由于体力活动不足而导致的心血管疾病的全球负担,1990-2021年
Nan Wu1, Jian Wang1, Yingchu Hu1
1Department of Cardiology, Ningbo First Hospital, The First Affiliated Hospital of Ningbo University, Ningbo, 315000, Zhejiang, China.
Scientific reports
|July 15, 2025
概括
全球心血管疾病 (CVD) 负担来自低体力活动 (LPA) 从1990-2021年减少. 然而,显著的差异仍然存在,特别是在低收入和中等收入国家,突出显示了持续的挑战.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心脏病学 心脏病学
背景情况:
- 心血管疾病 (CVD) 仍然是全球主要的死亡原因.
- 低体力活动 (LPA) 是心血管疾病的一个显著可修改的风险因素.
- 了解LPA归因的心血管疾病负担的时空分布对于有针对性的干预至关重要.
研究的目的:
- 从1990年到2021年,分析全球,区域和国家从1990年到2021年归因于LPA的CVD负担.
- 确定与LPA相关的CVD负担在不同社会人口指数 (SDI) 级别和地理区域的趋势和差异.
- 为公共卫生战略提供信息,以减轻身体不活动对心血管健康的影响.
主要方法:
- 全球疾病负担 (GBD) 2021年数据的系统提取,用于归因于LPA的CVD负担.
- 数据按SDI五分位数和21个GBD地理区域分层.
- 利用年龄标准化死亡率 (ASDR),残疾调整寿命年率 (DALY) 和估计年度百分比变化 (EAPC) 来评估负担和趋势.
主要成果:
- 从1990年到2021年,LPA归因于心血管疾病的全球年龄标准化DALY和ASDR下降 (EAPC = -1.30和-1.41,分别).
- 低中等SDI地区的负担率最高. 北非和中东地区在2021年报告了最高的区域负担,而苏丹显示了最高的国家税率.
- 东南亚和撒哈拉以南非洲分别经历了最大的DALY和ASDR率上升. 莱索托在两个指标上显示出最实质性的增长.
结论:
- 虽然全球趋势呈现下降趋势,但LPA引起的心血管疾病负担仍然很大,特别是在低收入和中等收入国家.
- 与LPA相关的心血管疾病负担存在显著的区域和国家差异,需要量身定制的公共卫生干预措施.
- 持续监测和有针对性的策略对于解决身体不活动对心血管健康的持续影响至关重要.
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