# Voedingsrisico’s veroorzaken jaarlijks meer dan 300.000 cardiometabole doden in de VS

*geplaatst 2026-10-12 · Nierziekte · American journal of preventive cardiology · doi 10.1016/j.ajpc.2026.101786 · https://hartvaat.nl/2026/12/01/voedingsrisicos-veroorzaken-jaarlijks-meer-dan-300-000-cardiometabole-doden-in-d/*

Een analyse van de Global Burden of Disease 2023 toont aan dat voedingsrisico’s in de Verenigde Staten verantwoordelijk zijn voor meer dan 300.000 doden en ongeveer 8 miljoen DALY’s aan cardiometabole ziekten. Hoewel de sterftecijfers voor cardiovasculaire aandoeningen daalden, lopen diabetes en chronische nierziekte (CKD) achter, waarbij CKD het snelst stijgt. De last is ongelijk verdeeld over het land, met een disproportioneel hoog burden in de zuidelijke staten en Appalachia, gedreven door een lage inname van vezels en een hoge inname van zout, suiker en bewerkte vleeswaren. Modellen tonen aan dat zelfs bescheiden, structurele verbeteringen in de volksgezondheidsvoeding aanzienlijke gezondheidswinsten kunnen opleveren tot 2045, wat pleit voor gerichte preventiebeleid.

## English: Dietary Risks and Cardiometabolic Disease Burden Across the United States: Geographic Inequalities, Age-Period-Cohort Patterns, and Projections to 2045.

An analysis of Global Burden of Disease 2023 data reveals that dietary risks account for over 300,000 deaths and approximately 8 million DALYs from cardiometabolic diseases in the United States. While age-standardized cardiovascular mortality has declined, diabetes and chronic kidney disease (CKD) show worsening trajectories, with CKD rising most rapidly. The burden is heavily concentrated in the South and Appalachia, driven by low intake of fruits, vegetables, and whole grains alongside high consumption of sodium, sugar-sweetened beverages, and processed meats. Forecasting models indicate that modest, sustained improvements in population-level diet quality could yield substantial health gains through 2045, underscoring the need for targeted nutritional policies.

## Abstract (original, from the publication)

BACKGROUND: Diet and nutrition remain significant but modifiable drivers of cardiometabolic diseases (CMDs), yet the contemporary burden and future impact of diet-attributable CMDs in the United States remain incompletely characterized. METHODS: We obtained data from the Global Burden of Disease (GBD) 2023. Deaths and disability-adjusted life years (DALYs) of CMDs attributable to dietary risks were estimated through a comparative risk assessment framework. Temporal patterns were assessed with estimated annual percent changes (EAPCs) and age-period-cohort models. Time-series forecasting models projected burden through 2045 under a reference scenario and a counterfactual scenario assuming a 1% annual decline in overall dietary risk exposure. RESULTS: In 2023, dietary risks accounted for more than 300,000 deaths and approximately 8 million DALYs of CMDs in the United States. Although the age-standardized death and DALY rates of diet-attributable cardiovascular disease declined, diabetes and chronic kidney disease (CKD) followed less favorable trajectories, with CKD increasing most rapidly. Diet-associated CMD burden were disproportionately concentrated in Southern and Appalachian states, with persistent geographic inequities. Leading dietary contributors were broadly consistent across states, including low intake of fruits, vegetables, and whole grains and high intake of processed meat, sodium, and sugar-sweetened beverages. Projection analyses suggested that modest, sustained improvements in population-level diet quality could yield substantial health gains through 2045. CONCLUSION: Dietary risks continue to impose a substantial and uneven cardiometabolic disease burden across the United States. Divergent trends by disease and persistent geographic disparities highlight the need for targeted nutrition policies and population-wide strategies to promote healthier dietary patterns.

Auteurs: Laiang Yao, Matthew J Landry, Andrew Odegaard

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Bron: American journal of preventive cardiology, https://doi.org/10.1016/j.ajpc.2026.101786. Bijgewerkt 2026-10-06T00:50:45Z. Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.