
Poor diet is the leading cause of death worldwide, with 11 million deaths annually linked to diet-related diseases. High intake of sodium, low intake of whole grains, and low intake of fruits are the leading dietary risk factors for death globally and in many countries. Poor diets are responsible for a fifth of deaths worldwide, with the highest rates of diet-related deaths found in Uzbekistan, Afghanistan, the Marshall Islands, Papua New Guinea, and Vanuatu. The countries with the lowest rates of diet-related deaths are Israel, France, Spain, Japan, and Andorra.
| Characteristics | Values |
|---|---|
| Leading cause of diet-related deaths | High intake of sodium, low intake of whole grains, low intake of fruits |
| Number of deaths linked to diet-related diseases | 11 million |
| Examples of diet-related diseases | Heart disease, diabetes, cancer, chronic liver disease, cirrhosis, atherosclerosis |
| Other risk factors | High BMI, high blood pressure, high blood sugar |
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Heart disease
Poor diet is a leading cause of heart disease deaths globally. Heart disease is the number one cause of death in Australia, with 10% of all deaths in 2021 resulting from coronary heart disease and 25% from cardiovascular disease.
A study published in the European Heart Journal – Quality of Care and Clinical Outcomes found that more than two-thirds of deaths from heart disease could be prevented with healthier diets. The study identified the top three contributors to deaths from heart attacks and angina (collectively called ischaemic heart disease) as unhealthy diets, high blood pressure, and high serum cholesterol.
Other dietary risk factors for heart disease include obesity, uncontrolled diabetes, and a diet high in saturated fats. A diet low in saturated fats and high in fibre and plant foods can substantially reduce the risk of developing heart disease. Cholesterol levels and blood pressure can be affected by diet, as can body weight and the management of diabetes.
In addition to diet, other risk factors for heart disease include physical inactivity, tobacco use, high body mass index (BMI), air pollution, low physical activity, impaired kidney function, and alcohol use.
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Cancer
One of the key dietary risk factors for cancer is a high intake of sodium. Excess sodium consumption has been linked to increased blood pressure and water retention, which can contribute to a higher risk of cancer, particularly lung cancer. In addition, a diet low in whole grains and fruits has been identified as a leading dietary risk factor globally and in many individual countries. Whole grains are an excellent source of fiber, which has been linked to a reduced risk of colorectal cancer and maintaining a healthy weight, which is important for cancer prevention. Fruits and vegetables are also rich in vitamins, minerals, and fiber, and their low-calorie content can aid in weight loss and weight management, thereby lowering the risk of certain types of cancer.
Alcohol consumption is another significant dietary factor that increases the risk of developing various cancers, including those of the oral cavity, pharynx, larynx, esophagus, liver, breast, colon, and rectum. The risk is proportional to the amount of alcohol consumed, with heavy or regular drinking being particularly detrimental. Additionally, excess weight or obesity, which may result from a diet high in sugar-sweetened beverages, fast food, and red meat, is associated with an increased risk of cancer. Weight loss and a healthy body weight are linked to a reduced risk of certain cancers, such as breast cancer and endometrial cancer.
It is important to note that while dietary choices can influence cancer risk, they are not the sole determinant. Genetic factors, age, and environmental exposures also play a role in the development of cancer. However, maintaining a balanced and nutritious diet, engaging in regular physical activity, and limiting alcohol consumption can help reduce the likelihood of cancer and improve overall health outcomes.
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High sodium intake
Diet-related diseases, such as diabetes and heart disease, are the leading causes of death globally, with around 11 million deaths linked to poor diets annually. High sodium intake is a significant contributor to this, as it increases blood pressure and the risk of cardiovascular disease, which can lead to premature death.
A high sodium intake is typically defined as consuming more than 2.0 to 2.3 grams of sodium per day. This level of consumption is associated with a higher risk of mortality from any cause, especially cardiovascular events such as heart attacks and strokes. Studies have shown that reducing sodium intake can lower the chances of developing cardiovascular issues, with a linear dose-response relationship between sodium intake and blood pressure. This means that as sodium intake decreases, blood pressure tends to lower, reducing the risk of cardiovascular events.
The relationship between sodium and potassium in the diet is also important. People who consume diets high in sodium and low in potassium have an increased risk of cardiovascular trouble and death from a heart attack. Increasing potassium intake while lowering sodium can be an effective strategy to combat high blood pressure and reduce the risk of associated diseases. Fresh fruits and vegetables are naturally high in potassium and low in sodium, so incorporating more of these into the diet can be beneficial.
The dangers of high sodium intake extend beyond cardiovascular health. A diet high in sodium can contribute to osteoporosis, a bone-thinning disease. This is because high sodium intake increases the amount of calcium lost through urination, and if calcium is scarce, it can be leached from the bones. Additionally, in certain individuals, high sodium intake can lead to hypernatremia, causing seizures, coma, or even death.
Overall, a high sodium intake is a significant dietary concern, contributing to various health issues and an increased risk of mortality. Lowering sodium intake and increasing potassium-rich foods are crucial strategies to mitigate these risks and improve overall health outcomes.
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Low fruit and vegetable intake
Diet-related diseases are the leading cause of death globally, with 11 million deaths linked to poor diets annually. One of the major causes of these deaths is low fruit and vegetable intake. Research has found that inadequate consumption of fruits and vegetables may be a significant factor in millions of cardiovascular deaths worldwide.
Fruits and vegetables are rich in vitamins, fiber, potassium, magnesium, and antioxidants, which are all essential for maintaining good health. They help lower blood pressure and reduce the risk of heart disease, cancer, and other diseases. For example, oranges may help lower the risk of stroke and support heart health, while broccoli, a cruciferous vegetable, may lower cancer risk and boost the immune system.
Low fruit consumption is linked to more than 1 million stroke-related deaths and over 500,000 heart disease deaths annually. Similarly, insufficient vegetable intake results in about 200,000 stroke-related deaths and 800,000 heart disease deaths each year. These numbers highlight the severe consequences of not consuming enough fruits and vegetables.
Studies have shown that eating at least five servings of fruits and vegetables per day is associated with a reduced risk of mortality. Specifically, consuming two servings of fruit and three servings of vegetables daily is optimal for lowering the risk of death. Unfortunately, many countries have low average intakes of fruits and vegetables, which contributes to the high rates of diet-related deaths.
To address this issue, global efforts should focus on increasing the availability and consumption of protective foods like fruits, vegetables, and legumes. This includes educational initiatives and policies that encourage and facilitate access to these vital food groups. By taking these steps, we can improve global health and reduce the number of deaths attributed to low fruit and vegetable intake.
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High BMI
Dietary risk factors are the leading cause of death, surpassing tobacco use. High BMI is one of the top risk factors for mortality. A large international study published in The Lancet suggests that an unhealthy BMI increases the risk of early death.
BMI has a J-shaped association with overall mortality. For most causes of death, including cancer, cardiovascular disease, and respiratory disease, the lowest risk occurs in the BMI range of 21–25 kg/m2. However, for mental and behavioural, neurological, and accidental (non-transport-related) causes, BMI is inversely associated with mortality up to 24–27 kg/m2, with little association at higher BMIs. For deaths from self-harm or interpersonal violence, an inverse linear association was observed.
The association between BMI and mortality varies with age and gender. Associations between high BMI and mortality outcomes attenuated with age and were stronger in men than in women. Obesity was associated with a reduction in remaining life expectancy, with the most severe obesity classes resulting in the greatest reduction in life expectancy.
Maintaining a healthy BMI is crucial for overall health and reducing the risk of early death. A healthy BMI range is generally considered to be between 18.5 and 24.9. Individuals with a BMI above or below this range are significantly more likely to die during the study period, especially men with high BMIs. Extra fat increases the risk of developing diabetes, heart disease, and cancer.
While the study suggests a link between high BMI and early death, it is important to note that it does not prove causation. Other factors, such as genetics, lifestyle choices, and underlying health conditions, also play a role in an individual's overall health and lifespan.
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Frequently asked questions
Poor diet is the leading cause of death from lifestyle-related diseases in most countries. Globally, one in five deaths are associated with poor diet.
High intake of sodium, low intake of whole grains, and low intake of fruits are the leading dietary risk factors for death.
Uzbekistan, Afghanistan, the Marshall Islands, Papua New Guinea, and Vanuatu have the highest rates of diet-related deaths.

























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