缺血性心臓病の世界的な傾向と2022~2036年の予測
Xiaofei Zhang1,2, Kexin Zhang1,2, Jinyan Chen1,2
1Department of Endocrinology and Metabolism, Shandong Provincial Key Medical and Health Laboratory of Endocrinology and Metabolic Diseases.
Journal of cardiovascular medicine (Hagerstown, Md.)
|February 17, 2026
まとめ
世界的に心不全性疾患 (IHD) の発生率は1990年から2021年にかけて2倍に増加し,女性の増加率はより高い. 予測では,継続的な成長が見られ,特に女性や高齢者に対して,予防と管理のための標的型介入が必要となる.
科学分野:
- 心臓病学 心臓病学
- エピデミオロジー エピデミオロジー
- グローバル・ヘルス グローバル・ヘルス
背景:
- 缺血性心臓病 (IHD) は,世界的に死亡率と発症率の主な原因である.
- IHDの広範な影響により,重大な健康上の課題が残っています.
- IHDの傾向を理解することは,公衆衛生戦略にとって極めて重要です.
研究 の 目的:
- 30年以上にわたる心不全性心臓病 (IHD) の世界的な影響を調査する.
- IHDにおける地域的および社会人口学的格差を分析する.
- 2022年から2036年までのIHDの将来のトレンドを予測する.
主な方法:
- グローバル・バード・オブ・ディジーズ (GBD) 2021研究からのデータを活用した.
- 204カ国の371の疾患を分析し,地域を社会人口統計指標 (SDI) によって分類した.
- 将来の予測のために,自動回帰的統合移動平均 (ARIMA) モデルを使用した.
主要な成果:
- 1990年から2021年にかけて,世界のIHD発生率は2倍以上 (増加102%) に増加し,31.87百万例に達しました.
- 女性は男性 (98%) よりも高い発生率 (106%) を経験し,男性は56.35%の症例を構成しました.
- IHDの死亡者は2021年に899万人に達し,1990年以来68%増加し,50~69歳の年齢層で最も高い発生率を示しています.
結論:
- 発血性心臓病 (IHD) は,特に低所得国および中所得国における増加率に伴い,世界的な健康上の重大な懸念事項であり続けています.
- 重要な地域格差が存在し,中部SDI地域が最も高い負担増加を示している.
- 予防,早期発見,管理のためのターゲットを絞った介入は,特に女性や高齢者にとって不可欠です.
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