在中国,与环境温度相关的蛋白质能量营养不良的死亡负担:全国性的案例交叉研究
Yulin Zhuo1, Jiangmei Liu2, Jianxiong Hu3
1Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.
The American journal of clinical nutrition
|June 8, 2025
概括
非最佳的温度,无论是热还是冷,都显著增加了中国与蛋白质能量营养不良 (PEM) 相关的死亡风险. 有针对性的公共卫生干预措施对于减轻与温度相关的死亡负担至关重要.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 全球变暖凸显了非最佳温度对健康的影响.
- 之前的研究将高温与增加的蛋白质能量营养不良 (PEM) 住院病例联系起来.
- 非最佳温度对PEM死亡率的影响仍未得到量化.
研究的目的:
- 量化评估与PEM相关的风险和负担与短期温度暴露相关的死亡率.
- 分析中国31个省份的这些关联.
主要方法:
- 在中国大陆利用了2013-2022年的死亡率和气象数据.
- 采用了时间分层的案例交叉设计.
- 综合物流和分布式滞后非线性模型分析温度与死亡率的关联.
- 根据年龄,性别,PEM类型和省份进行了子组分析.
主要成果:
- 在2013年至2022年期间,PEM死亡人数超过197,000人.
- 在全国范围内,非最佳温度约占PEM死亡率的17.03%.
- 低温的影响比高温的影响更大.
- 在男性,65岁以上的成年人和非严重的PEM病例中观察到较高的死亡负担.
- 安,新疆和湖北省显示出最高的可归因分数.
结论:
- 热和冷的非最佳温度都与PEM相关的死亡率增加有关.
- 研究结果强调需要有针对性的干预措施,以减少与温度相关的PEM死亡率.
- 环境温度是影响PEM死亡负担的重要环境因素.
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