Evidence map›Paper›PMID 27978839›Full record

ArticleThe international journal of behavioral nutrition and physical activity2016

The impact of dietary risk factors on the burden of non-communicable diseases in Ethiopia: findings from the Global Burden of Disease study 2013.

Yohannes Adama Melaku, Awoke Misganaw Temesgen, Amare Deribew, Gizachew Assefa Tessema, Kebede Deribe, Berhe W Sahle, Semaw Ferede Abera, Tolesa Bekele, Ferew Lemma, Azmeraw T Amare and 10 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The international journal of behavioral nutrition and physical activity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03394963 (Scientific Foundations for Developing and Validating Food-based Dietary Guidelines and a Healthy Eating Index for Ethiopia), which is not on this map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
7.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03394963 completednot on this mapstarted 2019, after this paper: background citation

Scientific Foundations for Developing and Validating Food-based Dietary Guidelines and a Healthy Eating Index for Ethiopia

TypeobservationalSponsorEthiopian Public Health InstituteRan2019 to 2022Enrolled500ConditionsHealthyArmsFood-based dietary guidelines for healthier diet
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  7. A global prediction of cardiovascular disease from 2020 to 2030.Frontiers in cardiovascular medicine · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 12 institutions in 7 countries.

Yohannes Adama MelakuSchool of Public Health, Mekelle University, Mekelle, Ethiopia. adamayohannes@gmail.com.ORCID http://orcid.org/0000-0002-3051-7313
Awoke Misganaw TemesgenInstitute of Health Metrics and Evaluation, University of Washington, Seattle, USA.
Amare DeribewKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Gizachew Assefa TessemaDepartment of Reproductive Health, University of Gondar, Gondar, Ethiopia.
Kebede DeribeBrighton & Sussex Medical School, Brighton, UK.
Berhe W SahleSchool of Public Health, Mekelle University, Mekelle, Ethiopia.
Semaw Ferede AberaSchool of Public Health, Mekelle University, Mekelle, Ethiopia.
Tolesa BekeleDepartment of Public Health, Madda Walabu University, Bale Goba, Ethiopia.
Ferew LemmaFederal Ministry of Health, Addis Ababa, Ethiopia.
Azmeraw T AmareDiscipline of Psychiatry, School of Medicine, The University of Adelaide, Adelaide, Australia.
Oumer SeidSchool of Public Health, Mekelle University, Mekelle, Ethiopia.
Kedir EndrisSchool of Public Health, Mekelle University, Mekelle, Ethiopia.
Abiy HiruyeFederal Ministry of Health, Addis Ababa, Ethiopia.
Amare WorkuDepartment of Public Health, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Robert AdamsHealth observatory, Discipline of Medicine, The Queen Elizabeth Hospital Campus, The University of Adelaide, Adelaide, Australia.
Anne W TaylorPopulation Research and Outcome Studies, School of Medicine, The University of Adelaide, Adelaide, SA, Australia.
Tiffany K GillPopulation Research and Outcome Studies, School of Medicine, The University of Adelaide, Adelaide, SA, Australia.
Zumin ShiPopulation Research and Outcome Studies, School of Medicine, The University of Adelaide, Adelaide, SA, Australia.
Ashkan AfshinInstitute of Health Metrics and Evaluation, University of Washington, Seattle, USA.
Mohammad H ForouzanfarInstitute of Health Metrics and Evaluation, University of Washington, Seattle, USA.
The University of Adelaide · AUUniversity of Washington · USFederal Ministry of Health · ETMekelle University · ETAddis Continental Institute of Public Health · ETBrighton and Sussex Medical School · GBKenya Medical Research Institute · KEMadda Walabu University · ETMonash University · AUQueen Elizabeth Hospital · AUUniversity Medical Center Groningen · NLUniversity of Hohenheim · DE

Funding

Wellcome Trust 201900
6 · The paper itself

Abstract

backgroundThe burden of non-communicable diseases (NCDs) has increased in sub-Saharan countries, including Ethiopia. The contribution of dietary behaviours to the NCD burden in Ethiopia has not been evaluated. This study, therefore, aimed to assess diet-related burden of disease in Ethiopia between 1990 and 2013.

methodWe used the 2013 Global Burden of Disease (GBD) data to estimate deaths, years of life lost (YLLs) and disability-adjusted life years (DALYs) related to eight food types, five nutrients and fibre intake. Dietary exposure was estimated using a Bayesian hierarchical meta-regression. The effect size of each diet-disease pair was obtained based on meta-analyses of prospective observational studies and randomized controlled trials. A comparative risk assessment approach was used to quantify the proportion of NCD burden associated with dietary risk factors.

resultsIn 2013, dietary factors were responsible for 60,402 deaths (95% Uncertainty Interval [UI]: 44,943-74,898) in Ethiopia-almost a quarter (23.0%) of all NCD deaths. Nearly nine in every ten diet-related deaths (88.0%) were from cardiovascular diseases (CVD) and 44.0% of all CVD deaths were related to poor diet. Suboptimal diet accounted for 1,353,407 DALYs (95% UI: 1,010,433-1,672,828) and 1,291,703 YLLs (95% UI: 961,915-1,599,985). Low intake of fruits and vegetables and high intake of sodium were the most important dietary factors. The proportion of NCD deaths associated with low fruit consumption slightly increased (11.3% in 1990 and 11.9% in 2013). In these years, the rate of burden of disease related to poor diet slightly decreased; however, their contribution to NCDs remained stable.

conclusionsDietary behaviour contributes significantly to the NCD burden in Ethiopia. Intakes of diet low in fruits and vegetables and high in sodium are the leading dietary risks. To effectively mitigate the oncoming NCD burden in Ethiopia, multisectoral interventions are required; and nutrition policies and dietary guidelines should be developed.

Indexed as

DietFeeding BehaviorQuality-Adjusted Life YearsAdolescentAdultAgedAged, 80 and overBayes TheoremCardiovascular DiseasesEthiopiaFemaleGlobal Burden of DiseaseHumansMaleMiddle AgedNutrition PolicyBurden of diseaseDietary risksEthiopiaNon-communicable diseases

Identifiers

PMID27978839
PMCPMC5159959
OpenAlexW2550860154

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.