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Record W4416772430 · doi:10.1016/j.lanepe.2025.101543

The burden of dietary risk factors in the Nordic and Baltic countries: a systematic analysis for the Global Burden of Disease Study 2023

2025· article· en· W4416772430 on OpenAlexfundno aff
Ann Kristin Knudsen, Carl Michael Baravelli, Christian Madsen, Ayodeji Emmanuel TopeAmobonye, Anette Kocbach Bølling, Omid Dadras, Demewoz Haile, Rasmus Havmoeller, Anne Høyer-Lund, Nityanand Jain, Lars Johansson, Mikk Jürisson, Joonas H. Kauppila, Adnan Kısa, Mika Kivimäki, Ilari Kuitunen, Javaid Nauman, Gavin Pereira, Tagli Pitsi, Pratik Pokharel, Tommi Vasankari, Eva Warensjö Lemming, Marcin W. Wojewodzic, Rune Blomhoff

Bibliographic record

VenueThe Lancet Regional Health - Europe · 2025
Typearticle
Languageen
FieldMedicine
TopicNutritional Studies and Diet
Canadian institutionsnot available
FundersMedicinska fakulteten, Umeå UniversitetNorges IdrettshøgskoleSkånes universitetssjukhusUniversitetet i BergenRīgas Stradiņa UniversitāteTampereen YliopistoBill and Melinda Gates FoundationKarolinska InstitutetEdith Cowan UniversityOulun YliopistoUniversity of British ColumbiaCurtin University of TechnologyInstitute for Health Metrics and EvaluationNorwegian Institute of Public HealthUnited Arab Emirates UniversityHelsedirektoratetSkåne County Council's Research and Development FoundationTurun YliopistoNorges Teknisk-Naturvitenskapelige UniversitetTulane UniversityUppsala UniversitetUniversity of WashingtonItä-Suomen YliopistoIllinois Department of Public HealthUniversity College LondonUniversitetet i OsloKauno Technologijos UniversitetasKuopion Yliopistollinen SairaalaHelsingin YliopistoTartu ÜlikoolHøyskolen KristianiaTehran University of Medical Sciences and Health Services
KeywordsBurden of diseaseDiseasePublic healthDisease burdenNorwegianConsumption (sociology)

Abstract

fetched live from OpenAlex

Background: Detailed knowledge about the disease burden from unhealthy diet in Nordic and Baltic countries is lacking. This study quantifies and compares deaths and disability-adjusted life-years (DALYs) from dietary risks in these countries. Methods: Data from the Global Burden of Disease study 2023 (GBD 2023) was used. Attributable disease burden from 15 dietary risks was analysed using the comparative risk assessment framework. Steps included: (1) estimating dietary intake; (2) assessing relative risks of dietary factors on disease endpoints; (3) determining theoretical minimum risk exposure levels (TMREL); and (4) estimating dietary risk-attributable disease burden as numbers and age-standardised rates (ASR) of deaths and DALYs. Findings: Across the Nordic and Baltic countries (total population = 34,064,020), dietary risks resulted in 38,450 attributed deaths (95% uncertainty interval 10,749-59,386) and 735,284 DALYs (242,417-1,06,638) in 2023. Leading dietary risks included high intake of processed meat and low intake of fruits and whole grains. Dietary risks accounted for 24.9% of cardiovascular disease burden (5.0-37.6), 29.6% of diabetes and kidney disease burden (18.6-40.0), and 7.8% of neoplasm burden (2.9-12.1), with higher burden in the Baltic countries and Greenland than in the Nordic countries. Interpretation: A substantial disease burden can be attributed to dietary risks in the Nordic and Baltic countries. Knowledge about the impact from unhealthy diet can inform targeted public health policies. Funding: Gates Foundation and Norwegian Institute of Public Health.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.219
Threshold uncertainty score0.896

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.055
GPT teacher head0.359
Teacher spread0.304 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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