首页|1990-2019年江苏省15岁以上人群归因于全谷物摄入量不足的疾病负担研究

1990-2019年江苏省15岁以上人群归因于全谷物摄入量不足的疾病负担研究

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目的 了解江苏省1990-2019年归因于全谷物摄入量不足的疾病负担及变化趋势,为合理膳食预防疾病提供科学依据.方法 利用2019年全球疾病负担研究江苏省数据,通过死亡人数、死亡率、伤残调整寿命年(DALY)、早死损失寿命年(YLL)和伤残损失寿命年(YLD)等指标分析1990年与2019年15岁及以上人群归因于全谷物摄入量不足的疾病负担,并根据世界人口的年龄结构进行率的标化.数据整理和分析采用Excel 2021,采用Joinpoint 4.9.1.0计算各指标的平均年度变化百分比(AAPC).结果 1990-2019年江苏省全谷物摄入量不足所致的死亡人数从6 024例增加至15 280例,标化死亡率从13.82/10万下降至12.35/10万(AAPC=-0.43%,P<0.05);2019年标化DALY率、标化YLD率和标化YLL率分别为252.90/10万、44.13/10万和208.76/10万,与1990年相比,标化DALY率和标化YLL率均呈下降趋势(AAPC 分别为-0.56%、-0.73%,P<0.01),标化 YLD 率呈上升趋势(AAPC=0.65%,P<0.01).1990 年和 2019 年江苏省全谷物摄入量不足引起疾病的标化DALY率由高到低均依次为缺血性心脏病、缺血性卒中、结直肠癌和2型糖尿病,其中结直肠癌、缺血性卒中和2型糖尿病标化DALY率均呈上升趋势(AAPC分别为1.03%、0.43%和0.28%),缺血性心脏病呈下降趋势(AAPC=-1.17%).男性归因于全谷物摄入量不足的疾病负担高于女性,≥70岁年龄组疾病负担高于其他年龄组.结论 1990-2019年江苏省15岁及以上人群归因于全谷物摄入量不足的疾病负担有所下降,但仍然较重,男性和老年人是全谷物摄入量不足的重点人群.应提高江苏省居民及重点人群全谷物及其制品的摄入水平,减轻其疾病负担.
The disease burden attributable to low intake of whole grains among residents(≥ 15 years old)in Jiangsu Province from 1990 to 2019
Objective To understand the disease burden and trend attributable to low whole grains intake among residents in Jiangsu Province from 1990 to 2019,and provide the scientific basis for reasonable dietary prevention strategy for disease.Methods The data from the Global Burden of Disease Study 2019(GBD 2019)were used to analyze the disease burden attributable to low intake of whole grains among Jiangsu residents(≥15 years old)in 1990 and 2019 by death number,mortality,disability adjusted life years(DALY),years of life lost(YLL)and years lived with disability(YLD),and standardized according to world standard population.Data collection and analysis were performed by Excel 2021,and Joinpoint 4.9.1.0 was used to calculate the average annual percentage change(AAPC)for every indicator.Results The number of deaths due to low intake of whole grains in Jiangsu increased from 6 024 cases to 15 280 cases,and the age-standardized mortaity decreased from 13.82/105 to 12.35/105(AAPC=-0.43%,P<0.05)from 1990 to 2019.The age-standardized rates(ASRs)of DALY,YLD and YLL in 2019 were 252.90/105,44.13/105 and 208.76/105,respectively.As compared with 1990,the ASRs of DALY and YLL both showed the decreasing trend(AAPC values were-0.56%and-0.73%,respectively,P<0.01),and the ASR of YLD showed the upward trend(AAPC=0.65%,P<0.01).In 1990 and 2019,the descending order for ASR of DALY due to low intake of whole grains in Jiangsu Province was the ischaemic heart disease,ischaemic stroke,colorectal cancer and type 2 diabetes mellitus.The ASRs of DALYs of colorectal cancer,ischaemic stroke,and type 2 diabetes mellitus showed the increasing trends(AAPC values were 1.03%,0.43%and 0.28%,respectively);the ASR of DALY of the ischaemic heart disease showed the decreasing trend(AAPC=-1.17%).The disease burden attributable to low intake of whole grains in males was higher than that in females;the disease burden attributable to low intake of whole grains in ≥70 years old group was higher than that in other age groups.Conclusion The disease burden attributable to low intake of whole grains among residents(≥ 15 years old)in Jiangsu Province decreased from 1990 to 2019,but it remained at a high level.Males and elderly are the key populations with low intake of whole grains.It should increase the intake level of whole grains for important population to reduce the disease burden.

Disease burdenIntake of whole grainsDeathDisability adjusted life years

朱方瑜、周金意、苏健、范习康、俞浩

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江苏省疾病预防控制中心慢性非传染病防制所,江苏省南京 210009

疾病负担 全谷物摄入 死亡 伤残调整寿命年

2024

中国慢性病预防与控制
中华预防医学会,天津市疾病预防控制中心

中国慢性病预防与控制

CSTPCD北大核心
影响因子:1.093
ISSN:1004-6194
年,卷(期):2024.32(1)
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