[Preview] Saving lives and healthcare dollars — John Schoonbee, MD

[Preview] Saving lives and healthcare dollars — John Schoonbee, MD

August 1, 2019 0 By William Morgan


So, why should nutrition matter to us?
Here, you can see cause of death
in different regions around the world,
Europe at the bottom, the Americas
are the second group over there
and then you can see these pie charts.
And when you look at the pie charts,
when I saw this for the first time,
it worried me because you see diabetes
for females 2.7% and for males 3.1%,
so there’s still about 3%
of deaths caused by diabetes.
Six of the top seven causes
are non-communicable diseases globally.
Diabetes is ranked fifth, seventh and eighth
in these different regions of the world
but we know that diabetes is very strongly
associated with all those diseases.
And if you look down there in Europe,
you can see that kind of six of those
are all around
as metabolic syndrome derangement,
and so maybe this 3%
is a little bit of an underestimation.
So, this was a study done in 2017
by Andrew Stokes
and he looked at two surveys,
NHIS and NHANES,
and he actually went into the data,
they actually asked people,
self-reporting, they also looked at A1c.
And they also looked at something
called population attributable fraction.
And they had a look to see what is
the likelihood of diabetes
leading to the death of those people
and they had far higher numbers.
They were sitting at 11%, 12%.
In obese people, it was almost 20%.
That’s a far cry from the 3%
we saw in the previous chart.