Estimating the Burden of Disease Attributable to Low Fruit and Vegetable Intake in South Africa in 2000

Burden of Disease Research Unit, South African Medical Research Council, Tygerberg, Cape Town.
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde (Impact Factor: 1.63). 08/2007; 97(8).
Source: OAI


OBJECTIVES: To estimate the burden of disease attributed to low fruit and vegetable intake by sex and age group in South Africa for the year 2000. DESIGN: The analysis follows the World Health Organization comparative risk assessment (CRA) methodology. Population-attributable fractions were calculated from South African prevalence data from dietary surveys and applied to the revised South African burden of disease estimates for 2000. A theoretical maximum distribution of 600 g per day for fruit and vegetable intake was chosen. Monte Carlo simulation-modelling techniques were used for uncertainty analysis. SETTING: South Africa. SUBJECTS: Adults >or= 15 years. OUTCOME MEASURES: Mortality and disability-adjusted life years (DALYs), from ischaemic heart disease, ischaemic stroke, lung cancer, gastric cancer, colorectal cancer and oesophageal cancer. RESULTS: Low fruit and vegetable intake accounted for 3.2% of total deaths and 1.1% of the 16.2 million attributable DALYs. For both males and females the largest proportion of total years of healthy life lost attributed to low fruit and vegetable intake was for ischaemic heart disease (60.6% and 52.2%, respectively). Ischaemic stroke accounted for 17.8% of attributable DALYs for males and 32.7% for females. For the related cancers, the leading attributable DALYs for men and women were oesophageal cancer (9.8% and 7.0%, respectively) and lung cancer (7.8% and 4.7%, respectively). CONCLUSIONS: A high intake of fruit and vegetables can make a significant contribution to decreasing mortality from certain diseases. The challenge lies in creating the environment that facilitates changes in dietary habits such as the increased intake of fruit and vegetables. PMID: 17952229 [PubMed - indexed for MEDLINE]

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    • "Interpersonal violence is the second highest contributor to the burden of disease after HIV and AIDS, with intimate partner violence (IPV) accounting for 62.4% of the total burden in females.[1] South Africa's intimate femicide rate is the highest globally.[2] IPV appears to be twice as common in rural South African settings compared to "

    Full-text · Dataset · Dec 2011
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    • "Certainly, the future of human health depends heavily on factors such as high fruit and vegetable consumption. This claim is supported by substantial evidence. For example, Boutayeb and Boutayeb (1995) reported that 4.9% of global death in the year 2002 is attributable to low fruit and vegetable consumption. Again, Schneider et. al. (2007) found that low fruit and vegetable intake accounted for 3.2% of total deaths in South Africa in the year 2000. Fruit consumption is very beneficial to health, such as contributing significantly to the physical functioning of cancer survivors (Demark-Wahnefried et. al., 2009). It is positively linked with psychosocial factors such as kno"

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    • "In terms of harmful consumption, reports from a few countries point to links with problems like crime, injury, violence and chronic disease conditions (Gureje et al., 2007; Obot, 2007; Parry, 2005). However, with South Africa being the exception (Schneider et al., 2007), little is known about the nature and strength of these associations and reliable population level estimates are sorely lacking. "
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