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.

Autor: Melaku YA; Department of Human Nutrition, Institute of Public Health, The University of Gondar, Gondar, Ethiopia. adamayohannes@gmail.com.; Adelaide Medical School, The University of Adelaide, Adelaide, Australia. adamayohannes@gmail.com., Wassie MM; Department of Human Nutrition, Institute of Public Health, The University of Gondar, Gondar, Ethiopia.; School of Agriculture, Food and Wine, Faculty of Sciences, University of Adelaide, Adelaide, Australia., Gill TK; Adelaide Medical School, The University of Adelaide, Adelaide, Australia., Zhou SJ; School of Agriculture, Food and Wine, Faculty of Sciences, University of Adelaide, Adelaide, Australia., Tessema GA; Department of Reproductive Health, Institute of Public Health, University of Gondar, Gondar, Ethiopia.; School of Public Health, The University of Adelaide, Adelaide, Australia., Amare AT; Discipline of Psychiatry, School of Medicine, The University of Adelaide, Adelaide, Australia.; School of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.; Department of Epidemiology, University Medical Center Groningen, the University of Groningen, Groningen, The Netherlands., Lakew Y; Ethiopian Public Health Association, Addis Ababa, Ethiopia., Hiruye A; Federal Ministry of Health, Addis Ababa, Ethiopia., Bekele TH; Food Science and Nutrition Research Directorate, Ethiopian Public Health Institue, Addis Ababa, Ethiopia., Worku A; Department of Public Health Sciences, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia., Seid O; Department of Nutrition and Dietetics, School of Public Health, Mekelle University, Mekelle, Ethiopia., Endris K; Department of Nutrition and Dietetics, School of Public Health, Mekelle University, Mekelle, Ethiopia., Lemma F; Federal Ministry of Health, Addis Ababa, Ethiopia., Tesfay FH; Department of Epidemiology and Biostatics, School of Public Health, Mekelle University, Mekelle, Ethiopia.; Flinders University, Southgate Institute for Health, Society and Equity, Adelaide, Australia., Yirsaw BD; The University of South Australia, Adelaide, SA, Australia., Deribe K; Wellcome Trust Brighton and Sussex Centre for Global Health Research, Brighton and Sussex Medical School, Brighton, BN1 9PX, UK.; School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia., Adams R; Health Observatory, Discipline of Medicine, The Queen Elizabeth Hospital, The University of Adelaide, Adelaide, Australia., Shi Z; Adelaide Medical School, The University of Adelaide, Adelaide, Australia.; Human Nutrition Department, College of Health Sciences, Qatar University, Doha, Qatar., Misganaw A; Institute of Health Metrics and Evaluation, University of Washington, Seattle, USA., Deribew A; Nutrition International, Addis Ababa, Ethiopia.; St. Paul Millennium Medical College, Addis Ababa, Ethiopia.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2018 Apr 25; Vol. 18 (1), pp. 552. Date of Electronic Publication: 2018 Apr 25.
DOI: 10.1186/s12889-018-5438-1
Abstrakt: 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.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje