Health Effects of Dietary Risks in 195 Countries, 1990–2017: A Systematic Analysis for the Global Burden of Disease Study 2017

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aut.relation.journalThe Lanceten_NZ
aut.researcherFeigin, Valery
dc.contributor.authorFeigin, Ven_NZ
dc.contributor.authorGBD 2017 Diet Collaboratorsen_NZ
dc.date.accessioned2019-04-05T03:06:38Z
dc.date.available2019-04-05T03:06:38Z
dc.date.copyright2019en_NZ
dc.date.issued2019en_NZ
dc.description.abstractBackground 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, 11million (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.
dc.identifier.citationThe Lancet, 2019, ISSN 0140-6736, doi: 10.1016/S0140-6736(19)30041-8.
dc.identifier.doi10.1016/S0140-6736(19)30041-8en_NZ
dc.identifier.issn0140-6736en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/12420
dc.publisherElsevieren_NZ
dc.relation.isreplacedby10292/12518
dc.relation.isreplacedbyhttp://hdl.handle.net/10292/12518
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0140673619300418?via%3Dihub
dc.rights© 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.
dc.rights.accessrightsOpenAccessen_NZ
dc.titleHealth Effects of Dietary Risks in 195 Countries, 1990–2017: A Systematic Analysis for the Global Burden of Disease Study 2017en_NZ
dc.typeJournal Article
pubs.elements-id358093
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Public Health & Psych Studies
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
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