Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

Detalhes bibliográficos
Autor(a) principal: Afshin, Ashkan
Data de Publicação: 2019
Outros Autores: Sur, Patrick John, Fay, Kairsten A., Cornaby, Leslie, Ferrara, Giannina, Salama, Joseph S., Mullany, Erin C., Abate, Kalkidan Hassen, Abbafati, Cristiana, Abebe, Zegeye, Afarideh, Mohsen, Goulart, Alessandra C., Farvid, Maryam S., Farzadfar, Farshad, Feigin, Valery L., Fernandes, João C., Ganji, Morsaleh, Flor, Luisa Sorio, Geleijnse, Johanna M., Yu, Chuanhua, Grosso, Giuseppe, Kimokoti, Ruth W., Guessous, Idris, Hamidi, Samer, Hankey, Graeme J., Harikrishnan, Sivadasanpillai, Lotufo, Paulo A., Hassen, Hamid Yimam, Hay, Simon I., Hoang, Chi Linh, Malekzadeh, Reza, Horino, Masako, Kokubo, Yoshihiro, Islami, Farhad, Jackson, Maria D., James, Spencer L., Johansson, Lars, Jonas, Jost B., Lozano, Rafael, Kasaeian, Amir, Khader, Yousef Saleh, Khalil, Ibrahim A., Khang, Young-Ho, Kumar, G. Anil, Marz, Winfried, Lallukka, Tea, Lopez, Alan D., Yonemoto, Naohiro, Lorkowski, Stefan, Meier, Toni, Melaku, Yohannes A., Mendoza, Walter, Rivera, Juan A., Mensink, Gert B. M., Micha, Renata, Mirarefin, Mojde, Mohan, Viswanathan, Schutte, Aletta Elisabeth, Mokdad, Ali H., Sartorius, Benn, Mozaffarian, Dariush, Nagel, Gabriele, Naghavi, Mohsen, Rodriguez-Ramirez, Sonia, Cuong Tat Nguyen, Nixon, Molly R., Ong, Kanyin L., Pereira, David M., Poustchi, Hossein, Sepanlou, Sadaf G., Qorbani, Mostafa, Rai, Rajesh Kumar, Schmidhuber, Josef, Razo-Garcia, Christian, Roshandel, Gholamreza, Rehm, Colin D., Roth, Gregory A., Sanabria, Juan, Shin, Min-Jeong, Sanchez-Pimienta, Tania G., Sorensen, Reed J. D., Springmann, Marco, Szponar, Lucjan, Willett, Walter C., Thorne-Lyman, Andrew L., Thrift, Amanda G., Aggarwal, Anju, Touvier, Mathilde, Bacha, Umar, Tran, Bach Xuan, Tyrovolas, Stefanos, Ukwaja, Kingsley Nnanna, Ullah, Irfan, Uthman, Olalekan A., Wu, Jason H., Vaezghasemi, Masoud, Vasankari, Tommi Juhani, Vollset, Stein Emil, Vos, Theo, Agrawal, Sutapa, Bachman, Victoria F., Vu, Giang Thu, Vu, Linh Gia, Weiderpass, Elisabete, Werdecker, Andrea, Xu, Gelin, Wijeratne, Tissa, Akinyemiju, Tomi, Alahdab, Fares, Badali, Hamid, Murray, Christopher J. L., Badawi, Alaa, Bensenor, Isabela M., Bernabe, Eduardo, Foigt, Nataliya A., Biryukov, Stan H., Biadgilign, Sibhatu Kassa K., Cahill, Leah E., Carrero, Juan J., Gillum, Richard F., Cercy, Kelly M., Dandona, Lalit, Dandona, Rakhi, Dang, Anh Kim, Degefa, Meaza Girma, Forouzanfar, Mohammad H., Zaki, Maysaa El Sayed, Esteghamati, Alireza, Esteghamati, Sadaf, Fanzo, Jessica, Farinha, Carla Sofia E. Sá
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.14/28376
Resumo: 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 diseasespecific 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.
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spelling Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017Background 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 diseasespecific 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.ElsevierVeritati - Repositório Institucional da Universidade Católica PortuguesaAfshin, AshkanSur, Patrick JohnFay, Kairsten A.Cornaby, LeslieFerrara, GianninaSalama, Joseph S.Mullany, Erin C.Abate, Kalkidan HassenAbbafati, CristianaAbebe, ZegeyeAfarideh, MohsenGoulart, Alessandra C.Farvid, Maryam S.Farzadfar, FarshadFeigin, Valery L.Fernandes, João C.Ganji, MorsalehFlor, Luisa SorioGeleijnse, Johanna M.Yu, ChuanhuaGrosso, GiuseppeKimokoti, Ruth W.Guessous, IdrisHamidi, SamerHankey, Graeme J.Harikrishnan, SivadasanpillaiLotufo, Paulo A.Hassen, Hamid YimamHay, Simon I.Hoang, Chi LinhMalekzadeh, RezaHorino, MasakoKokubo, YoshihiroIslami, FarhadJackson, Maria D.James, Spencer L.Johansson, LarsJonas, Jost B.Lozano, RafaelKasaeian, AmirKhader, Yousef SalehKhalil, Ibrahim A.Khang, Young-HoKumar, G. AnilMarz, WinfriedLallukka, TeaLopez, Alan D.Yonemoto, NaohiroLorkowski, StefanMeier, ToniMelaku, Yohannes A.Mendoza, WalterRivera, Juan A.Mensink, Gert B. M.Micha, RenataMirarefin, MojdeMohan, ViswanathanSchutte, Aletta ElisabethMokdad, Ali H.Sartorius, BennMozaffarian, DariushNagel, GabrieleNaghavi, MohsenRodriguez-Ramirez, SoniaCuong Tat NguyenNixon, Molly R.Ong, Kanyin L.Pereira, David M.Poustchi, HosseinSepanlou, Sadaf G.Qorbani, MostafaRai, Rajesh KumarSchmidhuber, JosefRazo-Garcia, ChristianRoshandel, GholamrezaRehm, Colin D.Roth, Gregory A.Sanabria, JuanShin, Min-JeongSanchez-Pimienta, Tania G.Sorensen, Reed J. D.Springmann, MarcoSzponar, LucjanWillett, Walter C.Thorne-Lyman, Andrew L.Thrift, Amanda G.Aggarwal, AnjuTouvier, MathildeBacha, UmarTran, Bach XuanTyrovolas, StefanosUkwaja, Kingsley NnannaUllah, IrfanUthman, Olalekan A.Wu, Jason H.Vaezghasemi, MasoudVasankari, Tommi JuhaniVollset, Stein EmilVos, TheoAgrawal, SutapaBachman, Victoria F.Vu, Giang ThuVu, Linh GiaWeiderpass, ElisabeteWerdecker, AndreaXu, GelinWijeratne, TissaAkinyemiju, TomiAlahdab, FaresBadali, HamidMurray, Christopher J. L.Badawi, AlaaBensenor, Isabela M.Bernabe, EduardoFoigt, Nataliya A.Biryukov, Stan H.Biadgilign, Sibhatu Kassa K.Cahill, Leah E.Carrero, Juan J.Gillum, Richard F.Cercy, Kelly M.Dandona, LalitDandona, RakhiDang, Anh KimDegefa, Meaza GirmaForouzanfar, Mohammad H.Zaki, Maysaa El SayedEsteghamati, AlirezaEsteghamati, SadafFanzo, JessicaFarinha, Carla Sofia E. Sá2019-10-16T10:22:04Z20192019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.14/28376engAfshin, A., Sur, P. J., Fay, K. A., Cornaby, L., Ferrara, G., Salama, J. S., … Murray, C. J. L. (2019). Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 393(10184), 1958–1972. https://doi.org/10.1016/s0140-6736(19)30041-80140-673610.1016/S0140-6736(19)30041-81474-547X85065230885PMC689950730954305000467698100031info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-09-06T12:26:25Zoai:repositorio.ucp.pt:10400.14/28376Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-09-06T12:26:25Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
title Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
spellingShingle Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
Afshin, Ashkan
title_short Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
title_full Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
title_fullStr Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
title_full_unstemmed Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
title_sort Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
author Afshin, Ashkan
author_facet Afshin, Ashkan
Sur, Patrick John
Fay, Kairsten A.
Cornaby, Leslie
Ferrara, Giannina
Salama, Joseph S.
Mullany, Erin C.
Abate, Kalkidan Hassen
Abbafati, Cristiana
Abebe, Zegeye
Afarideh, Mohsen
Goulart, Alessandra C.
Farvid, Maryam S.
Farzadfar, Farshad
Feigin, Valery L.
Fernandes, João C.
Ganji, Morsaleh
Flor, Luisa Sorio
Geleijnse, Johanna M.
Yu, Chuanhua
Grosso, Giuseppe
Kimokoti, Ruth W.
Guessous, Idris
Hamidi, Samer
Hankey, Graeme J.
Harikrishnan, Sivadasanpillai
Lotufo, Paulo A.
Hassen, Hamid Yimam
Hay, Simon I.
Hoang, Chi Linh
Malekzadeh, Reza
Horino, Masako
Kokubo, Yoshihiro
Islami, Farhad
Jackson, Maria D.
James, Spencer L.
Johansson, Lars
Jonas, Jost B.
Lozano, Rafael
Kasaeian, Amir
Khader, Yousef Saleh
Khalil, Ibrahim A.
Khang, Young-Ho
Kumar, G. Anil
Marz, Winfried
Lallukka, Tea
Lopez, Alan D.
Yonemoto, Naohiro
Lorkowski, Stefan
Meier, Toni
Melaku, Yohannes A.
Mendoza, Walter
Rivera, Juan A.
Mensink, Gert B. M.
Micha, Renata
Mirarefin, Mojde
Mohan, Viswanathan
Schutte, Aletta Elisabeth
Mokdad, Ali H.
Sartorius, Benn
Mozaffarian, Dariush
Nagel, Gabriele
Naghavi, Mohsen
Rodriguez-Ramirez, Sonia
Cuong Tat Nguyen
Nixon, Molly R.
Ong, Kanyin L.
Pereira, David M.
Poustchi, Hossein
Sepanlou, Sadaf G.
Qorbani, Mostafa
Rai, Rajesh Kumar
Schmidhuber, Josef
Razo-Garcia, Christian
Roshandel, Gholamreza
Rehm, Colin D.
Roth, Gregory A.
Sanabria, Juan
Shin, Min-Jeong
Sanchez-Pimienta, Tania G.
Sorensen, Reed J. D.
Springmann, Marco
Szponar, Lucjan
Willett, Walter C.
Thorne-Lyman, Andrew L.
Thrift, Amanda G.
Aggarwal, Anju
Touvier, Mathilde
Bacha, Umar
Tran, Bach Xuan
Tyrovolas, Stefanos
Ukwaja, Kingsley Nnanna
Ullah, Irfan
Uthman, Olalekan A.
Wu, Jason H.
Vaezghasemi, Masoud
Vasankari, Tommi Juhani
Vollset, Stein Emil
Vos, Theo
Agrawal, Sutapa
Bachman, Victoria F.
Vu, Giang Thu
Vu, Linh Gia
Weiderpass, Elisabete
Werdecker, Andrea
Xu, Gelin
Wijeratne, Tissa
Akinyemiju, Tomi
Alahdab, Fares
Badali, Hamid
Murray, Christopher J. L.
Badawi, Alaa
Bensenor, Isabela M.
Bernabe, Eduardo
Foigt, Nataliya A.
Biryukov, Stan H.
Biadgilign, Sibhatu Kassa K.
Cahill, Leah E.
Carrero, Juan J.
Gillum, Richard F.
Cercy, Kelly M.
Dandona, Lalit
Dandona, Rakhi
Dang, Anh Kim
Degefa, Meaza Girma
Forouzanfar, Mohammad H.
Zaki, Maysaa El Sayed
Esteghamati, Alireza
Esteghamati, Sadaf
Fanzo, Jessica
Farinha, Carla Sofia E. Sá
author_role author
author2 Sur, Patrick John
Fay, Kairsten A.
Cornaby, Leslie
Ferrara, Giannina
Salama, Joseph S.
Mullany, Erin C.
Abate, Kalkidan Hassen
Abbafati, Cristiana
Abebe, Zegeye
Afarideh, Mohsen
Goulart, Alessandra C.
Farvid, Maryam S.
Farzadfar, Farshad
Feigin, Valery L.
Fernandes, João C.
Ganji, Morsaleh
Flor, Luisa Sorio
Geleijnse, Johanna M.
Yu, Chuanhua
Grosso, Giuseppe
Kimokoti, Ruth W.
Guessous, Idris
Hamidi, Samer
Hankey, Graeme J.
Harikrishnan, Sivadasanpillai
Lotufo, Paulo A.
Hassen, Hamid Yimam
Hay, Simon I.
Hoang, Chi Linh
Malekzadeh, Reza
Horino, Masako
Kokubo, Yoshihiro
Islami, Farhad
Jackson, Maria D.
James, Spencer L.
Johansson, Lars
Jonas, Jost B.
Lozano, Rafael
Kasaeian, Amir
Khader, Yousef Saleh
Khalil, Ibrahim A.
Khang, Young-Ho
Kumar, G. Anil
Marz, Winfried
Lallukka, Tea
Lopez, Alan D.
Yonemoto, Naohiro
Lorkowski, Stefan
Meier, Toni
Melaku, Yohannes A.
Mendoza, Walter
Rivera, Juan A.
Mensink, Gert B. M.
Micha, Renata
Mirarefin, Mojde
Mohan, Viswanathan
Schutte, Aletta Elisabeth
Mokdad, Ali H.
Sartorius, Benn
Mozaffarian, Dariush
Nagel, Gabriele
Naghavi, Mohsen
Rodriguez-Ramirez, Sonia
Cuong Tat Nguyen
Nixon, Molly R.
Ong, Kanyin L.
Pereira, David M.
Poustchi, Hossein
Sepanlou, Sadaf G.
Qorbani, Mostafa
Rai, Rajesh Kumar
Schmidhuber, Josef
Razo-Garcia, Christian
Roshandel, Gholamreza
Rehm, Colin D.
Roth, Gregory A.
Sanabria, Juan
Shin, Min-Jeong
Sanchez-Pimienta, Tania G.
Sorensen, Reed J. D.
Springmann, Marco
Szponar, Lucjan
Willett, Walter C.
Thorne-Lyman, Andrew L.
Thrift, Amanda G.
Aggarwal, Anju
Touvier, Mathilde
Bacha, Umar
Tran, Bach Xuan
Tyrovolas, Stefanos
Ukwaja, Kingsley Nnanna
Ullah, Irfan
Uthman, Olalekan A.
Wu, Jason H.
Vaezghasemi, Masoud
Vasankari, Tommi Juhani
Vollset, Stein Emil
Vos, Theo
Agrawal, Sutapa
Bachman, Victoria F.
Vu, Giang Thu
Vu, Linh Gia
Weiderpass, Elisabete
Werdecker, Andrea
Xu, Gelin
Wijeratne, Tissa
Akinyemiju, Tomi
Alahdab, Fares
Badali, Hamid
Murray, Christopher J. L.
Badawi, Alaa
Bensenor, Isabela M.
Bernabe, Eduardo
Foigt, Nataliya A.
Biryukov, Stan H.
Biadgilign, Sibhatu Kassa K.
Cahill, Leah E.
Carrero, Juan J.
Gillum, Richard F.
Cercy, Kelly M.
Dandona, Lalit
Dandona, Rakhi
Dang, Anh Kim
Degefa, Meaza Girma
Forouzanfar, Mohammad H.
Zaki, Maysaa El Sayed
Esteghamati, Alireza
Esteghamati, Sadaf
Fanzo, Jessica
Farinha, Carla Sofia E. Sá
author2_role author
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dc.contributor.none.fl_str_mv Veritati - Repositório Institucional da Universidade Católica Portuguesa
dc.contributor.author.fl_str_mv Afshin, Ashkan
Sur, Patrick John
Fay, Kairsten A.
Cornaby, Leslie
Ferrara, Giannina
Salama, Joseph S.
Mullany, Erin C.
Abate, Kalkidan Hassen
Abbafati, Cristiana
Abebe, Zegeye
Afarideh, Mohsen
Goulart, Alessandra C.
Farvid, Maryam S.
Farzadfar, Farshad
Feigin, Valery L.
Fernandes, João C.
Ganji, Morsaleh
Flor, Luisa Sorio
Geleijnse, Johanna M.
Yu, Chuanhua
Grosso, Giuseppe
Kimokoti, Ruth W.
Guessous, Idris
Hamidi, Samer
Hankey, Graeme J.
Harikrishnan, Sivadasanpillai
Lotufo, Paulo A.
Hassen, Hamid Yimam
Hay, Simon I.
Hoang, Chi Linh
Malekzadeh, Reza
Horino, Masako
Kokubo, Yoshihiro
Islami, Farhad
Jackson, Maria D.
James, Spencer L.
Johansson, Lars
Jonas, Jost B.
Lozano, Rafael
Kasaeian, Amir
Khader, Yousef Saleh
Khalil, Ibrahim A.
Khang, Young-Ho
Kumar, G. Anil
Marz, Winfried
Lallukka, Tea
Lopez, Alan D.
Yonemoto, Naohiro
Lorkowski, Stefan
Meier, Toni
Melaku, Yohannes A.
Mendoza, Walter
Rivera, Juan A.
Mensink, Gert B. M.
Micha, Renata
Mirarefin, Mojde
Mohan, Viswanathan
Schutte, Aletta Elisabeth
Mokdad, Ali H.
Sartorius, Benn
Mozaffarian, Dariush
Nagel, Gabriele
Naghavi, Mohsen
Rodriguez-Ramirez, Sonia
Cuong Tat Nguyen
Nixon, Molly R.
Ong, Kanyin L.
Pereira, David M.
Poustchi, Hossein
Sepanlou, Sadaf G.
Qorbani, Mostafa
Rai, Rajesh Kumar
Schmidhuber, Josef
Razo-Garcia, Christian
Roshandel, Gholamreza
Rehm, Colin D.
Roth, Gregory A.
Sanabria, Juan
Shin, Min-Jeong
Sanchez-Pimienta, Tania G.
Sorensen, Reed J. D.
Springmann, Marco
Szponar, Lucjan
Willett, Walter C.
Thorne-Lyman, Andrew L.
Thrift, Amanda G.
Aggarwal, Anju
Touvier, Mathilde
Bacha, Umar
Tran, Bach Xuan
Tyrovolas, Stefanos
Ukwaja, Kingsley Nnanna
Ullah, Irfan
Uthman, Olalekan A.
Wu, Jason H.
Vaezghasemi, Masoud
Vasankari, Tommi Juhani
Vollset, Stein Emil
Vos, Theo
Agrawal, Sutapa
Bachman, Victoria F.
Vu, Giang Thu
Vu, Linh Gia
Weiderpass, Elisabete
Werdecker, Andrea
Xu, Gelin
Wijeratne, Tissa
Akinyemiju, Tomi
Alahdab, Fares
Badali, Hamid
Murray, Christopher J. L.
Badawi, Alaa
Bensenor, Isabela M.
Bernabe, Eduardo
Foigt, Nataliya A.
Biryukov, Stan H.
Biadgilign, Sibhatu Kassa K.
Cahill, Leah E.
Carrero, Juan J.
Gillum, Richard F.
Cercy, Kelly M.
Dandona, Lalit
Dandona, Rakhi
Dang, Anh Kim
Degefa, Meaza Girma
Forouzanfar, Mohammad H.
Zaki, Maysaa El Sayed
Esteghamati, Alireza
Esteghamati, Sadaf
Fanzo, Jessica
Farinha, Carla Sofia E. Sá
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 diseasespecific 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.
publishDate 2019
dc.date.none.fl_str_mv 2019-10-16T10:22:04Z
2019
2019-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.14/28376
url http://hdl.handle.net/10400.14/28376
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Afshin, A., Sur, P. J., Fay, K. A., Cornaby, L., Ferrara, G., Salama, J. S., … Murray, C. J. L. (2019). Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 393(10184), 1958–1972. https://doi.org/10.1016/s0140-6736(19)30041-8
0140-6736
10.1016/S0140-6736(19)30041-8
1474-547X
85065230885
PMC6899507
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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