中国年轻成年人心力衰竭负担的时间趋势:1990年至2021年的系统分析
Meng Wang1, Zhaoxia Liao2, Haoquan Huang2
1Department of Cardiovascular Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, NO.107 Yanjiang West Road, Yuexiu District, Guangzhou, China.
BMC public health
|October 1, 2025
概括
30多年来,中国年轻人心力衰竭 (HF) 负担显著增加,传统原因如缺血性心脏病占主导地位. 迫切需要预防战略来应对这种日益严重的公共卫生问题.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 全球趋势显示,年轻成年人心力衰竭 (HF) 的增加.
- 关于中国年轻成年人中高压负担的综合数据有限.
研究的目的:
- 分析1990年至2021年年轻中国成年人 (20-49岁) 心力衰竭 (HF) 患病率和残疾年龄 (YLDs) 的趋势.
- 在这个人口群体中确定HF的主要原因和变化的模式.
主要方法:
- 利用了2021年全球疾病负担研究的数据.
- 雇员年龄标准化率,结点回归,年龄时期队列分析,分解分析,边界分析和预测模型.
- 按年龄,性别,严重程度和潜在原因进行分层分析.
主要成果:
- 心力衰竭 (HF) 患病率从1990年到2021年翻了一番,年龄标准化率每年增加1.53%.
- 缺血性心脏病,高血压性心脏病和心肌病是主要原因,而心房动显示了最高的相对增加.
- 流行病学变化占增加负担的66.9%,预测显示持续增加到2030年.
结论:
- 在中国年轻成年人中,心力衰竭 (心力衰竭) 的负担在过去三十年中大幅增加.
- 传统的心血管疾病仍然是这种人群中HF的主要原因.
- 迫切需要针对中国年轻人的加强预防策略.
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