| 000 | 03890nab a2200565 4500 | ||
|---|---|---|---|
| 001 | 64701 | ||
| 003 | MX-TxCIM | ||
| 005 | 20211213160535.0 | ||
| 008 | 200515s2015||||xxk|||p|op||||00||0|eng|d | ||
| 022 | _a2044-6055 (Online) | ||
| 024 | 8 | _ahttp://dx.doi.org/10.1136/bmjopen-2014-006385 | |
| 040 | _aMX-TxCIM | ||
| 041 | _aeng | ||
| 100 | 1 |
_aAfshin, A. _925891 |
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| 245 | 1 | 4 |
_aThe impact of dietary habits and metabolic risk factors on cardiovascular and diabetes mortality in countries of the Middle East and North Africa in 2010 : _ba comparative risk assessment analysis |
| 260 |
_aUnited Kingdom : _bBMJ Publishing Group, _c2015. |
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| 500 | _aPeer review | ||
| 500 | _aOpen Access | ||
| 520 | _aObjective/design We conducted a comparative risk assessment analysis to estimate the cardiometabolic disease (CMD) mortality attributable to 11 dietary and 4 metabolic risk factors in 20 countries of the Middle East by age, sex and time. The national exposure distributions were obtained from a systematic search of multiple databases. Missing exposure data were estimated using a multilevel Bayesian hierarchical model. The aetiological effect of each risk factor on disease-specific mortality was obtained from clinical trials and observational studies. The number of disease-specific deaths was obtained from the 2010 Global Burden of Disease mortality database. Mortality due to each risk factor was determined using the population attributable fraction and total number of disease-specific deaths. Setting/population Adult population in the Middle East by age, sex, country and time. Results Suboptimal diet was the leading risk factor for CMD mortality in 11 countries accounting for 48% (in Morocco) to 72% (in the United Arab Emirates) of CMD deaths. Non-optimal systolic blood pressure was the leading risk factor for CMD deaths in eight countries causing 45% (in Bahrain) to 68% (in Libya) of CMD deaths. Non-optimal body mass index and fasting plasma glucose were the third and fourth leading risk factors for CMD mortality in most countries. Among individual dietary factors, low intake of fruits accounted for 8% (in Jordan) to 21% (in Palestine) of CMD deaths and low intake of whole grains was responsible for 7% (in Palestine) to 22% (in the United Arab Emirates) of CMD deaths. Between 1990 and 2010, the CMD mortality attributable to most risk factors had decreased except for body mass index and trans-fatty acids. Conclusions Our findings highlight key similarities and differences in the impact of the dietary and metabolic risk factors on CMD mortality in the countries of the Middle East and inform priorities for policy measures to prevent CMD. | ||
| 546 | _aText in English | ||
| 650 | 7 |
_aDiet _95374 _2AGROVOC |
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| 650 | 7 |
_aCardiovascular diseases _920222 _2AGROVOC |
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| 650 | 7 |
_aDiabetes _97612 _2AGROVOC |
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| 650 | 7 |
_aRisk assessment _92007 _2AGROVOC |
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| 651 | 7 |
_2AGROVOC _95477 _aMiddle East |
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| 651 | 7 |
_2AGROVOC _94695 _aNorth Africa |
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| 700 | 1 |
_aMicha, R. _925892 |
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| 700 | 1 |
_aKhatibzadeh, S. _925893 |
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| 700 | 1 |
_aFahimi, S. _925894 |
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| 700 | 0 |
_aPeilin Shi _925895 |
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| 700 | 1 |
_aPowles, J. _925896 |
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| 700 | 1 |
_aSingh, G. _925897 |
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| 700 | 1 |
_aYakoob, M.Y. _925898 |
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| 700 | 1 |
_aAbdollahi, M. _925899 |
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| 700 | 1 |
_aAl-Hooti, S. _925900 |
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| 700 | 1 |
_aFarzadfar, F. _915166 |
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| 700 | 1 |
_aHoushiar-rad, A. _925901 |
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| 700 | 1 |
_aHwalla, N. _925902 |
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| 700 | 1 |
_aKoksal, E. _925903 |
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| 700 | 1 |
_aMusaiger, A. _925904 |
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| 700 | 1 |
_aPekcan, G. _925905 |
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| 700 | 1 |
_aSibai, A.M. _925906 |
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| 700 | 1 |
_aZaghloul, S. _925907 |
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| 700 | 1 |
_aDanaei, G. _925908 |
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| 700 | 1 |
_aEzzati, M. _914829 |
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| 700 | 1 |
_aMozaffarian, D. _925909 |
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| 773 | 0 |
_gv. 5, e006385 _dUnited Kingdom : BMJ Publishing Group, 2015. _x2044-6055 _tBMJ Open |
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| 856 | 4 |
_uhttp://dx.doi.org/10.1136/bmjopen-2014-006385 _yClick here to access online |
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_cJA _n0 _2ddc |
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_c64701 _d64693 |
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