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30年来炎症性肠病的流行率和发病率的变化:基于人口的队列研究,HUNT研究
Heidi Hjelle1,2, Tor Åge Myklebust3,4, Atle van Beelen Granlund5
1Department of Public Health and Nursing, HUNT Research Center, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Scandinavian journal of gastroenterology
|September 12, 2025
概括
挪威的炎症性肠病 (IBD) 患病率在过去30年里显著增加,达到欧洲报告的最高水平. 这种增长主要是由性结肠炎驱动的,特别是在女性中.
科学领域:
- 胃肠病学 胃肠病学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 全球炎症性肠病 (IBD) 的患病率正在增加.
- 在不同的国家,IBD的发病率有很大差异.
- 了解人口特异性趋势对于公共卫生战略至关重要.
研究的目的:
- 量化IBD流行和发病率的变化.
- 为了分析挪威普通人口在30年期间的趋势.
- 为了确定特定的IBD亚型驱动观察到的变化.
主要方法:
- 利用了挪威特伦德拉格健康研究 (HUNT) 的数据.
- 包括自20世纪80年代以来调查的12.3万名成年参与者.
- 通过医院记录验证IBD诊断,并从1990-2022年计算年龄标准化年率.
主要成果:
- 胃肠炎的患病率从1990年的0.22%上升到2022年的1.6%.
- 性结肠炎 (UC) 的增幅最大 (0.16%至1.12%),其次是克罗恩病 (CD) (0.06%至0.27%).
- 每年IBD发病率增加0.72%,特别是在女性和老年人群 (70岁以上) 中.
结论:
- 在这个挪威人群中,IBD的患病率很高,并且已经上升了三十年.
- 观察到的患病率是欧洲报告的最高.
- 这些发现突出了一个重要的公共卫生问题,需要进一步调查和管理策略.
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