心血管疾病的负担归因于高体重指数 - 一项观察性研究
Xin-Jiang Dong1, Xiao-Qi Zhang2, Bei-Bei Wang3
1Department of Cardiology, Shanxi Cardiovascular Hospital, No. 18 Yifen Street, Wanbailin District, Taiyuan 030024, China.
概括
自1990年以来,与高体重指数 (HBMI) 相关的心血管疾病 (CVD) 死亡和残疾在全球范围内翻了一番. 然而,年龄标准化利率正在下降,不同地区和社会经济地位的趋势各不相同.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心脏病学 心脏病学
背景情况:
- 高体重指数 (HBMI) 是心血管疾病 (CVD) 的重要危险因素.
- 了解可归因于HBMI的CVD的全球负担和趋势对于公共卫生干预至关重要.
研究的目的:
- 为了估计目前的负担和时间趋势的CVD归因于HBMI全球.
- 通过各种人口和社会经济因素分析这些趋势.
主要方法:
- 使用2019年全球疾病负担研究 (GBD) 数据进行系统评估.
- 按日历年,年龄,性别,地区,国家,社会经济地位和特定心血管疾病进行分析.
- 根据残疾调整的寿命年数 (DALYs) 和死亡率以及年龄标准化率 (ASRs) 的计算.
主要成果:
- 全球心血管疾病DALY和与HBMI相关的死亡人数在1990年至2019年期间增加了一倍多.
- 年龄标准化率 (ASR) 呈现轻微下降趋势 (-0.18%为DALYs, -0.43%为每年死亡).
- 中等/高中等SDI地区的负担更高,高SDI地区的ASR下降趋势,低/低中等SDI地区的上升趋势. 主要原因:缺血性心脏病,中风,高血压性心脏病,心房动/跳动.
结论:
- 归因于HBMI的心血管疾病负担是一个持续的全球健康挑战.
- 需要有针对性的战略,从经历负担减轻的地区吸取教训.
- 政策制定者应该专注于高负担和日益增加的地区,以进行定制的预防工作.
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