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肥胖死亡率上升:54年美国前景
Jazza Aamir1, Muhammad Khalid Afridi1, Maryam Sajid1
1Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Diabetes, obesity & metabolism
|December 1, 2025
概括
从1985年到2021年,美国的肥胖死亡率显著增加,在COVID-19大流行期间出现了显著的升. 在性别,种族和地理区域之间存在持续的差异,突出了针对性公共卫生干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 死亡率统计 死亡率统计
背景情况:
- 肥胖是美国的主要公共卫生挑战,在过去的五十年中,肥胖的流行率越来越高.
- 了解与肥胖相关的死亡率趋势和差异对于有效的公共卫生战略至关重要.
研究的目的:
- 分析1968年至2021年美国肥胖死亡率趋势.
- 检查年龄,性别,种族和地理区域中肥胖死亡率的差异.
主要方法:
- 基于人口的描述性研究,使用来自CDC WONDER的国家死亡率数据.
- 使用25岁及以上个体的ICD代码识别肥胖死亡 (潜在原因).
- 根据年龄调整的死亡率 (AAMR) 的计算和使用Joinpoint回归的时间趋势分析.
主要成果:
- 在1968年至2021年期间,共有174,625例肥胖死亡记录.
- 根据年龄调整的死亡率 (AAMR) 从1968年的1.15增加到2021年的4.54,在COVID-19大流行期间大幅增加.
- 在性别,种族 (黑人个体高于白人) 和地理区域 (例如,西弗吉尼亚州最高,夏威夷在1999-2019年间最低) 中观察到AAMR的显著差异.
结论:
- 自1985年以来,美国的肥胖死亡率呈现出整体上升趋势,在COVID-19大流行期间出现了显著加速.
- 在人口和地理群体中,肥胖死亡率的持续差异强调了需要量身定制的公共卫生干预措施.
- 这些发现突显了肥胖对美国死亡率的重大和日益增长的影响.
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