从1990年到2019年,慢性病的流行病学模式归因于2型糖尿病
Xiaoxiao Ding1, Xiang Li2, Yun Ye1
1Department of Clinical Pharmacy, Beilun District People's Hospital, Ningbo, China.
Frontiers in endocrinology
|May 2, 2024
概括
自1990年以来,归因于2型糖尿病 (CKD-T2D) 的慢性病的全球负担显著增加,特别是在60-79岁的男性和中/高SDI地区. 战略干预对于管理这种日益严重的健康问题至关重要.
科学领域:
- 全球卫生流行病学
- 腎臟病學 (nephrology) 是一種醫學.
- 内分泌学 在内分泌学.
背景情况:
- 归因于2型糖尿病 (CKD-T2D) 的慢性病代表着一个重要的全球健康问题.
- 了解CKD-T2D负担的地理和时间分布对于有针对性的公共卫生战略至关重要.
- 社会人口统计指数 (SDI) 是影响健康结果的关键因素,包括CKD-T2D.
研究的目的:
- 调查从1990年到2019年全球CKD-T2D负担的空间和时间趋势.
- 分析不同地区CKD-T2D负担与社会人口指数 (SDI) 之间的关联.
- 确定特定的人口群体和受CKD-T2D影响最严重的地理区域.
主要方法:
- 利用了2019年全球疾病负担研究的数据.
- 评估年龄标准化发病率 (ASIR) 和残疾调整寿命年 (DALYs) 对于CKD-T2D.
- 雇员估计年度百分比变化 (EAPC) 评估时间趋势和地理变化.
主要成果:
- 从1990年到2019年,CKD-T2D年龄标准化率的全球显著增加被观察到 (ASIR EAPC:0.65,DALYs EAPC:0.92).
- 安第斯拉丁美洲 (ASIR EAPC: 2.23) 和北美 (DALYs EAPC: 2.73) 的CKD-T2D负担显著增加.
- 这种负担在男性中更高,在60-79岁年龄组达到顶峰,并且与中高SDI区域相关.
结论:
- 全球CKD-T2D的负担大幅增加,特别影响60-79岁的男性和中高SDI的地区.
- 在CKD-T2D发病率和DALY中存在显著的地理差异,在特定地区显著增加.
- 实施有针对性的干预措施对于缓解CKD-T2D带来的不断升级的全球健康挑战至关重要.
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