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Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

2019Journal article Open access
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dc.contributor.authorAfshin, Ashkan
dc.contributor.authorSur, Patrick John
dc.contributor.authorFay, Kairsten A.
dc.contributor.authorCornaby, Leslie
dc.contributor.authorFerrara, Giannina
dc.contributor.authorSalama, Joseph S.
dc.contributor.authorMullany, Erin C.
dc.contributor.authorAbate, Kalkidan Hassen
dc.contributor.authorAbbafati, Cristiana
dc.contributor.authorAbebe, Zegeye
dc.contributor.authorAfarideh, Mohsen
dc.contributor.authorGoulart, Alessandra C.
dc.contributor.authorFarvid, Maryam S.
dc.contributor.authorFarzadfar, Farshad
dc.contributor.authorFeigin, Valery L.
dc.contributor.authorFernandes, João C.
dc.contributor.authorGanji, Morsaleh
dc.contributor.authorFlor, Luisa Sorio
dc.contributor.authorGeleijnse, Johanna M.
dc.contributor.authorYu, Chuanhua
dc.contributor.authorGrosso, Giuseppe
dc.contributor.authorKimokoti, Ruth W.
dc.contributor.authorGuessous, Idris
dc.contributor.authorHamidi, Samer
dc.contributor.authorHankey, Graeme J.
dc.contributor.authorHarikrishnan, Sivadasanpillai
dc.contributor.authorLotufo, Paulo A.
dc.contributor.authorHassen, Hamid Yimam
dc.contributor.authorHay, Simon I.
dc.contributor.authorHoang, Chi Linh
dc.contributor.authorMalekzadeh, Reza
dc.contributor.authorHorino, Masako
dc.contributor.authorKokubo, Yoshihiro
dc.contributor.authorIslami, Farhad
dc.contributor.authorJackson, Maria D.
dc.contributor.authorJames, Spencer L.
dc.contributor.authorJohansson, Lars
dc.contributor.authorJonas, Jost B.
dc.contributor.authorLozano, Rafael
dc.contributor.authorKasaeian, Amir
dc.contributor.authorKhader, Yousef Saleh
dc.contributor.authorKhalil, Ibrahim A.
dc.contributor.authorKhang, Young-Ho
dc.contributor.authorKumar, G. Anil
dc.contributor.authorMarz, Winfried
dc.contributor.authorLallukka, Tea
dc.contributor.authorLopez, Alan D.
dc.contributor.authorYonemoto, Naohiro
dc.contributor.authorLorkowski, Stefan
dc.contributor.authorMeier, Toni
dc.contributor.authorMelaku, Yohannes A.
dc.contributor.authorMendoza, Walter
dc.contributor.authorRivera, Juan A.
dc.contributor.authorMensink, Gert B. M.
dc.contributor.authorMicha, Renata
dc.contributor.authorMirarefin, Mojde
dc.contributor.authorMohan, Viswanathan
dc.contributor.authorSchutte, Aletta Elisabeth
dc.contributor.authorMokdad, Ali H.
dc.contributor.authorSartorius, Benn
dc.contributor.authorMozaffarian, Dariush
dc.contributor.authorNagel, Gabriele
dc.contributor.authorNaghavi, Mohsen
dc.contributor.authorRodriguez-Ramirez, Sonia
dc.contributor.authorCuong Tat Nguyen
dc.contributor.authorNixon, Molly R.
dc.contributor.authorOng, Kanyin L.
dc.contributor.authorPereira, David M.
dc.contributor.authorPoustchi, Hossein
dc.contributor.authorSepanlou, Sadaf G.
dc.contributor.authorQorbani, Mostafa
dc.contributor.authorRai, Rajesh Kumar
dc.contributor.authorSchmidhuber, Josef
dc.contributor.authorRazo-Garcia, Christian
dc.contributor.authorRoshandel, Gholamreza
dc.contributor.authorRehm, Colin D.
dc.contributor.authorRoth, Gregory A.
dc.contributor.authorSanabria, Juan
dc.contributor.authorShin, Min-Jeong
dc.contributor.authorSanchez-Pimienta, Tania G.
dc.contributor.authorSorensen, Reed J. D.
dc.contributor.authorSpringmann, Marco
dc.contributor.authorSzponar, Lucjan
dc.contributor.authorWillett, Walter C.
dc.contributor.authorThorne-Lyman, Andrew L.
dc.contributor.authorThrift, Amanda G.
dc.contributor.authorAggarwal, Anju
dc.contributor.authorTouvier, Mathilde
dc.contributor.authorBacha, Umar
dc.contributor.authorTran, Bach Xuan
dc.contributor.authorTyrovolas, Stefanos
dc.contributor.authorUkwaja, Kingsley Nnanna
dc.contributor.authorUllah, Irfan
dc.contributor.authorUthman, Olalekan A.
dc.contributor.authorWu, Jason H.
dc.contributor.authorVaezghasemi, Masoud
dc.contributor.authorVasankari, Tommi Juhani
dc.contributor.authorVollset, Stein Emil
dc.contributor.authorVos, Theo
dc.contributor.authorAgrawal, Sutapa
dc.contributor.authorBachman, Victoria F.
dc.contributor.authorVu, Giang Thu
dc.contributor.authorVu, Linh Gia
dc.contributor.authorWeiderpass, Elisabete
dc.contributor.authorWerdecker, Andrea
dc.contributor.authorXu, Gelin
dc.contributor.authorWijeratne, Tissa
dc.contributor.authorAkinyemiju, Tomi
dc.contributor.authorAlahdab, Fares
dc.contributor.authorBadali, Hamid
dc.contributor.authorMurray, Christopher J. L.
dc.contributor.authorBadawi, Alaa
dc.contributor.authorBensenor, Isabela M.
dc.contributor.authorBernabe, Eduardo
dc.contributor.authorFoigt, Nataliya A.
dc.contributor.authorBiryukov, Stan H.
dc.contributor.authorBiadgilign, Sibhatu Kassa K.
dc.contributor.authorCahill, Leah E.
dc.contributor.authorCarrero, Juan J.
dc.contributor.authorGillum, Richard F.
dc.contributor.authorCercy, Kelly M.
dc.contributor.authorDandona, Lalit
dc.contributor.authorDandona, Rakhi
dc.contributor.authorDang, Anh Kim
dc.contributor.authorDegefa, Meaza Girma
dc.contributor.authorForouzanfar, Mohammad H.
dc.contributor.authorZaki, Maysaa El Sayed
dc.contributor.authorEsteghamati, Alireza
dc.contributor.authorEsteghamati, Sadaf
dc.contributor.authorFanzo, Jessica
dc.contributor.authorFarinha, Carla Sofia E. Sá
dc.date.accessioned2019-10-16T10:22:04Z
dc.date.available2019-10-16T10:22:04Z
dc.date.issued2019
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 diseasespecific 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, 11 million (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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAfshin, A., Sur, P. J., Fay, K. A., Cornaby, L., Ferrara, G., Salama, J. S., … Murray, C. J. L. (2019). Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 393(10184), 1958–1972. https://doi.org/10.1016/s0140-6736(19)30041-8pt_PT
dc.identifier.doi10.1016/S0140-6736(19)30041-8pt_PT
dc.identifier.eid85065230885
dc.identifier.eissn1474-547X
dc.identifier.issn0140-6736
dc.identifier.pmcPMC6899507
dc.identifier.pmid30954305
dc.identifier.urihttp://hdl.handle.net/10400.14/28376
dc.identifier.wos000467698100031
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.titleHealth effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1972
oaire.citation.issue10184
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oaire.citation.titleLancetpt_PT
oaire.citation.volume393
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