归因于高BMI的缺血性中风负担的全球趋势
Qiongya Gao1, Wei Chao2, Jiali Xu1
1Department of Rehabilitation, Beilun District People's Hospital, Ningbo, Zhejiang, China.
Medicine
|November 13, 2024
概括
与高体重指数 (BMI) 相关的全球缺血性中风负担正在下降,但在东南亚正在上升,特别是在65岁以下的男性中. 需要紧急的公共卫生干预措施.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 全球健康 全球健康
背景情况:
- 高体重指数 (BMI) 是缺血性中风 (IS) 的重要危险因素.
- 了解与高BMI相关的IS的全球负担对于有针对性的公共卫生战略至关重要.
- 与高BMI相关的IS负担的趋势在全球不同地区有很大差异.
研究的目的:
- 评估与高体重指数 (BMI) 相关的缺血性中风 (IS) 的全球负担.
- 分析过去三十年来与IS相关的年龄标准化死亡率 (ASDR) 和因高BMI而导致的残疾调整寿命年 (DALYs) 的趋势.
- 确定影响与高BMI相关的IS负担的区域差异和人口因素.
主要方法:
- 利用了来自2019年全球疾病负担 (GBD) 研究的数据.
- 分析了因高BMI而导致的缺血性中风的年龄标准化死亡率 (ASDR) 和因残疾调整的寿命年 (DALYs).
- 员工估计的年度百分比变化 (EAPC) 评估与高BMI相关的IS负担的时间趋势.
主要成果:
- 在过去的30年中,与高BMI相关的IS负担的全球下降趋势被观察到.
- 西欧和亚太地区的高收入地区出现了显著下降.
- 相反,东南亚的ASDR和DALY率大幅增加,特别是在65岁以下的男性中,社会人口统计指数较低至中等地区的负担最高.
结论:
- 虽然与高BMI相关的全球IS负担正在下降,但在特定的发展中国家,如东南亚,存在着令人担忧的上升趋势.
- 医疗基础设施不足和公共卫生政策效率低下导致受影响地区的负担不断增加.
- 针对性干预侧重于行为变化,饮食和体育活动监测对于政策制定者来说至关重要,以减轻高BMI对IS的影响.
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