The 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

摘要: Objective/design We conducted a comparative risk assessment analysis to estimate the cardiometabolic disease (CMD) mortality attributable 11 dietary and 4 metabolic factors in 20 countries of Middle East by age, sex time. The national exposure distributions were obtained from systematic search multiple databases. Missing data estimated using multilevel Bayesian hierarchical model. aetiological effect each factor on disease-specific was clinical trials observational studies. number deaths 2010 Global Burden Disease database. Mortality due determined population fraction total deaths. Setting/population Adult sex, country Results Suboptimal diet leading for CMD accounting 48% (in Morocco) 72% United Arab Emirates) Non-optimal systolic blood pressure eight causing 45% Bahrain) 68% Libya) body mass index fasting plasma glucose third fourth most countries. Among individual factors, low intake fruits accounted 8% Jordan) 21% Palestine) whole grains responsible 7% 22% Between 1990 2010, had decreased except trans-fatty acids. Conclusions Our findings highlight key similarities differences impact inform priorities policy measures prevent CMD.