Details

Autor(en) / Beteiligte

• Kang, Sooyoung
• Lim, Hyunjung

Titel

Evaluating the global epidemic of non‐communicable disease through a nutritional perspective by income levels

Ist Teil von

• The FASEB journal, 2017-04, Vol.31 (S1)

Erscheinungsjahr

2017

Quelle

Wiley-Blackwell Journals

Beschreibungen/Notizen

• Abstract only Background Non‐communicable diseases (NCDs) were defined as one of the major challenges for sustainable development. NCDs are the leading causes of death worldwide especially among lower and middle income countries. Although NCDs and diet/nutrition are closely connected, the diet‐related health burdens due to NCDs by country income levels is still unclear. Aim We investigated the relationship between dietary factors and NCDs by income levels. Method The most recent data which indicate the prevalence of NCDs, nutrition and socioeconomic factors of countries are obtained from World Health Organization, Food and Agriculture Organization and World bank, respectively. Data were weighted by total population size. 151 countries included for analysis. The trends between factors were assessed by variance‐weighted least squares linear regression analysis. To visualize spatial relationships, ArcGIS was used (ArcGIS 10.4.1, Esri, Berkeley, CA, USA). Result The deaths caused by NCDs were 367, 567, 675 and 586 per 100,000 population in high, upper‐middle, lower‐middle and low income countries, respectively. There is an inverse association between country income level and the deaths caused by NCDs ( P ‐trend<0.001). Proportions of calories driven from carbohydrates were 51.0 % to 73.2% by income levels. When countries had lower income, the proportions of carbohydrate intakes were likely to increase after adjusting for covariates ( P ‐trend<0.001). Daily intake of sugar and sweetener from high income countries was 415.4 kcal/capita/day. In low income countries, it decreased to 98.7 kcal/capita/day. Sugar and sweetener intakes might be related to income level of countries ( P ‐trend<0.001). Cereals intakes of high income countries was 934.5 kcal/capita/day. The highest cereal intake was 1,406.5 kcal/capita/day from lower‐middle income countries. Higher income countries tended to intake less cereals ( P ‐trend<0.001). Conclusions Pattern and prevalence of NCDs through a nutritional perspective may be different according to income levels of countries. More strong research are needed to identify major nutrition‐related factors that lead to increased prevalence of NCDs (e.g., coronary heart disease) in different income level countries.