东地中海的心房动和动:从1990年到2021年的负担,差异和风险因素贡献
Mohammad-Mahdi Bastan1, Iman Elahi Vahed2, Kamiar Izadpanah1
1HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
概括
从1990年到2021年,心房和 (AFF) 的负担在东地中海地区显著增加,主要是高血压和肥胖. 公共卫生策略对于管理这些日益增长的心律失常挑战至关重要.
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:
- 心房动和动 (AFF) 是普遍存在的心律失常症,其全球负担正在增加.
- 东地中海地区 (EMR) 由于人口和生活方式的变化,AFF的增长特别快.
- 在AFF负担和风险因素的区域差异仍未得到充分研究.
研究的目的:
- 在东地中海地区 (EMR) 分析心房动和动 (AFF) 的负担并确定心房动和动的风险因素.
- 利用全球疾病负担 (GBD) 研究数据进行全面的流行病学分析.
主要方法:
- 全球疾病负担 (GBD) 2021年数据的系统分析.
- 从1990年到2021年,根据年龄,性别和社会人口统计指数 (SDI) 分层评估AFF发生率,流行率,DALY和死亡率.
- 估计可归因于关键风险因素的AFF负担,包括高静脉压和高体重指数.
主要成果:
- 在EMR中,AFF的发病率和流行率在1990年至2021年之间增加了160%以上.
- 根据年龄标准化的AFF发病率和流行率显著上升,女性的增加更大.
- 高缩血压是DALY的主要风险因素,而高体重指数显示了最大的归因负担增加.
结论:
- 在EMR中,AFF的负担从1990年到2021年大幅增加.
- 高静脉压和高体重指数是AFF负担的关键因素.
- 迫切需要有效的公共卫生干预措施,重点关注高血压和肥胖管理,生活方式改变和早期检测.
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