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dc.contributor.authorAfshin, Ashkan
dc.contributor.authorMicha, Renata
dc.contributor.authorKhatibzadeh, Shahab
dc.contributor.authorFahimi, Saman
dc.contributor.authorShi, Peilin
dc.contributor.authorPowles, John
dc.contributor.authorSingh, Gitanjali
dc.contributor.authorYakoob, Mohammad Yawar
dc.contributor.authorAbdollahi, Morteza
dc.contributor.authorAl-Hooti, Suad
dc.contributor.authorFarzadfar, Farshad
dc.contributor.authorHoushiar-rad, Anahita
dc.contributor.authorHwalla, Nahla
dc.contributor.authorKoksal, Eda
dc.contributor.authorMusaiger, Abdulrahman
dc.contributor.authorPekcan, Gulden
dc.contributor.authorSibai, Abla Mehio
dc.contributor.authorZaghloul, Sahar
dc.contributor.authorDanaei, Goodarz
dc.contributor.authorEzzati, Majid
dc.contributor.authorMozaffarian, Dariush
dc.date.accessioned2019-12-19T06:13:58Z
dc.date.available2019-12-19T06:13:58Z
dc.date.issued2015
dc.identifier.issn2044-6055
dc.identifier.urihttps://doi.org/10.1136/bmjopen-2014-006385
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442236/
dc.identifier.urihttp://hdl.handle.net/11655/20778
dc.description.abstractObjective/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.
dc.relation.isversionof10.1136/bmjopen-2014-006385
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleThe Impact of Dietary Habits and Metabolic Risk Factors on Cardiovascular and Diabetes Mortality in Countries of the Middle East and North Africa in 2010: A Comparative Risk Assessment Analysis
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.relation.journalBMJ Open
dc.contributor.departmentBeslenme ve Diyetetik
dc.identifier.volume5
dc.identifier.issue5
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus


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