Analyzing the Nutritional Impact of CVDs, Cancer, and Diabetes on Mortality in Developing Economies
DOI:
https://doi.org/10.29145/eer.91.03Keywords:
cancer, developing economies, diabetes, mortality from cardiovascular diseases, nutrition, static panel modelAbstract
The current study aimed to analyze the nutritional impact of cardiovascular diseases (CVDs), cancer, and diabetes on mortality in developing economies. This was done by using the data collected from World Development Indicators (WDI) for the time period (2009-2023). Panel data analysis was used to uncover different nutritional factors that impact mortality caused by CVDs, cancer, and diabetes in 23 developing economies. For data estimation, this study employed the unit root test, cointegration test, cross-sectional test, static panel model, and Panel Corrected Standard Error (PCSEs) model. The panel unit root test and cointegration test ensured that all variables are stationary and long-run relationships exist among all variables in the panel model. The overall panel regression result of the Expenditure on Current Healthcare (CHE), Education on Public Spending (PSE), Secure Drinking Water (SDW), and Improved Sanitation Practices (SMS), showed a negative and significant impact on mortality caused by CVDs, cancer, and diabetes. Furthermore, the prevalence of hypertension and undernutrition had a positive and significant impact on the ratio of mortality from CVDs, cancer, and diabetes. The study also suggested recommendations for policy options and innovative solutions. These might improve the nutritional status and also promote healthy behavior that protects communities from chronic diseases and epidemics in developing economies.
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References
Adeyeye, S. A. O., Ashaolu, T. J., Bolaji, O. T., Abegunde, T. A., & Omoyajowo, A. O. (2023). Africa and the nexus of poverty, malnutrition and diseases. Critical Reviews in Food Science and Nutrition, 63(5), 641–656. https://doi.org/10.1080/10408398.2021.1952160
Ahmad, R., Akter, F., & Haque, M. (2023). Diet and nutrition for non-communicable diseases in low- and middle-income countries. Frontiers in Nutrition, 10, Article e1179640. https://doi.org/10.3389/fnut.2023.1179640
Andersson, T., Nåtman, J., Mourtzinis, G., Bager, J. E., Bengtsson Boström, K., Franzén, S., & Hjerpe, P. (2023). The effect of statins on mortality and cardiovascular disease in primary care hypertensive patients without other cardiovascular disease or diabetes. European Journal of Preventive Cardiology, 30(17), 1883–1894. https://doi.org/10.1093/eurjpc/zwad212
Becker, G. E., Cashin, J., Nguyen, T. T., & Zambrano, P. (2022). Expanding integrated competency-focused health worker curricula for maternal infant and young child nutrition. Education Sciences, 12(8), Article e518. https://doi.org/10.3390/educsci12080518
Boz, C. (2021). Cancer prevalence, health expenditure and economic output: Panel econometric application. Sağlık Akademisyenleri Dergisi, 8(3), 206–214.
Braithwaite, J., Smith, C. L., Leask, E., Wijekulasuriya, S., Brooke-Cowden, K., Fisher, G., Patel, R., Pagano, L., Rahimi-Ardabili, H., Spanos, S., Rojas, C., Partington, A., McQuillan, E., Dammery, G., Carrigan, A., Ehrenfeld, L., Coiera, E., Westbrook, J., & Zurynski, Y. (2024). Strategies and tactics to reduce the impact of healthcare on climate change: Systematic review. BMJ, 387, Article e081284. https://doi.org/10.1136/bmj-2024-081284
Brazeau, S., Vignolles, C., Krishnamurthy, R. S., Trtanj, J., Haynes, J., Ramage, S., Catry, T., Kotchi, S. O., Borderon, M., Gill, M., Ogden, N. H., Ludwig, A., Aube, G., Semenza, J. C., Trinanes, J., & Davignon, D. (2022). Needs, challenges, and opportunities: A review by experts. In Earth Observation, Public Health and One Health: Activities, Challenges and Opportunities (pp. 93–103). CABI. https://doi.org/10.1079/9781800621183.0003
Budreviciute, A., Damiati, S., Sabir, D. K., & Kodzius, R. (2020). Management and prevention strategies for non-communicable diseases (NCDs) and their risk factors. Frontiers in Public Health, 8, Article 574111. https://doi.org/10.3389/fpubh.2020.574111
Byaro, M., Mayaya, H., & Pelizzo, R. (2022). Sustainable Development Goals for Sub-Saharan Africans by 2030: A pathway to longer life expectancy via higher health-care spending and low disease burdens. African Journal of Economic Review, 10(2), 73–87. https://doi.org/10.22004/ag.econ.320582
Estill, J., Islam, T., Houben, R. M., Rudman, J., Ragonnet, R., McBryde, E. S., Trauer, J. M., Orel, E., Nguyen, A. T., Rahevar, K., Morishita, F., Oh, K. H., Raviglione, M. C., & Keiser, O. (2021). Tuberculosis in the Western Pacific Region: Estimating the burden of disease and return on investment 2020–2030 in four countries. The Lancet Regional Health – Western Pacific, 11, Article e100147. https://doi.org/10.1016/j.lanwpc.2021.100147
Figueroa, C. A., Linhart, C. L., Dearie, C., Fusimalohi, L. E., Kupu, S., Morrell, S. L., & Taylor, R. J. (2023). Effects of inappropriate cause-of-death certification on mortality from cardiovascular disease and diabetes mellitus in Tonga. BMC Public Health, 23(1), Article 2381. https://doi.org/10.1186/s12889-023-17294-z
Gianfredi, V., Nucci, D., Pennisi, F., Maggi, S., Veronese, N., & Soysal, P. (2025). Aging, longevity, and healthy aging: The public health approach. Aging Clinical and Experimental Research, 37(1), Article 125. https://doi.org/10.1007/s40520-025-03021-8
He, L., Zhang, M., Zhao, Y., Li, W., et al. (2024). Association between Life’s Essential 8 and risk of mortality in hypertensive patients. BMC Public Health, 24, Article e19189. https://doi.org/10.1186/s12889-024-19189-z
Heidkamp, R. A., Piwoz, E., Gillespie, S., Keats, E. C., D’Alimonte, M. R., Menon, P., Das, J. K., Flory, A., Clift, J. W., Ruel, M. T., Vosti, S., Akuoku, J. K., & Bhutta, Z. A. (2021). Mobilising evidence, data, and resources to achieve global maternal and child undernutrition targets and the Sustainable Development Goals: An agenda for action. The Lancet, 397(10282), 1400–1418. https://doi.org/10.1016/S0140-6736(21)00568-7
Henderson, K., & Loreau, M. (2023). A model of Sustainable Development Goals: Challenges and opportunities in promoting human well-being and environmental sustainability. Ecological Modelling, 475, Article e110164. https://doi.org/10.1016/j.ecolmodel.2022.110164
Ionescu, G. H., Firoiu, D., Tănasie, A., Sorin, T., Pîrvu, R., & Manta, A. (2020). Assessing the achievement of the SDG targets for health and well-being at EU level by 2030. Sustainability, 12(14), Article e5829. https://doi.org/10.3390/su12145829
Jiang, X., Tu, J., Chen, S., Zhang, Y., Qiu, W., Chen, K., Chen, L., & Wu, B. (2023). (2023). Association of triglyceride-glucose index with the prevalence of cardiovascular disease in malnourished/non-malnourished patients: A large cross-sectional study. Frontiers in Cardiovascular Medicine, 10, Article e1306415. https://doi.org/10.3389/fcvm.2023.1306415
Jin, Q., Mei, J., Wong, Y. C., Lam, C. L. K., & Wan, E. Y. F. (2024). Associations between hypertension and mortality outcomes. Hypertension Research, 47, 2053–2063. https://doi.org/10.1038/s41440-024-01717-4
Khan, H. T., Addo, K. M., & Findlay, H. (2024). Public health challenges and responses to the growing ageing populations. Public Health Challenges, 3(3), Article e213. https://doi.org/10.1002/puh2.213
Kim, D. D., Wang, L., Lauren, B. N., Liu, J., Marklund, M., Lee, Y., ... & Wong, J. B. (2023). Development and validation of the US Diabetes, Obesity, Cardiovascular Disease Microsimulation (DOC-M) model: Health disparity and economic impact model. Medical Decision Making, 43(7–8), 930–948. https://doi.org/10.1177/0272989X231196916
Kundu, J., & Chakraborty, R. (2023). Socio-economic inequalities in burden of communicable and non-communicable diseases among older adults in India: Evidence from Longitudinal Ageing Study in India, 2017–18. PLoS ONE, 18(3), Article e0283385. https://doi.org/10.1371/journal.pone.0283385
Malakoane, B., Heunis, J. C., Chikobvu, P., Kigozi, N. G., & Kruger, W. H. (2020). Public health system challenges in the Free State, South Africa: A situation appraisal to inform health system strengthening. BMC Health Services Research, 20(1), 1–14. https://doi.org/10.1186/s12913-019-4862-y
Menne, B., Aragon de Leon, E., Bekker, M., Mirzikashvili, N., Morton, S., Shriwise, A., Tomson, G., Vracko, P., & Wippel, C. (2020). Health and well-being for all: An approach to accelerating progress to achieve the Sustainable Development Goals (SDGs) in countries in the WHO European Region. European Journal of Public Health, 30(Suppl. 1), i3–i9. https://doi.org/10.1093/eurpub/ckaa026
Pham, B. N., Jorry, R., Silas, V. D., Okely, A. D., Maraga, S., & Pomat, W. (2023). Leading causes of deaths in the mortality transition in Papua New Guinea: Evidence from the comprehensive health and epidemiological surveillance system. International Journal of Epidemiology, 52(3), 867–886. https://doi.org/10.1093/ije/dyac232
Sharma, M., & Ganguly, N. K. (2018). Burden of cardiovascular diseases in women and reduction strategies in India. In Gender Differences in the Pathogenesis and Management of Heart Disease (pp. 317–333). Springer. https://doi.org/10.1007/978-3-319-71135-5_18
Steel, A., Strommer, S., Adams, J., & Schoenaker, D. (2025). Preconception health policy, health promotion, and health services to achieve health in current and future generations: A narrative review. BMC Pregnancy and Childbirth, 25(1), Article 188. https://doi.org/10.1186/s12884-025-07176-0
Strong, K., Noor, A., Aponte, J., Banerjee, A., Cibulskis, R., Diaz, T., ... & You, D. (2020). Monitoring the status of selected health-related Sustainable Development Goals: Methods and projections to 2030. Global Health Action, 13(1), Article 1846903. https://doi.org/10.1080/16549716.2020.1846903
Wolf, J., Johnston, R. B., Ambelu, A., Arnold, B. F., Bain, R., Brauer, M., Brown, J., Caruso, B. A., Clasen, T., Colford, J. M., Mills, J. E., Evans, B., Freeman, M. C., Gordon, B., Kang, G., Lanata, C. F., Medlicott, K. O., Prüss-Ustün, A., Troeger, C., . . . Cumming, O. (2023). Burden of disease attributable to unsafe drinking water, sanitation, and hygiene in domestic settings: A global analysis for selected adverse health outcomes. The Lancet, 401(10393), 2060–2071. https://doi.org/10.1016/S0140-6736(23)00458-0
World Health Organization. (2023). Global accelerated action for the health of adolescents (AA-HA!): Guidance to support country implementation. World Health Organization.
World Health Organization. (2024). Achieving well-being: A global framework for integrating well-being into public health utilizing a health promotion approach. World Health Organization.
Yang, M., Chen, L., Wang, J., Msigwa, G., Osman, A. I., Fawzy, S., ... & Yap, P. S. (2023). Circular economy strategies for combating climate change and other environmental issues. Environmental Chemistry Letters, 21(1), 55–80. https://doi.org/10.1007/s10311-022-01499-6
Zhang, J. H., Ramke, J., Jan, C., Bascaran, C., Mwangi, N., Furtado, J. M., Yasmin, S., Ogundo, C., Yoshizaki, M., Marques, A., & Burton, M. J. (2022). Advancing the Sustainable Development Goals through improving eye health: A scoping review. The Lancet Planetary Health, 6(3), e270–e280. https://doi.org/10.1016/S2542-5196(21)00351-X
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