全球,区域和国家营养不足负担,从1990年到2019年
Xin Qing1,2, Yurou Ji3, Chunlei Yuan1
1Clinical Laboratory, Boai Hospital of Zhongshan Affiliated to Southern Medical University, Zhongshan, People's Republic of China.
The British journal of nutrition
|June 3, 2024
概括
全球营养缺陷 (ND) 的患病率和死亡率正在下降,但发病率在地理位置上有所不同. 南亚和撒哈拉以南非洲面临着最高的ND负担,突出了营养健康趋势的区域差异.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 营养科学 营养科学
背景情况:
- 营养缺陷 (ND) 呈现出不断变化的流行病学和负担特征.
- 识别ND的地理差异和新兴趋势对于公共卫生干预至关重要.
- 了解ND的30年轨迹对于基于证据的政策制定至关重要.
研究的目的:
- 分析1990年至2019年营养不足负担的全球,区域和国家趋势.
- 检查ND发病率和残疾调整寿命年 (DALY) 的地理差异和时间变化.
- 调查ND发病率与社会人口统计学因素之间的关联.
主要方法:
- 从全球疾病负担 (GBD) 2019数据库中利用了1990-2019年期间的数据.
- 在全球,区域和国家层面分析了ND的发病率和残疾调整寿命年 (DALY).
- 计算年平均百分比变化 (AAPC) 来评估ND率的趋势.
主要成果:
- 在全球范围内,在1990年至2019年期间,ND发病率下降了5.8% (AAPC = -0.21%).
- 在DALY (AAPC = -3.21%),流行率 (AAPC = -0.53%) 和死亡率 (AAPC = -4.97%) 中观察到显著下降.
- 南亚和撒哈拉以南非洲的ND发病率最高,发病率与社会人口统计指数之间存在负相关性.
结论:
- 全球ND发病率呈现出混合模式,而DALY率在研究期间持续下降.
- 在1990年至2019年期间,ND的患病率和死亡率显著下降.
- 在ND负担的地理差异仍然存在,南亚和撒哈拉以南非洲的比例更高,需要有针对性的干预措施.
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