Burden of disease attributable to suboptimal diet, metabolic risks and low physical activity in Ethiopia and comparison with Eastern sub-Saharan African countries, 1990–2015: findings from the Global Burden of Disease Study 2015
Abstract Background Twelve of the 17 Sustainable Development Goals (SDGs) are related to malnutrition (both under- and overnutrition), other behavioral, and metabolic risk factors. However, comparative evidence on the impact of behavioral and metabolic risk factors on disease burden is limited in su...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-04-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-018-5438-1 |
| _version_ | 1811279728658612224 |
|---|---|
| author | Yohannes Adama Melaku Molla Mesele Wassie Tiffany K. Gill Shao Jia Zhou Gizachew Assefa Tessema Azmeraw T. Amare Yihunie Lakew Abiy Hiruye Tesfaye Hailu Bekele Amare Worku Oumer Seid Kedir Endris Ferew Lemma Fisaha Haile Tesfay Biruck Desalegn Yirsaw Kebede Deribe Robert Adams Zumin Shi Awoke Misganaw Amare Deribew |
| author_facet | Yohannes Adama Melaku Molla Mesele Wassie Tiffany K. Gill Shao Jia Zhou Gizachew Assefa Tessema Azmeraw T. Amare Yihunie Lakew Abiy Hiruye Tesfaye Hailu Bekele Amare Worku Oumer Seid Kedir Endris Ferew Lemma Fisaha Haile Tesfay Biruck Desalegn Yirsaw Kebede Deribe Robert Adams Zumin Shi Awoke Misganaw Amare Deribew |
| author_sort | Yohannes Adama Melaku |
| collection | DOAJ |
| description | Abstract Background Twelve of the 17 Sustainable Development Goals (SDGs) are related to malnutrition (both under- and overnutrition), other behavioral, and metabolic risk factors. However, comparative evidence on the impact of behavioral and metabolic risk factors on disease burden is limited in sub-Saharan Africa (SSA), including Ethiopia. Using data from the Global Burden of Disease (GBD) Study, we assessed mortality and disability-adjusted life years (DALYs) attributable to child and maternal undernutrition (CMU), dietary risks, metabolic risks and low physical activity for Ethiopia. The results were compared with 14 other Eastern SSA countries. Methods Databases from GBD 2015, that consist of data from 1990 to 2015, were used. A comparative risk assessment approach was utilized to estimate the burden of disease attributable to CMU, dietary risks, metabolic risks and low physical activity. Exposure levels of the risk factors were estimated using spatiotemporal Gaussian process regression (ST-GPR) and Bayesian meta-regression models. Results In 2015, there were 58,783 [95% uncertainty interval (UI): 43,653–76,020] or 8.9% [95% UI: 6.1–12.5] estimated all-cause deaths attributable to CMU, 66,269 [95% UI: 39,367–106,512] or 9.7% [95% UI: 7.4–12.3] to dietary risks, 105,057 [95% UI: 66,167–157,071] or 15.4% [95% UI: 12.8–17.6] to metabolic risks and 5808 [95% UI: 3449–9359] or 0.9% [95% UI: 0.6–1.1] to low physical activity in Ethiopia. While the age-adjusted proportion of all-cause mortality attributable to CMU decreased significantly between 1990 and 2015, it increased from 10.8% [95% UI: 8.8–13.3] to 14.5% [95% UI: 11.7–18.0] for dietary risks and from 17.0% [95% UI: 15.4–18.7] to 24.2% [95% UI: 22.2–26.1] for metabolic risks. In 2015, Ethiopia ranked among the top four countries (of 15 Eastern SSA countries) in terms of mortality and DALYs based on the age-standardized proportion of disease attributable to dietary and metabolic risks. Conclusions In Ethiopia, while there was a decline in mortality and DALYs attributable to CMU over the last two and half decades, the burden attributable to dietary and metabolic risks have increased during the same period. Lifestyle and metabolic risks of NCDs require more attention by the primary health care system of the country. |
| first_indexed | 2024-04-13T01:00:50Z |
| format | Article |
| id | doaj.art-6aec4ba083a64699b3f8e36d31cbebd9 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-13T01:00:50Z |
| publishDate | 2018-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-6aec4ba083a64699b3f8e36d31cbebd92022-12-22T03:09:29ZengBMCBMC Public Health1471-24582018-04-0118112010.1186/s12889-018-5438-1Burden of disease attributable to suboptimal diet, metabolic risks and low physical activity in Ethiopia and comparison with Eastern sub-Saharan African countries, 1990–2015: findings from the Global Burden of Disease Study 2015Yohannes Adama Melaku0Molla Mesele Wassie1Tiffany K. Gill2Shao Jia Zhou3Gizachew Assefa Tessema4Azmeraw T. Amare5Yihunie Lakew6Abiy Hiruye7Tesfaye Hailu Bekele8Amare Worku9Oumer Seid10Kedir Endris11Ferew Lemma12Fisaha Haile Tesfay13Biruck Desalegn Yirsaw14Kebede Deribe15Robert Adams16Zumin Shi17Awoke Misganaw18Amare Deribew19Department of Human Nutrition, Institute of Public Health, The University of GondarDepartment of Human Nutrition, Institute of Public Health, The University of GondarAdelaide Medical School, The University of AdelaideSchool of Agriculture, Food and Wine, Faculty of Sciences, University of AdelaideDepartment of Reproductive Health, Institute of Public Health, University of GondarDiscipline of Psychiatry, School of Medicine, The University of AdelaideEthiopian Public Health AssociationFederal Ministry of HealthFood Science and Nutrition Research Directorate, Ethiopian Public Health InstitueDepartment of Public Health Sciences, Addis Continental Institute of Public HealthDepartment of Nutrition and Dietetics, School of Public Health, Mekelle UniversityDepartment of Nutrition and Dietetics, School of Public Health, Mekelle UniversityFederal Ministry of HealthDepartment of Epidemiology and Biostatics, School of Public Health, Mekelle UniversityThe University of South AustraliaWellcome Trust Brighton and Sussex Centre for Global Health Research, Brighton and Sussex Medical SchoolHealth Observatory, Discipline of Medicine, The Queen Elizabeth Hospital, The University of AdelaideAdelaide Medical School, The University of AdelaideInstitute of Health Metrics and Evaluation, University of WashingtonNutrition InternationalAbstract Background Twelve of the 17 Sustainable Development Goals (SDGs) are related to malnutrition (both under- and overnutrition), other behavioral, and metabolic risk factors. However, comparative evidence on the impact of behavioral and metabolic risk factors on disease burden is limited in sub-Saharan Africa (SSA), including Ethiopia. Using data from the Global Burden of Disease (GBD) Study, we assessed mortality and disability-adjusted life years (DALYs) attributable to child and maternal undernutrition (CMU), dietary risks, metabolic risks and low physical activity for Ethiopia. The results were compared with 14 other Eastern SSA countries. Methods Databases from GBD 2015, that consist of data from 1990 to 2015, were used. A comparative risk assessment approach was utilized to estimate the burden of disease attributable to CMU, dietary risks, metabolic risks and low physical activity. Exposure levels of the risk factors were estimated using spatiotemporal Gaussian process regression (ST-GPR) and Bayesian meta-regression models. Results In 2015, there were 58,783 [95% uncertainty interval (UI): 43,653–76,020] or 8.9% [95% UI: 6.1–12.5] estimated all-cause deaths attributable to CMU, 66,269 [95% UI: 39,367–106,512] or 9.7% [95% UI: 7.4–12.3] to dietary risks, 105,057 [95% UI: 66,167–157,071] or 15.4% [95% UI: 12.8–17.6] to metabolic risks and 5808 [95% UI: 3449–9359] or 0.9% [95% UI: 0.6–1.1] to low physical activity in Ethiopia. While the age-adjusted proportion of all-cause mortality attributable to CMU decreased significantly between 1990 and 2015, it increased from 10.8% [95% UI: 8.8–13.3] to 14.5% [95% UI: 11.7–18.0] for dietary risks and from 17.0% [95% UI: 15.4–18.7] to 24.2% [95% UI: 22.2–26.1] for metabolic risks. In 2015, Ethiopia ranked among the top four countries (of 15 Eastern SSA countries) in terms of mortality and DALYs based on the age-standardized proportion of disease attributable to dietary and metabolic risks. Conclusions In Ethiopia, while there was a decline in mortality and DALYs attributable to CMU over the last two and half decades, the burden attributable to dietary and metabolic risks have increased during the same period. Lifestyle and metabolic risks of NCDs require more attention by the primary health care system of the country.http://link.springer.com/article/10.1186/s12889-018-5438-1Child and maternal undernutritionDietary risksMetabolic risksPhysical activityGlobal Burden of DiseaseEthiopia |
| spellingShingle | Yohannes Adama Melaku Molla Mesele Wassie Tiffany K. Gill Shao Jia Zhou Gizachew Assefa Tessema Azmeraw T. Amare Yihunie Lakew Abiy Hiruye Tesfaye Hailu Bekele Amare Worku Oumer Seid Kedir Endris Ferew Lemma Fisaha Haile Tesfay Biruck Desalegn Yirsaw Kebede Deribe Robert Adams Zumin Shi Awoke Misganaw Amare Deribew Burden of disease attributable to suboptimal diet, metabolic risks and low physical activity in Ethiopia and comparison with Eastern sub-Saharan African countries, 1990–2015: findings from the Global Burden of Disease Study 2015 BMC Public Health Child and maternal undernutrition Dietary risks Metabolic risks Physical activity Global Burden of Disease Ethiopia |
| title | Burden of disease attributable to suboptimal diet, metabolic risks and low physical activity in Ethiopia and comparison with Eastern sub-Saharan African countries, 1990–2015: findings from the Global Burden of Disease Study 2015 |
| title_full | Burden of disease attributable to suboptimal diet, metabolic risks and low physical activity in Ethiopia and comparison with Eastern sub-Saharan African countries, 1990–2015: findings from the Global Burden of Disease Study 2015 |
| title_fullStr | Burden of disease attributable to suboptimal diet, metabolic risks and low physical activity in Ethiopia and comparison with Eastern sub-Saharan African countries, 1990–2015: findings from the Global Burden of Disease Study 2015 |
| title_full_unstemmed | Burden of disease attributable to suboptimal diet, metabolic risks and low physical activity in Ethiopia and comparison with Eastern sub-Saharan African countries, 1990–2015: findings from the Global Burden of Disease Study 2015 |
| title_short | Burden of disease attributable to suboptimal diet, metabolic risks and low physical activity in Ethiopia and comparison with Eastern sub-Saharan African countries, 1990–2015: findings from the Global Burden of Disease Study 2015 |
| title_sort | burden of disease attributable to suboptimal diet metabolic risks and low physical activity in ethiopia and comparison with eastern sub saharan african countries 1990 2015 findings from the global burden of disease study 2015 |
| topic | Child and maternal undernutrition Dietary risks Metabolic risks Physical activity Global Burden of Disease Ethiopia |
| url | http://link.springer.com/article/10.1186/s12889-018-5438-1 |
| work_keys_str_mv | AT yohannesadamamelaku burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT mollameselewassie burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT tiffanykgill burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT shaojiazhou burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT gizachewassefatessema burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT azmerawtamare burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT yihunielakew burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT abiyhiruye burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT tesfayehailubekele burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT amareworku burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT oumerseid burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT kedirendris burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT ferewlemma burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT fisahahailetesfay burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT biruckdesalegnyirsaw burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT kebedederibe burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT robertadams burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT zuminshi burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT awokemisganaw burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 AT amarederibew burdenofdiseaseattributabletosuboptimaldietmetabolicrisksandlowphysicalactivityinethiopiaandcomparisonwitheasternsubsaharanafricancountries19902015findingsfromtheglobalburdenofdiseasestudy2015 |