The global disease burden attributable to a diet low in fibre in 204 countries and territories from 1990 to 2019

Zhuo, Ming; Chen, Ze; Zhong, Maolin; Liu, Ye-Mao; Lei, Fang; Qin, Jianghui; Sun, Tao; Yang, Chengzhang; Chen, Mingming; Song, Xiaohui; Wang, Lifeng; Li, Yang; Zhang, Xiaojing; Zhu, Lihua; Cai, Jingjing; Ye, Junming; Zhou, Gang; Zeng, Yong

doi:10.1017/s1368980022001987

Cited by 8 publications

(5 citation statements)

References 49 publications

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“…Appropriate dietary choices should be viewed as a part of a continuum of healthy lifestyle choices 28 . Except for a few countries or territories, the burden of disease attributable to low-fiber diets has been declining globally, but changes within the study period and estimates of effects are less clear 29 , 30 . Joinpoint regression and age-period-cohort analysis, which look at trends in burden indicators within the study period and estimate age-period and cohort effects, have significant advantages for assessing disease burden.…”

Section: Discussionmentioning

confidence: 99%

Disease burden of stroke and its subtypes attributable to low dietary fiber in China, 1990–2019

Jin,

Xie,

Wang

et al. 2024

Sci Rep

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This study aimed to assess the current status and changing trends of the disease burden of stroke and its subtypes due to low dietary fiber intake in China from 1990 to 2019. In cases of stroke and its subtypes attributable to low dietary fiber, deaths, disability-adjusted life-years (DALYs), age-standardized mortality rates (ASMR), age-standardized DALYs rates (ASDR), and percentage change were used to assess disease burden. Data were obtained from the 2019 global burden of disease study. Trends were assessed using Joinpoint regression and age-period-cohort analysis. Between 1990 and 2019, there was a declining trend in stroke and its subtypes, ASDR and ASMR, as well as the corresponding number of deaths and DALYs, due to low dietary fiber intake in China. Subarachnoid hemorrhage (SH) showed the greatest decrease, followed by intracerebral hemorrhage (IH) and ischemic stroke (IS). Local drift curves showed a U-shaped distribution of stroke, IS, and IH DALYs across the whole group and sex-based groups. For mortality, the overall and male trends were similar to those for DALYs, whereas female stroke, IH, and IS showed an upward trend. The DALYs for stroke and IH showed a clear bimodal distribution, IS showed an increasing risk with age. For mortality, the SH subtype showed a decreasing trend, whereas other subtypes showed an increasing risk with age. Both the period and cohort rates of stroke DALYs and motality due to low dietary fiber have declined. Males had a higher risk of DALYs and mortality associated with low fiber levels. The burden of stroke and its subtypes associated with a low-fiber diet in China has been declining over the past 30 years, with different patterns of change for different stroke subtypes and a higher burden for males, highlighting the differential impact of fiber intake on stroke and its subtypes.

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Section: Discussionmentioning

confidence: 99%

Disease burden of stroke and its subtypes attributable to low dietary fiber in China, 1990–2019

Jin,

Xie,

Wang

et al. 2024

Sci Rep

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“…While diets rich in whole grains, fruit, and legumes have been linked with dementia risk in some studies, the burden of non‐communicable chronic disease due to low dietary fiber in SSA has increased substantially between 1990 and 2019. 45 A study in the Central African Republic showed that reduced consumption of oleaginous foods was associated with a 3.7‐ and 2.8‐fold higher risk of mild cognitive impairment (MCI) and dementia, respectively. 46 The rising consumption of ultra‐processed foods, which is associated with cognitive decline, is a concerning trend in LMICs.…”

Section: Modifiable Risk Factors For Dementiamentioning

confidence: 99%

The 2022 symposium on dementia and brain aging in low‐ and middle‐income countries: Highlights on research, diagnosis, care, and impact

Kalaria,

Maestre,

Mahinrad

et al. 2024

Alzheimer's & Dementia

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Two of every three persons living with dementia reside in low‐ and middle‐income countries (LMICs). The projected increase in global dementia rates is expected to affect LMICs disproportionately. However, the majority of global dementia care costs occur in high‐income countries (HICs), with dementia research predominantly focusing on HICs. This imbalance necessitates LMIC‐focused research to ensure that characterization of dementia accurately reflects the involvement and specificities of diverse populations. Development of effective preventive, diagnostic, and therapeutic approaches for dementia in LMICs requires targeted, personalized, and harmonized efforts. Our article represents timely discussions at the 2022 Symposium on Dementia and Brain Aging in LMICs that identified the foremost opportunities to advance dementia research, differential diagnosis, use of neuropsychometric tools, awareness, and treatment options. We highlight key topics discussed at the meeting and provide future recommendations to foster a more equitable landscape for dementia prevention, diagnosis, care, policy, and management in LMICs.Highlights Two‐thirds of persons with dementia live in LMICs, yet research and costs are skewed toward HICs. LMICs expect dementia prevalence to more than double, accompanied by socioeconomic disparities. The 2022 Symposium on Dementia in LMICs addressed advances in research, diagnosis, prevention, and policy. The Nairobi Declaration urges global action to enhance dementia outcomes in LMICs.

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“…These foods are predominantly high in saturated fat, sodium, and added sugars, nutrients labelled to be of concern and recommended to limit across dietary guidelines globally ( 13 ). The diets also fail to meet food group recommendations and are consequently inadequate in meeting several macro- and micronutrient recommendations ( 13 , 15 ); in Australia and/or New Zealand, common nutrient inadequacies include calcium, vitamin D, iron, selenium, zinc, folate, thiamin, and vitamin B12 ( 16–18 ). Other factors impacting suboptimal dietary choices include (but are not limited to) affordability and sustainability, with refined ingredients often cheaper than their whole-food counterparts ( 19 ), and an increasing movement towards plant-based diets, containing, for example, processed meat and dairy alternatives ( 20 ).…”

Section: Introductionmentioning

confidence: 99%

Priority nutrients to address malnutrition and diet-related diseases in Australia and New Zealand

Starck,

Cassettari,

Beckett

et al. 2024

Front. Nutr.

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BackgroundThe double burden of malnutrition and diet-related disease has been attributed to diets high in ultra-processed and discretionary foods, with increased sugars, saturated fats, and sodium, and insufficient dietary fibre. There is a limited understanding of the role of other macronutrients and micronutrients.ObjectiveDetermine the highest priority nutrients to address both malnutrition and diet-related disease in Australia and New Zealand, for each demographic group and the total population.MethodsA novel four-step methodological approach was undertaken to identify: 1. Demographic (age-sex) groups; 2. Health priorities; 3. Potential nutrients based on inadequacy, increased requirements, and health priority association; and 4. Priority nutrients. Nutrient intake data was obtained from the most recent Australian and New Zealand nutrition surveys. Health priorities were based on national statistical data and expert consultation. High-level scientific literature (systematic reviews) was scoped for associations with health priorities and the suitability of recommended intakes. A quantitative scoring matrix was developed and used to determine the highest priority nutrients, with scoring over three domains: extent of inadequacy; consensus for increased requirements; and degree of association with health priorities.ResultsNutritional inadequacies were common, with 22 of 31 essential nutrients consumed below recommended levels. Nine priority nutrients were identified across the demographic groups, with each demographic group characterised by a specific subset of these. Six nutrients were highest priority within the total population: vitamin D, calcium, omega-3 fatty acids, magnesium, folate, dietary fibre.ConclusionThe extent of nutritional inadequacies in Australia and New Zealand is high, both within each demographic group and the entire population, relative to both recommended intakes and key health outcomes. The methodology can be applied to other countries and globally. Findings make a significant contribution to understanding the nutrients to prioritise in future-proofing the health of the Australian and New Zealand populations. Guidelines and policies can target priority nutrients to address the malnutrition and diet-related disease double burden.

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The global disease burden attributable to a diet low in fibre in 204 countries and territories from 1990 to 2019

Cited by 8 publications

References 49 publications

Disease burden of stroke and its subtypes attributable to low dietary fiber in China, 1990–2019

Disease burden of stroke and its subtypes attributable to low dietary fiber in China, 1990–2019

The 2022 symposium on dementia and brain aging in low‐ and middle‐income countries: Highlights on research, diagnosis, care, and impact

Priority nutrients to address malnutrition and diet-related diseases in Australia and New Zealand

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