1990年から2021年までの中国における心不全の負担:2021年世界疾病負担データベースからのデータ
Zibo Lin1, Ting Ren1, Zhe Wang1
1Department of Cardiovascular Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
International journal of cardiology. Cardiovascular risk and prevention
|September 2, 2025
まとめ
1990年から2021年にかけて,中国における心不全症 (IHD) の負担は増加したが,年齢標準化された割合は減少傾向を示し,効果的な予防を示している. 高リスクグループである高齢者や 閉経後の女性に焦点を当てることが重要です
科学分野:
- 流行病学について
- 心血管疾患の研究
- 公衆衛生
背景:
- 発血性心臓病 (IHD) は世界的な健康問題です
- IHDの流行傾向を理解することは 中国での効果的な公衆衛生対策に不可欠です
- 以前の分析では,年齢の標準化を考慮して,IHDの傾向の微妙さを完全に捉えることができませんでした.
研究 の 目的:
- 1990年から2021年までの中国における発血性心臓病 (IHD) の病重を分析する.
- IHDの流行,発生率,死亡率,障害調整生命年 (DALYs) の傾向を評価する.
- 観察されたIHDの傾向に対する年齢標準化の影響を評価する.
主な方法:
- グローバル・バーデン・オブ・ディジーズ (GBD) 2021データベースの中国 (1990-2021) のデータを使用した.
- IHDに起因する計算された流行,発生率,死亡率,YLDs,およびYLLs.
- 年齢を基準にした雇用率と,人口統計の時間的な傾向を評価するためのJoinpointの分析.
主要な成果:
- 2021年,IHDの発生率は365.67/100,000であり,死亡率は110.91/100,000でした.
- 男性と高齢者 (70歳から74歳までの発生率,75歳以上の死亡率) はより高い負担に直面しました.
- 原始的な割合は増加したが,年齢標準化された発生率,流行率,死亡率,およびDALYは減少傾向を示し,効果的な制御措置を示した.
結論:
- IHDの全体的な負担は依然として大きいですが,年齢を基準にしたデータは,予防と制御の取り組みが成功していることを示しています.
- 高リスク集団,高齢者層,更年期後の女性に対して 標的を絞った介入が推奨されます.
- 継続的なモニタリングと戦略的な公衆衛生の取り組みは,IHDの社会的影響をさらに減らすために不可欠です.
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