在德国,由于久坐的行为导致的癌症负担:对调查数据的流行病学分析
Katharina Schaber1, Michael Leitzmann1, Tobias Pukrop2,3
1Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.
BMJ open
|January 14, 2025
概括
久坐不动的行为与增加癌症风险有关. 在德国,预计到2024年,这种生活方式将导致超过7,600例癌症病例和大量医疗保健费用,这凸显了预防的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 久坐不动行为 (SB) 是众所周知的多种癌症的风险因素,包括乳腺癌,结直肠癌,子宫内膜癌,卵巢癌和直肠癌.
- 在本研究之前,德国SB所承担的癌症病例和相关医疗保健费用的具体负担仍然未得到量化.
研究的目的:
- 估计2024年,2030年和2040年在德国由于久坐行为导致的癌症病例的数量和比例.
- 量化2024年德国与静坐行为相关的癌症相关的医疗保健成本.
主要方法:
- 使用了特定于性别和特定于年龄的人口预测,并与德国的全国癌症发病率和暴露数据相结合.
- 对与久坐行为相关的新癌症病例的计算人口归因分数 (PAF).
- 估计的医疗保健费用,因为静坐行为归因于癌症.
主要成果:
- 预计,在2024年,德国由于久坐行为导致的癌症病例将达到7,612例 (占总数的6%),到2040年将增加到8,245例 (6%).
- 确定了针对特定癌症的显著人口归因分数:女性的子宫内膜和卵巢癌为9%,男性的结肠癌为9%,女性的结肠癌为8%.
- 据估计,在2024年,静坐行为导致的癌症的医疗保健费用为2.7亿欧元 (结肠),5.1亿欧元 (直肠),2.34亿欧元 (乳腺) 和2.42亿欧元 (女性生殖器).
结论:
- 久坐不动的行为对德国的癌症负担作出了重大贡献,给健康带来了重大的经济影响.
- 有效的公共卫生干预措施,包括针对工作场所,学校和通勤习惯的干预措施,对于减轻与这种可修改的风险因素相关的癌症发病率至关重要.
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