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Published on: March 7, 2019
[Cardiovascular diseases burden attributed to low physical activity in China, 1990-2019]
1Department of Risk Factor Intervention and Health Promotion, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Insights
Cardiovascular disease (CVD) burden from low physical activity (LPA) in China remains high, with significant variations across age, sex, and regions. While overall rates show recent decreases, older adults and specific demographics face increasing risks.
Area of Science:
- Epidemiology
- Public Health
- Cardiovascular Medicine
Context:
- Cardiovascular disease (CVD) represents a major global health challenge.
- Low physical activity (LPA) is a significant modifiable risk factor for CVD.
- Understanding the burden and trends of LPA-attributed CVD is crucial for public health interventions in China.
Purpose:
- To analyze the burden of cardiovascular disease (CVD) attributed to low physical activity (LPA) in China.
- To examine the changing trends of LPA-attributed CVD from 1990 to 2019.
- To identify demographic and geographic disparities in CVD burden related to LPA.
Summary:
- In 2019, 0.127 million CVD deaths and 1.863 million disability-adjusted life years (DALYs) were attributed to LPA in China (≥25 years).
- Age-standardized rates were slightly higher in men and significantly higher for ischemic heart disease than ischemic stroke.
- While overall rates showed no significant change from 1990-2019, they decreased in the last decade, with notable increases in the oldest age groups (≥75 years) and young-middle-aged men.
Impact:
- The study highlights substantial and regionally varied CVD burden linked to LPA in China.
- Findings underscore the need for targeted public health strategies addressing LPA across different demographics and provinces.
- Identifying specific high-risk groups (e.g., elderly, certain male age groups) and regions (e.g., Jilin, Inner Mongolia, Hebei) can inform resource allocation and intervention design.
Abstract:
Objective: To analyze the burden of cardiovascular disease (CVD) attributed to low physical activity (LPA) and its changing trends in China from 1990 to 2019. Methods: On the basis of the province results of the Study of Global Burden of Disease 2019 in China, we described the distribution of CVD death and disability-adjusted life year (DALY) attributed to LPA by sex, age and province. Joinpoint 4.9.1.0 was used to calculate the average annual percentage change. Results: In 2019, the number of CVD deaths and DALY attributed to LPA in people aged ≥25 years were 0.127 million and 1.863 million person-years in China, respectively, The age-standardized mortality rate (ASMR) and standardized DALY rate of CVD attributed to LPA were slightly higher in men than in women, and much higher in ischemic heart disease patients than in ischemic stroke patients. The ASMR (8.85/100 000) and the standardized DALY rate (112.34/100 000) of CVD attributed to LPA in China in 2019 showed no obvious change compared with 1990, while decreased in the last decade. The largest increases in the mortality rate and DALY rate were observed in people aged ≥75 years from 1990 to 2019 (26.89%, 15.61%), but the mortality rate and DALY rate in people aged 60-74 years showed a decreasing trend. The mortality rate and DALY rate in men aged 25- 44 years showed the largest increases (37.50%, 35.49%), while women aged ≥75 years had the largest increases (31.00%, 18.02%). In 2019, the highest ASMR and standardized DALY rate of CVD attributed to LPA were found in Jilin, Inner Mongolia and Hebei. The largest increases were found in Qinghai (182.41%, 154.70%), Gansu (181.29%, 152.77%), and Chongqing (132.01%, 102.79%) and the largest decreases were found in Beijing (59.11%, 62.09%), Macau (41.89%, 39.37%) and Guangdong (36.93%, 40.72%) from 1990 to 2019. Conclusion: The disease burden of CVD attributed to LPA in China was quite high and showed gender, age and area specific differences.
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