从1990年到2021年,大动脉动脉瘤的全球负担归因于高饮食
Xiedong Shen1, Weiling Tian2, Chun Xue3
1Department of Vascular and Endovascular Surgery, The Second Affiliated Hospital of Naval Medical University (Shanghai Changzheng Hospital), Shanghai, China.
Frontiers in nutrition
|September 8, 2025
概括
高饮食在全球范围内显著增加了大动脉动脉瘤的负担,特别是在低收入地区. 未来的预测显示持续增加,需要针对性的公共卫生战略来减少盐和早期查.
科学领域:
- 心血管流行病学心血管流行病学
- 公共卫生 营养 公共卫生 营养
- 全球健康趋势 全球健康趋势
背景情况:
- 高饮食 (HSD) 越来越被认为是心血管疾病的危险因素.
- 大动脉动脉瘤 (AA) 是一个重要的全球健康挑战,具有复杂的病因因素.
- 了解HSD对AA负担的具体贡献对于有针对性的干预至关重要.
研究的目的:
- 调查HSD对大动脉动脉瘤 (AA) 全球负担的影响.
- 分析不同地区,性别和年龄组中可归因于HSD的AA的流行病学趋势.
- 预测与HSD相关的AA负担的未来趋势.
主要方法:
- 利用了2021年全球疾病负担研究 (GBD 2021) 的数据来计算残疾调整寿命年 (DALY) 和死亡病例 (1990-2021年).
- 使用分解分析来确定疾病负担的驱动因素 (人口增长,老龄化,流行病学变化).
- 在2022年至2045年的趋势预测中应用了Nordpred模型.
主要成果:
- 归因于HSD (AA-HSD) 的全球AA负担急剧增加:DALY增加103%,死亡增加120% (1990-2021).
- 低中等社会人口指数 (SDI) 地区的DALY增幅最大 (234%),南亚增幅最高 (361%).
- 人口老龄化和增长是主要的驱动因素;男性面临的预计负担高于女性.
结论:
- 高强度发展对全球AA负担做出了重大贡献,不成比例地影响了中低水平的SDI地区.
- 预计未来的AA负担将增加,这凸显了全球卫生战略的必要性.
- 根据区域发展水平,建议采取量身定制的干预措施,包括减少盐的政策和早期查.
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