessous, Idris
Switzerland, Geneva
Hôpitaux Universitaires de Genève
Switzerland, Lausanne
Université de Lausanne Unil
Hamidi, Samer A.
United Arab Emirates, Dubai
Hamdan Bin Mohammed Smart University
Hankey, Graeme J.
Australia, Perth
The University of Western Australia
Australia, Perth
Sir Charles Gairdner Hospital
Harikrishnan, Sivadasanpillai
India, Thiruvananthapuram
Sree Chitra Tirunal Institute for Medical Sciences and Technology
Hassen, H. Y.
Ethiopia, Mizan Teferi
Mizan-tepi University
Belgium, Edegem
Universitair Ziekenhuis Antwerpen
Hay, Simon I.
United States, Seattle
University of Washington
Hoang, Chi Linh
Viet Nam, Ho Chi Minh City
Dại Học Nguyen Tat Thanh
Horino, Masako
United States, Carson City
Nevada Division of Public and Behavioral Health
Ikeda, Nayu
Japan, Ibaraki
National Institutes of Biomedical Innovation, Health and Nutrition
Islami, Farhad
United States, Kennesaw
American Cancer Society
Jackson, Maria Delores
Jamaica, Kingston
The University of the West Indies
James, Spencer Lewis
United States, Seattle
University of Washington
Johansson, Lars R.K.
Unknown Affiliation
Jonas, Jost Bruno
Germany, Heidelberg
Universität Heidelberg
China, Beijing
Beijing Institute of Ophthalmology
Kasaeian, Amir
Iran, Tehran
Tehran University of Medical Sciences
Khader, Yousef Saleh
Jordan, Irbid
Jordan University of Science and Technology
Khang, Young-ho
United States, Seattle
University of Washington
Kimokoti, Ruth W.
United States, Boston
Simmons University
Kokubo, Yoshihiro
Japan, Suita
National Cerebral and Cardiovascular Center
Kumar, G. Anil
India, New Delhi
Public Health Foundation of India
Lallukka, Tea
Finland, Helsinki
Työterveyslaitos
Finland, Helsinki
Helsingin Yliopisto
Lotufo, P. Andrade
Brazil, Sao Paulo
Universidade de São Paulo
Lozano, Rafael
United States, Seattle
University of Washington
Malekzadeh, Reza
Iran, Tehran
Tehran University of Medical Sciences
Iran, Shiraz
Shiraz University of Medical Sciences
Mar̈z, Winfried
Germany, Heidelberg
Universität Heidelberg
Austria, Graz
Medizinische Universität Graz
Meier, Toni
Germany, Halle
Martin-luther-universität Halle-wittenberg
Melaku, Yohannes A.
Ethiopia, Gondar
University of Gondar
Australia, Adelaide
The University of Adelaide
Mendoza, Walter
United States, New York
United Nations Population Fund
Mensink, Gert B.M.
Germany, Berlin
Robert Koch Institute
Micha, Renata
United States, Medford
Tufts University
Miller, Ted R.
United States, Beltsville
Pacific Institute for Research and Evaluation
Australia, Perth
Curtin University
Mirarefin, Mojde
United States, Carson City
Nevada Division of Public and Behavioral Health
Mohan, Viswanathan Krishna
India, Chennai
Madras Diabetes Research Foundation
Mokdad, Ali H.I.
United States, Seattle
University of Washington
Mozaffarian, Dariush
United States, Medford
Tufts University
Nagel, Gabriële C.
Germany, Ulm
Universität Ulm
Naghavi, Mohsen
United States, Seattle
University of Washington
Nguyen, Cuong Tat
Viet Nam, Da Nang
Duy Tan University
Nixon, Molly R.
United States, Seattle
University of Washington
Ong, Kanyin Liane
United States, Seattle
University of Washington
Pereira, David M.
Portugal, Porto
Laqv-requimte
Colombia, Cartagena
Universidad de Cartagena
Poustchi, Hossein
Iran, Tehran
Tehran University of Medical Sciences
Qorbani, Mostafa
Iran, Karaj
Alborz University of Medical Sciences
Rai, Rajesh Kumar
India, Suri
Society for Health and Demographic Surveillance
Germany, Gottingen
Georg-august-universität Göttingen
Rehm, Colin D.
United States, New York
Montefiore Medical Center
Rivera-Dommarco, Juan Ángel
Mexico, Cuernavaca
Instituto Nacional de Salud Publica
Roshandel, Gholamreza H.
Iran, Tehran
Tehran University of Medical Sciences
Iran, Gorgan
Golestan University of Medical Sciences
Roth, Gregory A.
United States, Seattle
University of Washington
Sanabria, Juan Ramon
United States, Huntingdon
Marshall University
United States, Cleveland
Case Western Reserve University
Sartorius, Benn
South Africa, Durban
University of Kwazulu-natal
Schutte, Aletta E.
South Africa, Potchefstroom
North-west University
South Africa, Tygerberg
South African Medical Research Council
Sepanlou, Sadaf G.
Iran, Tehran
Tehran University of Medical Sciences
Iran, Shiraz
Shiraz University of Medical Sciences
Sorensen, Reed J.D.
United States, Seattle
University of Washington
Springmann, Marco
United Kingdom, Oxford
University of Oxford
Szponar, Lucjan
Unknown Affiliation
Thorne-Lyman, Andrew Lucian
United States, Cambridge
Harvard University
United States, Baltimore
Johns Hopkins University
Thrift, Amanda G.
Australia, Clayton
Monash University
Touvier, Mathilde
France, Paris
National Institute of Health and Medical Research
Tran, Bach Xuan
Viet Nam, Hanoi
Hanoi Medical University
Tyrovolas, Stefanos
Spain, Madrid
Instituto de Salud Carlos Iii
Ukwaja, Kingsley Nnanna
Nigeria, Abakaliki
Federal Teaching Hospital
Ullah, Irfan
Pakistan, Dera Ismail Khan
Gomal University
Uthman, Olalekan A.
United Kingdom, Coventry
University of Warwick
Vasankari, Tommi Juhani
Finland, Tampere
Ukk Institute Finland
Vollset, Stein Emil
United States, Seattle
University of Washington
Vos, Theo
United States, Seattle
University of Washington
Vu, Giang T.
Viet Nam, Ho Chi Minh City
Dại Học Nguyen Tat Thanh
Weiderpass, Elisabete
Sweden, Stockholm
Karolinska Institutet
Norway, Oslo
Cancer Registry of Norway
Werdecker, Andrea
Germany, Wiesbaden
Federal Institute for Population Research
Wijeratne, Tissa
Australia, Melbourne
University of Melbourne
Australia, Melbourne
La Trobe University
Willett, Walter Churchill
United States, Cambridge
Harvard University
United States, Boston
Channing Division of Network Medicine
Wu, Jason HY
Australia, Sydney
George Institute for Global Health
Yonemoto, Naohiro
Japan, Kodaira
National Center of Neurology and Psychiatry
Yu, Chuanhua
China, Wuhan
Wuhan University
Murray, Christopher J.L.
United States, Seattle
University of Washington
Statistics
Citations: 2,814
Authors: 120
Affiliations: 98
Identifiers
Doi:
10.1016/S0140-6736(19)30041-8
ISSN:
01406736
Research Areas
Disability
Health System And Policy
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Approach
Systematic review