Evidence map›Paper›PMID 29699588›Full record

ArticleBMC public health2018

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.

Yohannes Adama Melaku, Molla Mesele Wassie, Tiffany K Gill, Shao Jia Zhou, Gizachew Assefa Tessema, Azmeraw T Amare, Yihunie Lakew, Abiy Hiruye, Tesfaye Hailu Bekele, Amare Worku and 10 more

Abstract readComparative Study
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Yohannes Adama MelakuDepartment of Human Nutrition, Institute of Public Health, The University of Gondar, Gondar, Ethiopia. adamayohannes@gmail.com.ORCID 0000-0002-3051-7313
Molla Mesele WassieDepartment of Human Nutrition, Institute of Public Health, The University of Gondar, Gondar, Ethiopia.
Tiffany K GillAdelaide Medical School, The University of Adelaide, Adelaide, Australia.
Shao Jia ZhouSchool of Agriculture, Food and Wine, Faculty of Sciences, University of Adelaide, Adelaide, Australia.
Gizachew Assefa TessemaDepartment of Reproductive Health, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Azmeraw T AmareDiscipline of Psychiatry, School of Medicine, The University of Adelaide, Adelaide, Australia.
Yihunie LakewEthiopian Public Health Association, Addis Ababa, Ethiopia.
Abiy HiruyeFederal Ministry of Health, Addis Ababa, Ethiopia.
Tesfaye Hailu BekeleFood Science and Nutrition Research Directorate, Ethiopian Public Health Institue, Addis Ababa, Ethiopia.
Amare WorkuDepartment of Public Health Sciences, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Oumer SeidDepartment of Nutrition and Dietetics, School of Public Health, Mekelle University, Mekelle, Ethiopia.
Kedir EndrisDepartment of Nutrition and Dietetics, School of Public Health, Mekelle University, Mekelle, Ethiopia.
Ferew LemmaFederal Ministry of Health, Addis Ababa, Ethiopia.
Fisaha Haile TesfayDepartment of Epidemiology and Biostatics, School of Public Health, Mekelle University, Mekelle, Ethiopia.
Biruck Desalegn YirsawThe University of South Australia, Adelaide, SA, Australia.
Kebede DeribeWellcome Trust Brighton and Sussex Centre for Global Health Research, Brighton and Sussex Medical School, Brighton, BN1 9PX, UK.
Robert AdamsHealth Observatory, Discipline of Medicine, The Queen Elizabeth Hospital, The University of Adelaide, Adelaide, Australia.
Zumin ShiAdelaide Medical School, The University of Adelaide, Adelaide, Australia.
Awoke MisganawInstitute of Health Metrics and Evaluation, University of Washington, Seattle, USA.
Amare DeribewNutrition International, Addis Ababa, Ethiopia.

Funding

Wellcome Trust 201900Wellcome Trust 201900/Z/16/Z
6 · The paper itself

Abstract

backgroundTwelve 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.

methodsDatabases 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.

resultsIn 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.

conclusionsIn 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.

Indexed as

Cost of IllnessSedentary BehaviorAdolescentAdultAfrica South of the SaharaAgedAged, 80 and overChildChild Nutrition DisordersDietEthiopiaFemaleGlobal Burden of DiseaseHumansMaleMalnutritionChild and maternal undernutritionDietary risksEthiopiaGlobal Burden of DiseaseMetabolic risksPhysical activity

Identifiers

PMID29699588
PMCPMC5922000

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Registered trials

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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.