Journal of Epidemiology and Global Health

Volume 5, Issue 4, December 2015, Pages 315 - 325

Association between worldwide dietary and lifestyle patterns with total cholesterol concentrations and DALYs for infectious and cardiovascular diseases: An ecological analysis

Authors
C. Oggionia, b, H. Cenab, J.C.K. Wellsc, J. Laraa, C. Celis-Moralesa, M. Siervoa, *, mario.siervo@ncl.ac.uk
aHuman Nutrition Research Centre, Institute of Cellular Medicine, Newcastle University, Campus for Ageing and Vitality, Newcastle on Tyne NE4 5PL, UK
bDepartment of Public Health, Neuroscience, Experimental and Forensic Medicine, Section of Human Nutrition, University of Pavia, via Bassi 21, 27100 Pavia, Italy
cChildhood Nutrition Research Centre, UCL Institute of Child Health, London, UK
*Corresponding author.
Corresponding Author
Received 30 September 2014, Revised 3 February 2015, Accepted 4 February 2015, Available Online 5 March 2015.
DOI
10.1016/j.jegh.2015.02.002How to use a DOI?
Keywords
Obesity; High cholesterol; Food balance sheets; Physical inactivity; Ecological analysis
Abstract

Global dietary and lifestyle trends are primary risk factors for communicable and non-communicable diseases. An ecological analysis was conducted to examine the association of global dietary and lifestyle patterns with total cholesterol concentrations. This study also investigated whether total cholesterol modified the association between dietary and lifestyle habits with disability-adjusted-life-years-lost (DALYs) for infectious and cardiovascular diseases (CVDs). Country-specific mean total cholesterol concentrations and DALYs for infectious and CVDs were obtained. Data were then matched to country-specific food and energy availability for consumption and information on obesity, physical inactivity, urbanization, gross domestic product (GDP), life expectancy and smoking. Stepwise multiple regression models were developed to identify significant predictors of total cholesterol concentrations and DALYs for infectious and CVDs.

Life expectancy and egg and meat consumption were significantly associated with cholesterol concentrations. DALYs for infectious diseases were associated with smoking, life expectancy and per capita GDP. Smoking was the only predictor of DALYs for CVDs. The improvement of socio-demographic conditions and economic growth is likely to reduce the burden of communicable diseases in developing countries. A concurring increase in non-communicable diseases is expected, and these results have, yet again, identified smoking as a primary risk factor for CVDs.

Copyright
© 2015 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
5 - 4
Pages
315 - 325
Publication Date
2015/03/05
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2015.02.002How to use a DOI?
Copyright
© 2015 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

TY  - JOUR
AU  - C. Oggioni
AU  - H. Cena
AU  - J.C.K. Wells
AU  - J. Lara
AU  - C. Celis-Morales
AU  - M. Siervo
PY  - 2015
DA  - 2015/03/05
TI  - Association between worldwide dietary and lifestyle patterns with total cholesterol concentrations and DALYs for infectious and cardiovascular diseases: An ecological analysis
JO  - Journal of Epidemiology and Global Health
SP  - 315
EP  - 325
VL  - 5
IS  - 4
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2015.02.002
DO  - 10.1016/j.jegh.2015.02.002
ID  - Oggioni2015
ER  -