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

Simple item page
dc.contributor.authorMelaku, Yohannes Adama
dc.contributor.authorWassie, Molla Mesele
dc.contributor.authorGill, Tiffany
dc.contributor.authorZhou, Shao J
dc.contributor.authorTessema, Gizachew Assefa
dc.contributor.authorAmare, Azmeraw T
dc.contributor.authorLakew, Yihunie
dc.contributor.authorHiruye, Abiy
dc.contributor.authorBekele, Tesfaye Hailu
dc.contributor.authorWorku, Amare
dc.contributor.authorSeid, Oumer
dc.contributor.authorEndris, Kedir
dc.contributor.authorLemma, Ferew
dc.contributor.authorTesfay, Fisaha Haile
dc.contributor.authorYirsaw, Biruck Desalegn
dc.contributor.authorDeribe, Kebede
dc.contributor.authorAdams, Robert J
dc.contributor.authorShi, Zumin
dc.contributor.authorMisganaw, Awoke
dc.contributor.authorDeribew, Amare
dc.date.accessioned2018-06-25T03:16:57Z
dc.date.available2018-06-25T03:16:57Z
dc.date.issued2018-04-25
dc.date.updated2018-05-20T03:52:09Z
dc.description© The Author(s). 2018 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.description.abstractAbstract 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.en_US
dc.identifier.citationMelaku, Y. A., Wassie, M. M., Gill, T. K., Zhou, S. J., Tessema, G. A., Amare, A. T., … Deribew, A. (2018). 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, 18(1). https://doi.org/10.1186/s12889-018-5438-1
dc.identifier.doihttps://doi.org/10.1186/s12889-018-5438-1
dc.identifier.issn1471-2458
dc.identifier.urihttps://doi.org/10.1186/s12889-018-5438-1
dc.identifier.urihttp://hdl.handle.net/2328/38094
dc.language.isoenen
dc.oaire.license.condition.licenseCC-BY
dc.publisherBioMed Central
dc.rights© The Author(s). 2018
dc.rights.holderThe Author(s).
dc.subjectmalnutrition
dc.subjectsub-Saharan Africa
dc.subjectmetabolic risk factors
dc.subjectGlobal Burden of Disease Study
dc.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
dc.typeArticleen
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
12889_2018_Article_5438.pdf
Size:
1.24 MB
Format:
Adobe Portable Document Format
Description:
Published version
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.84 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Public Health - Collected Works
Flinders Open Access Research