摘要
目的分析1990—2019年中国居民归因于饮食风险因素的疾病负担变化趋势,为了解我国居民饮食风险构成、提高群体健康提供科学参考。方法基于2019年全球疾病负担研究(Global Burden of Disease 2019,GBD2019)数据库,对中国内地地区归因于饮食风险因素的伤残调整寿命年(disability adjusted life years,DALYs)情况分年龄、性别进行描述与分析。利用Joinpoint回归模型估计归因于饮食风险因素的年龄标准化DALYs率的年度变化百分比(annual percentage change,APC)、平均年度变化百分比(average annual percentage change,AAPC)。结果1990—2019年我国归因于饮食风险的DALYs从3063万人年增加到4681万人年;年龄标准化DALYs率从3569.76/10万下降至2394.00/10万。男性、女性年龄标准化DALYs率的AAPC分别为-0.15%、-0.42%。至2019年,由饮食风险导致的DALYs占所有DALYs的12.26%;50岁以上人群归因于饮食风险的DALYs及DALYs率更高;高钠、红肉摄入过多、谷类摄入不足是我国主要的饮食风险,在总饮食风险中分别占比为45.08%、18.69%、18.40%。结论1990—2019年我国人群归因于饮食风险的DALYs随年龄增长上升,中老年人群的疾病负担最大,男性高于女性,随着我国人口老龄化加剧,相关疾病负担不容忽视,应积极采取防控措施。
Objective To analyze the changing trend of the disease burden attributed to dietary risk factors in Chinese residents from 1990 to 2019,and to provide scientific references for understanding the composition of dietary risk of Chinese residents and improving the population’s health.Methods Based on the Global Burden of Disease 2019(GBD2019)database,disability adjusted life years(DALYs)attributable to dietary risk factors in Chinese Mainland were described and analyzed by age and gender.Joinpoint regression model was used to estimate the annual percentage change(APC)and average annual percentage change(AAPC)of age-standardized DALYs rate attributed to dietary risk factors.Results From 1990 to 2019,DALYs attributable to dietary risk in China increased from 30.63 million person years to 46.81 million person years.The age-standardized DALYs rate decreased from 3,569.76/100,000 to 2,394.00/100,000.The AAPC of age-standardized DALYs rates in the males and the females were-0.15%and-0.42%respectively.By 2019,DALYs caused by dietary risk accounted for 12.26%of all DALYs.DALYs attributable to food risk and the DALYs rate were both higher in people over 50 years old.High sodium,excessive red meat intake and insufficient cereal intake were the main dietary risks in China,respectively accounting for 45.08%,18.69%and 18.40%of the total dietary risks.Conclusion DALYs attributable to dietary risk in Chinese population during 1990-2019 increased with the increasing age.The disease burden was found to be the largest in middle-aged and elderly people and higher in the males than in the females.With the aggravation of population aging in China,the related disease burden cannot be ignored,and prevention and control measures should be taken actively.
作者
郭俊豪
曾杰清
陈文丹
马国达
潘海燕
GUO Junhao;ZENG Jieqing;CHEN Wendan;MA Guoda;PAN Haiyan(Department of Epidemiology and Health Statistics,Guangdong Medical University,Dongguan,Guangdong 523808,China;Shunde Women and Children’s Hospital of Guangdong Medical University,Foshan,Guangdong 528300,China)
出处
《实用预防医学》
CAS
2023年第10期1194-1198,共5页
Practical Preventive Medicine
基金
广东省自然科学基金面上项目(2019A1515010875)
东莞市科技特派员项目(20201800500082)
教育部人文社科研究一般项目(21YJC910007)
广东省普通高校重点平台重点领域专项项目(2020ZDZX3007)
关键词
疾病负担
伤残调整寿命年
饮食风险
disease burden
disability adjusted life years
dietary risk
