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AuthorMelaku, Yohannes Adama
AuthorWassie, Molla Mesele
AuthorGill, Tiffany K
AuthorZhou, Shao Jia
AuthorTessema, Gizachew Assefa
AuthorAmare, Azmeraw T
AuthorLakew, Yihunie
AuthorHiruye, Abiy
AuthorBekele, Tesfaye Hailu
AuthorWorku, Amare
AuthorSeid, Oumer
AuthorEndris, Kedir
AuthorLemma, Ferew
AuthorTesfay, Fisaha Haile
AuthorYirsaw, Biruck Desalegn
AuthorDeribe, Kebede
AuthorAdams, Robert
AuthorShi, Zumin
AuthorMisganaw, Awoke
AuthorDeribew, Amare
Available date2018-04-29T08:41:23Z
Publication Date2018-04-01
Publication NameBMC Public Healthen_US
Identifierhttp://dx.doi.org/10.1186/s12889-018-5438-1
CitationMelaku et al. 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 2018. Vol. 18, Number 1.
URIhttp://hdl.handle.net/10576/6629
AbstractTwelve 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. 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. 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. 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.
SponsorThis particular study was not funded. GBD 2015 is funded by Bill & Melinda Gates Foundation. Kebede Deribe is funded by a Wellcome Trust Intermediate Fellowship in Public Health and Tropical Medicine (Grant Number 201900).
Languageen
PublisherBioMed Central
SubjectChild and maternal undernutrition
SubjectDietary risks
SubjectMetabolic risks
SubjectPhysical activity
SubjectGlobal Burden of Disease
SubjectEthiopia
TitleBurden 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.
TypeArticle
Volume Number18
dc.identifier.essn 1471-2458


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