Evidence map›Paper›PMID 30509334›Full record

ArticlePublic health nutrition2019

Trends of mortality attributable to child and maternal undernutrition, overweight/obesity and dietary risk factors of non-communicable diseases in sub-Saharan Africa, 1990-2015: findings from the Global Burden of Disease Study 2015.

Yohannes Adama Melaku, Tiffany K Gill, Anne W Taylor, Sarah L Appleton, David Gonzalez-Chica, Robert Adams, Tom Achoki, Zumin Shi, Andre Renzaho

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.2field-weighted citation impact, top 22% 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.

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

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Black South Africans Who Migrate Away From Their Rural Homes and Their Chances of Having Abdominal Obesity.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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

9 authors at 4 institutions in 4 countries.

Yohannes Adama Melaku1Department of Human Nutrition,Institute of Public Health,University of Gondar,Gondar,Ethiopia.ORCID 0000-0002-3051-7313
Tiffany K Gill2Adelaide Medical School,University of Adelaide,SAHMRI,North Terrace,Adelaide,SA 5000,Australia.
Anne W Taylor2Adelaide Medical School,University of Adelaide,SAHMRI,North Terrace,Adelaide,SA 5000,Australia.
Sarah L Appleton3The Health Observatory,Discipline of Medicine,University of Adelaide,Queen Elizabeth Hospital Campus,Woodville,SA,Australia.
David Gonzalez-Chica2Adelaide Medical School,University of Adelaide,SAHMRI,North Terrace,Adelaide,SA 5000,Australia.
Robert Adams3The Health Observatory,Discipline of Medicine,University of Adelaide,Queen Elizabeth Hospital Campus,Woodville,SA,Australia.
Tom Achoki5Institute for Health Metrics and Evaluation,University of Washington,Seattle,WA,USA.
Zumin Shi2Adelaide Medical School,University of Adelaide,SAHMRI,North Terrace,Adelaide,SA 5000,Australia.ORCID 0000-0002-3099-3299
Andre Renzaho7Humanitarian and Development Research Initiative,School of Social Sciences and Psychology,Western Sydney University,Penrith,NSW,Australia.
South Australian Health and Medical Research Institute · AUQueen Elizabeth Hospital · AUMonash University · AUUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess trends of mortality attributable to child and maternal undernutrition (CMU), overweight/obesity and dietary risks of non-communicable diseases (NCD) in sub-Saharan Africa (SSA) using data from the Global Burden of Disease (GBD) Study 2015.

designFor each risk factor, a systematic review of data was used to compute the exposure level and the effect size. A Bayesian hierarchical meta-regression analysis was used to estimate the exposure level of the risk factors by age, sex, geography and year. The burden of all-cause mortality attributable to CMU, fourteen dietary risk factors (eight diets, five nutrients and fibre intake) and overweight/obesity was estimated.

settingSub-Saharan Africa.ParticipantsAll age groups and both sexes.

resultsIn 2015, CMU, overweight/obesity and dietary risks of NCD accounted for 826204 (95 % uncertainty interval (UI) 737346, 923789), 266768 (95 % UI 189051, 353096) and 558578 (95 % UI 453433, 680197) deaths, respectively, representing 10·3 % (95 % UI 9·1, 11·6 %), 3·3 % (95 % UI 2·4, 4·4 %) and 7·0 % (95 % UI 5·8, 8·3 %) of all-cause mortality. While the age-standardized proportion of all-cause mortality accounted for by CMU decreased by 55·2 % between 1990 and 2015 in SSA, it increased by 63·3 and 17·2 % for overweight/obesity and dietary risks of NCD, respectively.

conclusionsThe increasing burden of diet- and obesity-related diseases and the reduction of mortality attributable to CMU indicate that SSA is undergoing a rapid nutritional transition. To tackle the impact in SSA, interventions and international development agendas should also target dietary risks associated with NCD and overweight/obesity.

Indexed as

DietFeeding BehaviorGlobal Burden of DiseaseAdolescentAdultAfrica South of the SaharaAgedBayes TheoremCause of DeathChildFemaleHumansMaleMalnutritionMiddle AgedNoncommunicable DiseasesChild and maternal undernutritionDietary risks of non-communicable diseasesDouble burden of malnutritionMortalityOverweight and/or obesity

Identifiers

PMID30509334
PMCPMC10260606
OpenAlexW2902071776

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.