Trends of mortality attributable to child and maternal undernutrition, overweight/obesity and dietary risk factors of non-communicable diseases in sub-Saharan Africa, 1990-2015 : findings from the Global Burden of Disease Study 2015
OBJECTIVE: To assess trends of mortality attributable to child and maternal undernutrition (CMU), overweight/obesity and dietary risks of non-communicable diseases (NCD) in sub-Saharan Africa (SSA) using data from the Global Burden of Disease (GBD) Study 2015.
DESIGN: For each risk factor, a systematic review of data was used to compute the exposure level and the effect size. A Bayesian hierarchical meta-regression analysis was used to estimate the exposure level of the risk factors by age, sex, geography and year. The burden of all-cause mortality attributable to CMU, fourteen dietary risk factors (eight diets, five nutrients and fibre intake) and overweight/obesity was estimated.
SETTING: Sub-Saharan Africa.ParticipantsAll age groups and both sexes.
RESULTS: In 2015, CMU, overweight/obesity and dietary risks of NCD accounted for 826204 (95 % uncertainty interval (UI) 737346, 923789), 266768 (95 % UI 189051, 353096) and 558578 (95 % UI 453433, 680197) deaths, respectively, representing 10·3 % (95 % UI 9·1, 11·6 %), 3·3 % (95 % UI 2·4, 4·4 %) and 7·0 % (95 % UI 5·8, 8·3 %) of all-cause mortality. While the age-standardized proportion of all-cause mortality accounted for by CMU decreased by 55·2 % between 1990 and 2015 in SSA, it increased by 63·3 and 17·2 % for overweight/obesity and dietary risks of NCD, respectively.
CONCLUSIONS: The increasing burden of diet- and obesity-related diseases and the reduction of mortality attributable to CMU indicate that SSA is undergoing a rapid nutritional transition. To tackle the impact in SSA, interventions and international development agendas should also target dietary risks associated with NCD and overweight/obesity.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:22 |
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| Enthalten in: |
Public health nutrition - 22(2019), 5 vom: 04. Apr., Seite 827-840 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Melaku, Yohannes Adama [VerfasserIn] |
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| Links: |
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| Themen: |
Child and maternal undernutrition |
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| Anmerkungen: |
Date Completed 01.05.2020 Date Revised 16.06.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1017/S1368980018002975 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM291401031 |
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| 100 | 1 | |a Melaku, Yohannes Adama |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Trends of mortality attributable to child and maternal undernutrition, overweight/obesity and dietary risk factors of non-communicable diseases in sub-Saharan Africa, 1990-2015 |b findings from the Global Burden of Disease Study 2015 |
| 264 | 1 | |c 2019 | |
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| 500 | |a Date Completed 01.05.2020 | ||
| 500 | |a Date Revised 16.06.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To assess trends of mortality attributable to child and maternal undernutrition (CMU), overweight/obesity and dietary risks of non-communicable diseases (NCD) in sub-Saharan Africa (SSA) using data from the Global Burden of Disease (GBD) Study 2015 | ||
| 520 | |a DESIGN: For each risk factor, a systematic review of data was used to compute the exposure level and the effect size. A Bayesian hierarchical meta-regression analysis was used to estimate the exposure level of the risk factors by age, sex, geography and year. The burden of all-cause mortality attributable to CMU, fourteen dietary risk factors (eight diets, five nutrients and fibre intake) and overweight/obesity was estimated | ||
| 520 | |a SETTING: Sub-Saharan Africa.ParticipantsAll age groups and both sexes | ||
| 520 | |a RESULTS: In 2015, CMU, overweight/obesity and dietary risks of NCD accounted for 826204 (95 % uncertainty interval (UI) 737346, 923789), 266768 (95 % UI 189051, 353096) and 558578 (95 % UI 453433, 680197) deaths, respectively, representing 10·3 % (95 % UI 9·1, 11·6 %), 3·3 % (95 % UI 2·4, 4·4 %) and 7·0 % (95 % UI 5·8, 8·3 %) of all-cause mortality. While the age-standardized proportion of all-cause mortality accounted for by CMU decreased by 55·2 % between 1990 and 2015 in SSA, it increased by 63·3 and 17·2 % for overweight/obesity and dietary risks of NCD, respectively | ||
| 520 | |a CONCLUSIONS: The increasing burden of diet- and obesity-related diseases and the reduction of mortality attributable to CMU indicate that SSA is undergoing a rapid nutritional transition. To tackle the impact in SSA, interventions and international development agendas should also target dietary risks associated with NCD and overweight/obesity | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Child and maternal undernutrition | |
| 650 | 4 | |a Dietary risks of non-communicable diseases | |
| 650 | 4 | |a Double burden of malnutrition | |
| 650 | 4 | |a Mortality | |
| 650 | 4 | |a Overweight and/or obesity | |
| 700 | 1 | |a Gill, Tiffany K |e verfasserin |4 aut | |
| 700 | 1 | |a Taylor, Anne W |e verfasserin |4 aut | |
| 700 | 1 | |a Appleton, Sarah L |e verfasserin |4 aut | |
| 700 | 1 | |a Gonzalez-Chica, David |e verfasserin |4 aut | |
| 700 | 1 | |a Adams, Robert |e verfasserin |4 aut | |
| 700 | 1 | |a Achoki, Tom |e verfasserin |4 aut | |
| 700 | 1 | |a Shi, Zumin |e verfasserin |4 aut | |
| 700 | 1 | |a Renzaho, Andre |e verfasserin |4 aut | |
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