米国成人の心不全と肥満による死亡率の傾向と格差:CDC WONDERデータを用いた地域,性別,人種差の1999-2020年の分析
Faizan Ahmed1, Tehmasp Rehman Mirza2, Sherif Eltawansy3
1Division of Cardiology, Duke University Hospital, Durham, NC, USA.
Journal of multimorbidity and comorbidity
|September 2, 2025
まとめ
心不全による死亡率は全体的に減少したが,肥満に関連する死亡率は1999年から2020年にかけて著しく増加した. 心不全と肥満による死亡の増加は公衆衛生上の懸念が高まっている.
科学分野:
- 心臓病科
- 公衆衛生
- 流行病学
背景:
- 心不全 (HF) は,世界中で入院と死亡の主な原因です.
- 肥満はHFの重要な危険因子であり,心臓のストレスと代謝の要求を増加させます.
研究 の 目的:
- 1999年から2020年にかけての米国成人における心不全による死亡率と肥満に関連する心不全による死亡率の動向を分析する.
主な方法:
- 1999年から2020年にかけてのCDC WONDERデータベースのデータを利用した.
- ICD-10のコードを用いて,HFと肥満のHFに対して,年齢調整による死亡率 (AAMR) を調べた.
- 性別,人種,地理的地域における傾向を分析した.
主要な成果:
- 総合的なHF関連死亡率 (AAMR) は1627から1544に減少した (AAPC: - 0. 49).
- 肥満関連死亡率 (AAMR) は10. 7から42. 1に上昇し (AAPC: 6. 23),男性およびすべての人種グループでより高い増加を示した.
- 中西部地域では最も高いHFと肥満関連の死亡率を示しました.
結論:
- HFの死亡率が全体的に減少したにもかかわらず,肥満に関連する死亡率の有意な上昇は懸念されます.
- 肥満に対処する公衆衛生の介入は 心血管疾患の増加傾向を緩和するために不可欠です
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