The impact of dietary risk factors on the burden of non-communicable diseases in ethiopia: Findings from the global burden of disease study 2013

Yohannes Adama Melaku, Awoke Misganaw Temesgen, Amare Deribew, Gizachew Assefa Tessema, Kebede Deribe, Berhe W. Sahle, Semaw Ferede Abera, Tolesa Bekele, Ferew Lemma, Azmeraw T. Amare, Oumer Seid, Kedir Endris, Abiy Hiruye, Amare Worku, Robert Adams, Anne W. Taylor, Tiffany K. Gill, Zumin Shi, Ashkan Afshin, Mohammad H. Forouzanfar

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: The burden of non-communicable diseases (NCDs) has increased in sub-Saharan countries, including Ethiopia. The contribution of dietary behaviours to the NCD burden in Ethiopia has not been evaluated. This study, therefore, aimed to assess diet-related burden of disease in Ethiopia between 1990 and 2013. Method: We used the 2013 Global Burden of Disease (GBD) data to estimate deaths, years of life lost (YLLs) and disability-adjusted life years (DALYs) related to eight food types, five nutrients and fibre intake. Dietary exposure was estimated using a Bayesian hierarchical meta-regression. The effect size of each diet-disease pair was obtained based on meta-analyses of prospective observational studies and randomized controlled trials. A comparative risk assessment approach was used to quantify the proportion of NCD burden associated with dietary risk factors. Results: In 2013, dietary factors were responsible for 60,402 deaths (95% Uncertainty Interval [UI]: 44,943-74,898) in Ethiopia-almost a quarter (23.0%) of all NCD deaths. Nearly nine in every ten diet-related deaths (88.0%) were from cardiovascular diseases (CVD) and 44.0% of all CVD deaths were related to poor diet. Suboptimal diet accounted for 1,353,407 DALYs (95% UI: 1,010,433-1,672,828) and 1,291,703 YLLs (95% UI: 961,915-1,599,985). Low intake of fruits and vegetables and high intake of sodium were the most important dietary factors. The proportion of NCD deaths associated with low fruit consumption slightly increased (11.3% in 1990 and 11.9% in 2013). In these years, the rate of burden of disease related to poor diet slightly decreased; however, their contribution to NCDs remained stable. Conclusions: Dietary behaviour contributes significantly to the NCD burden in Ethiopia. Intakes of diet low in fruits and vegetables and high in sodium are the leading dietary risks. To effectively mitigate the oncoming NCD burden in Ethiopia, multisectoral interventions are required; and nutrition policies and dietary guidelines should be developed.

LanguageEnglish
Article number122
JournalInternational Journal of Behavioral Nutrition and Physical Activity
Volume13
Issue number1
DOIs
Publication statusPublished - 16 Dec 2016

Keywords

  • Burden of disease
  • Dietary risks
  • Ethiopia
  • Non-communicable diseases

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Nutrition and Dietetics

Cite this

Melaku, Yohannes Adama ; Temesgen, Awoke Misganaw ; Deribew, Amare ; Tessema, Gizachew Assefa ; Deribe, Kebede ; Sahle, Berhe W. ; Abera, Semaw Ferede ; Bekele, Tolesa ; Lemma, Ferew ; Amare, Azmeraw T. ; Seid, Oumer ; Endris, Kedir ; Hiruye, Abiy ; Worku, Amare ; Adams, Robert ; Taylor, Anne W. ; Gill, Tiffany K. ; Shi, Zumin ; Afshin, Ashkan ; Forouzanfar, Mohammad H. / The impact of dietary risk factors on the burden of non-communicable diseases in ethiopia : Findings from the global burden of disease study 2013. In: International Journal of Behavioral Nutrition and Physical Activity. 2016 ; Vol. 13, No. 1.
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abstract = "Background: The burden of non-communicable diseases (NCDs) has increased in sub-Saharan countries, including Ethiopia. The contribution of dietary behaviours to the NCD burden in Ethiopia has not been evaluated. This study, therefore, aimed to assess diet-related burden of disease in Ethiopia between 1990 and 2013. Method: We used the 2013 Global Burden of Disease (GBD) data to estimate deaths, years of life lost (YLLs) and disability-adjusted life years (DALYs) related to eight food types, five nutrients and fibre intake. Dietary exposure was estimated using a Bayesian hierarchical meta-regression. The effect size of each diet-disease pair was obtained based on meta-analyses of prospective observational studies and randomized controlled trials. A comparative risk assessment approach was used to quantify the proportion of NCD burden associated with dietary risk factors. Results: In 2013, dietary factors were responsible for 60,402 deaths (95{\%} Uncertainty Interval [UI]: 44,943-74,898) in Ethiopia-almost a quarter (23.0{\%}) of all NCD deaths. Nearly nine in every ten diet-related deaths (88.0{\%}) were from cardiovascular diseases (CVD) and 44.0{\%} of all CVD deaths were related to poor diet. Suboptimal diet accounted for 1,353,407 DALYs (95{\%} UI: 1,010,433-1,672,828) and 1,291,703 YLLs (95{\%} UI: 961,915-1,599,985). Low intake of fruits and vegetables and high intake of sodium were the most important dietary factors. The proportion of NCD deaths associated with low fruit consumption slightly increased (11.3{\%} in 1990 and 11.9{\%} in 2013). In these years, the rate of burden of disease related to poor diet slightly decreased; however, their contribution to NCDs remained stable. Conclusions: Dietary behaviour contributes significantly to the NCD burden in Ethiopia. Intakes of diet low in fruits and vegetables and high in sodium are the leading dietary risks. To effectively mitigate the oncoming NCD burden in Ethiopia, multisectoral interventions are required; and nutrition policies and dietary guidelines should be developed.",
keywords = "Burden of disease, Dietary risks, Ethiopia, Non-communicable diseases",
author = "Melaku, {Yohannes Adama} and Temesgen, {Awoke Misganaw} and Amare Deribew and Tessema, {Gizachew Assefa} and Kebede Deribe and Sahle, {Berhe W.} and Abera, {Semaw Ferede} and Tolesa Bekele and Ferew Lemma and Amare, {Azmeraw T.} and Oumer Seid and Kedir Endris and Abiy Hiruye and Amare Worku and Robert Adams and Taylor, {Anne W.} and Gill, {Tiffany K.} and Zumin Shi and Ashkan Afshin and Forouzanfar, {Mohammad H.}",
year = "2016",
month = "12",
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doi = "10.1186/s12966-016-0447-x",
language = "English",
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journal = "International Journal of Behavioral Nutrition and Physical Activity",
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Melaku, YA, Temesgen, AM, Deribew, A, Tessema, GA, Deribe, K, Sahle, BW, Abera, SF, Bekele, T, Lemma, F, Amare, AT, Seid, O, Endris, K, Hiruye, A, Worku, A, Adams, R, Taylor, AW, Gill, TK, Shi, Z, Afshin, A & Forouzanfar, MH 2016, 'The impact of dietary risk factors on the burden of non-communicable diseases in ethiopia: Findings from the global burden of disease study 2013', International Journal of Behavioral Nutrition and Physical Activity, vol. 13, no. 1, 122. https://doi.org/10.1186/s12966-016-0447-x

The impact of dietary risk factors on the burden of non-communicable diseases in ethiopia : Findings from the global burden of disease study 2013. / Melaku, Yohannes Adama; Temesgen, Awoke Misganaw; Deribew, Amare; Tessema, Gizachew Assefa; Deribe, Kebede; Sahle, Berhe W.; Abera, Semaw Ferede; Bekele, Tolesa; Lemma, Ferew; Amare, Azmeraw T.; Seid, Oumer; Endris, Kedir; Hiruye, Abiy; Worku, Amare; Adams, Robert; Taylor, Anne W.; Gill, Tiffany K.; Shi, Zumin; Afshin, Ashkan; Forouzanfar, Mohammad H.

In: International Journal of Behavioral Nutrition and Physical Activity, Vol. 13, No. 1, 122, 16.12.2016.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The impact of dietary risk factors on the burden of non-communicable diseases in ethiopia

T2 - International Journal of Behavioral Nutrition and Physical Activity

AU - Melaku, Yohannes Adama

AU - Temesgen, Awoke Misganaw

AU - Deribew, Amare

AU - Tessema, Gizachew Assefa

AU - Deribe, Kebede

AU - Sahle, Berhe W.

AU - Abera, Semaw Ferede

AU - Bekele, Tolesa

AU - Lemma, Ferew

AU - Amare, Azmeraw T.

AU - Seid, Oumer

AU - Endris, Kedir

AU - Hiruye, Abiy

AU - Worku, Amare

AU - Adams, Robert

AU - Taylor, Anne W.

AU - Gill, Tiffany K.

AU - Shi, Zumin

AU - Afshin, Ashkan

AU - Forouzanfar, Mohammad H.

PY - 2016/12/16

Y1 - 2016/12/16

N2 - Background: The burden of non-communicable diseases (NCDs) has increased in sub-Saharan countries, including Ethiopia. The contribution of dietary behaviours to the NCD burden in Ethiopia has not been evaluated. This study, therefore, aimed to assess diet-related burden of disease in Ethiopia between 1990 and 2013. Method: We used the 2013 Global Burden of Disease (GBD) data to estimate deaths, years of life lost (YLLs) and disability-adjusted life years (DALYs) related to eight food types, five nutrients and fibre intake. Dietary exposure was estimated using a Bayesian hierarchical meta-regression. The effect size of each diet-disease pair was obtained based on meta-analyses of prospective observational studies and randomized controlled trials. A comparative risk assessment approach was used to quantify the proportion of NCD burden associated with dietary risk factors. Results: In 2013, dietary factors were responsible for 60,402 deaths (95% Uncertainty Interval [UI]: 44,943-74,898) in Ethiopia-almost a quarter (23.0%) of all NCD deaths. Nearly nine in every ten diet-related deaths (88.0%) were from cardiovascular diseases (CVD) and 44.0% of all CVD deaths were related to poor diet. Suboptimal diet accounted for 1,353,407 DALYs (95% UI: 1,010,433-1,672,828) and 1,291,703 YLLs (95% UI: 961,915-1,599,985). Low intake of fruits and vegetables and high intake of sodium were the most important dietary factors. The proportion of NCD deaths associated with low fruit consumption slightly increased (11.3% in 1990 and 11.9% in 2013). In these years, the rate of burden of disease related to poor diet slightly decreased; however, their contribution to NCDs remained stable. Conclusions: Dietary behaviour contributes significantly to the NCD burden in Ethiopia. Intakes of diet low in fruits and vegetables and high in sodium are the leading dietary risks. To effectively mitigate the oncoming NCD burden in Ethiopia, multisectoral interventions are required; and nutrition policies and dietary guidelines should be developed.

AB - Background: The burden of non-communicable diseases (NCDs) has increased in sub-Saharan countries, including Ethiopia. The contribution of dietary behaviours to the NCD burden in Ethiopia has not been evaluated. This study, therefore, aimed to assess diet-related burden of disease in Ethiopia between 1990 and 2013. Method: We used the 2013 Global Burden of Disease (GBD) data to estimate deaths, years of life lost (YLLs) and disability-adjusted life years (DALYs) related to eight food types, five nutrients and fibre intake. Dietary exposure was estimated using a Bayesian hierarchical meta-regression. The effect size of each diet-disease pair was obtained based on meta-analyses of prospective observational studies and randomized controlled trials. A comparative risk assessment approach was used to quantify the proportion of NCD burden associated with dietary risk factors. Results: In 2013, dietary factors were responsible for 60,402 deaths (95% Uncertainty Interval [UI]: 44,943-74,898) in Ethiopia-almost a quarter (23.0%) of all NCD deaths. Nearly nine in every ten diet-related deaths (88.0%) were from cardiovascular diseases (CVD) and 44.0% of all CVD deaths were related to poor diet. Suboptimal diet accounted for 1,353,407 DALYs (95% UI: 1,010,433-1,672,828) and 1,291,703 YLLs (95% UI: 961,915-1,599,985). Low intake of fruits and vegetables and high intake of sodium were the most important dietary factors. The proportion of NCD deaths associated with low fruit consumption slightly increased (11.3% in 1990 and 11.9% in 2013). In these years, the rate of burden of disease related to poor diet slightly decreased; however, their contribution to NCDs remained stable. Conclusions: Dietary behaviour contributes significantly to the NCD burden in Ethiopia. Intakes of diet low in fruits and vegetables and high in sodium are the leading dietary risks. To effectively mitigate the oncoming NCD burden in Ethiopia, multisectoral interventions are required; and nutrition policies and dietary guidelines should be developed.

KW - Burden of disease

KW - Dietary risks

KW - Ethiopia

KW - Non-communicable diseases

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