低体力活动相关疾病负担,1990-2021:基于GBD 2021数据的全球趋势和社会决定因素的评估
Hao Liu1, Zhenhao Liu2, Yanqing Gong3
1The Affiliated Guangdong Second Provincial General Hospital of Jinan University, Guangzhou, Guangdong, China.
Journal of global health
|December 4, 2025
概括
低体力活动 (LPA) 在2021年全球造成超过555,000人死亡,不成比例地影响老年妇女和驱动糖尿病. 有针对性的干预措施对于减轻这些非传染性疾病负担至关重要.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 低体力活动 (LPA) 是与心血管和脑血管疾病相关的重要危险因素.
- 非传染性疾病 (NCD) 代表着日益严重的全球健康挑战,而LPA有助于它们的流行.
研究的目的:
- 通过使用最近的数据,评估与LPA相关的NCD的全球患病率和负担.
- 分析不同人口和地区LPA相关疾病负担的变化.
- 预测未来的趋势,了解LPA与其他风险因素的相互作用.
主要方法:
- 利用2021年全球疾病负担数据集对204个国家和地区进行分析.
- 对五种关键的非传染性疾病的量化死亡率,年龄标准化率和根据残疾调整的寿命年 (DALYs).
- 采用多变量分层和年龄时期队列建模来检查人口变化和未来轨迹.
主要成果:
- 在2021年,LPA在全球导致555,101人死亡,主要是60-94岁的个人.
- 关于社会人口统计指数 (SDI) 的LPA相关疾病负担,观察到U形分布.
- 老年妇女 (60-89岁) 面临不成比例地高的LPA相关死亡负担;缺血性心脏病 (IHD) 趋势因SDI而有显著差异,而糖尿病呈现出越来越大的趋势.
结论:
- 公共卫生干预措施必须优先增加体育活动,特别是在老年妇女和LPA相关糖尿病中.
- 需要制定战略,以优化在SDI低和中等地区的血管疾病护理,这些地区的IHD正在上升.
- 高SDI地区应加强体育活动促进,而低和中SDI地区需要改善医疗保健基础设施和人口增长管理,以应对LPA相关的疾病负担.
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