从1990年到2019年,全球心血管疾病负担归因于高摄入量
Keke Wang1, Yaqiong Jin1, Mengxiao Wang1
1Department of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Journal of clinical hypertension (Greenwich, Conn.)
|August 21, 2023
概括
高摄入量显著增加心血管疾病 (CVD) 的风险. 尽管发病率正在下降,但由于高摄入量导致心血管疾病的绝对负担仍然是一个全球性挑战,需要采取改善全民健康覆盖 (UHC) 等策略.
科学领域:
- 公共卫生 公共卫生
- 心血管医学 心血管医学
- 流行病学 流行病学
背景情况:
- 高摄入量是心血管疾病 (CVD) 的重要危险因素,导致死亡率和发病率增加.
- 减少盐是实现全球非传染性疾病 (NCD) 减少目标的关键公共卫生战略.
- 了解可归因于高摄入量 (HSI) 的心血管疾病负担对于有针对性的干预至关重要.
研究的目的:
- 评估1990年至2019年因高摄入量 (HSI) 而导致的心血管疾病 (CVD) 的全球负担.
- 分析时间变化,并识别不同地区,性别和社会人口统计指数 (SDI) 之间,HSI归因于心血管疾病负担的差异.
- 探索心血管疾病负担与普遍医疗覆盖 (UHC) 等因素之间的关系.
主要方法:
- 利用了2019年全球疾病负担研究 (GBD) 的数据.
- 分析了1990-2019年期间的死亡率和残疾调整寿命年 (DALYs) 数据,按位置,性别和SDI分层.
- 采用渐进多重线性回归来评估DALY率与相关因素之间的关联.
主要成果:
- 2019年,与HSI相关的CVD在全球造成了172万例死亡和4054万例DALY,绝对数字自1990年以来一直在增加.
- 虽然年龄标准化死亡率和DALY率下降了大约35%,但绝对数字上升,表明持续的公共卫生挑战.
- 高中和中等SDI五分位数承受了HSI的大量心血管疾病负担,缺血性心脏病是主要原因.
- 全民医疗覆盖 (UHC) 显示与减少的DALY率有关.
结论:
- 归因于HSI的全球心血管疾病负担表现出时空和性异质,但由于绝对数字的增加,它仍然是一个重大的公共卫生问题.
- 有针对性的公共卫生战略至关重要,以减轻与HSI相关的CVD日益增长的负担.
- 改善全民健康覆盖 (UHC) 被认为是减少与高摄入量相关的心血管疾病负担的有效策略.
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