心血管疾病负担归因于台湾的高体重指数
Tzu-Lin Yeh1,2, Yi-Hsuan Roger Chen3, Hsin-Yin Hsu2,4,5
1Department of Family Medicine, Hsinchu MacKay Memorial Hospital, Hsinchu City.
Acta Cardiologica Sinica
|July 17, 2023
概括
在台湾,预防高体重指数 (BMI) 可以将心血管疾病 (CVD) 降低18%. 该研究强调需要有针对性的预防策略,特别是在成年早期和特定地区,以降低疾病负担.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管疾病研究研究
背景情况:
- 台湾的疾病负担研究有限.
- 心血管疾病 (CVD) 是一个重大的健康挑战.
- 高体重指数 (BMI) 是已知的心血管疾病风险因素.
研究的目的:
- 量化台湾高体重指数 (BMI) 的心血管疾病 (CVD) 负担.
- 根据性别,年龄和地理位置分析心血管疾病负担.
- 为预防心血管疾病提供公共卫生干预信息.
主要方法:
- 利用基于全球疾病负担研究的比较风险评估方法.
- 对心血管疾病的估计人口归因分数 (PAF) 和因残疾调整的寿命年 (DALYs).
- 使用了2013年国家健康访谈调查数据来确定BMI分布,并将心血管疾病定义为缺血性心脏病或中风.
主要成果:
- 高BMI占台湾心血管疾病负担的18.0% (男性为19.6%,女性为15.6%).
- 在25-30岁年龄组 (42.7%) 观察到最高可归因分数.
- 泰通县显示了最高的PAF (21.9%) 和年龄标准化归因负担 (每10万人年412 DALY).
结论:
- 通过预防肥胖和超重可以减少18%的心血管疾病.
- 预防工作在成年早期启动时最有效.
- 针对性地分配资源对于特定的人口和地区来说至关重要,以减少心血管疾病和健康不平等.
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