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Landmark 89/100

Health effects of dietary risks in 195 countries — Global Burden of Disease 2017

In plain English

The diet-specific arm of the Global Burden of Disease project quantified how 15 individual foods and nutrients drive death and disability across 195 countries. In 2017, suboptimal diet was linked to 11 million deaths a year — but the surprise was which foods mattered most: too little whole grains, fruit and nuts, and too much sodium, drove far more deaths than the red and processed meat that dominates headlines. Cardiovascular disease was the leading diet-related killer, ahead of cancer and type 2 diabetes.

Why it matters

Poor diet was linked to 11M deaths a year — driven more by too few whole grains, fruits and nuts than by too much red meat.

Informs: Life Expectancy

Provenance

Design
Systematic review
Sample size (n)
195,000,000
Peer-reviewed
Yes
Replications
3
Funding
Mixed (public + private/non-profit)
Funders
Bill & Melinda Gates Foundation
Institutions
Institute for Health Metrics and Evaluation (IHME), University of Washington

decades.plus score

A transparent 0–100 weighted sum across six components. Higher scores reflect bigger, cleaner, more replicated work.

Landmark 89/100
  • Study design 22/25
  • Sample size 20/20
  • Funding independence 12/20
  • Journal + peer review 15/15
  • Institution tier 10/10
  • Replication 10/10

Caveats

A modelled comparative-risk estimate, not a trial; it assumes the underlying intake–risk associations are causal. Dietary intake data are sparse in many low-income countries, which widens the uncertainty around national figures.