1990年和2016年中国膳食相关慢性病疾病负担比较

目的分析中国居民因不合理膳食所致的慢性病疾病负担。方法基于2016年全球疾病负担(GBD)项目平台,摘录中国人群1990年和2016年膳食相关慢性病负担,指标包括死亡和伤残调整生命年(DALYs)的绝对值及经标准人口年龄调整后的率,亚组分析区分性别、膳食危险因素及疾病类别。结果 2016年中国人群膳食相关慢性病死亡例数和标化率分别是249. 3万人和182. 4/10万;DALYs和标化DALY率分别是5499. 5万人年和4023. 0/10万。与1990年相比,死亡率和DALY率分别上升19. 5%和9. 3%。2016年死亡率和DALY率随年龄增加而逐渐上升,男性死亡率(214. 6/10万)和DALY率(4961. 1/10万)分别是女性(148. 2/10万和3028. 2/10万)的1. 4倍和1. 6倍;膳食钠摄入量过高、全谷物摄入量过低和水果摄入量过低是前三位膳食风险因素;心血管病占所有慢性病DALY的88. 1%。结论2016年中国人群膳食相关慢性病负担重于1990年。

Comparative study on burden of diet-related chronic diseases in China between 1990 and 2016

OBJECTIVE To compare the disease burden of diet-related chronic diseases in China between 1990 and 2016. METHODS Based on the Global Burden of Disease 2016,we extracted the absolute number of deaths and disability-adjusted life years( DALYs) of diet-related chronic diseases and the corresponding age-standardized rates in China in 1990 and 2016. Subgroup analyses were conducted in various gender,dietary risk factors and categories of diseases. RESULTS In 2016,the total number and rate of diet-related NCDs deaths was 2493 thousand and 182. 4/100000. The corresponding number and rate of DALYs was 54995 thousand person-year and 4023. 0/100000. Compared with those in 1990,the rates of death and DALYs in 2016 increased by19. 5% and 9. 3%,respectively. Both death rate and DALYs rate increased with the age.Death rate( 214. 6/100000) and DALYs rate( 4961. 1/100000) in males were 1. 4-fold and 1. 6-fold as that in females( 148. 2/100000 and 3028. 2/100000,respectively). High intake in sodium,low intake in whole grains and low intake in fruits were the three leading dietary risk factors and cardiovascular diseases accounted for 88. 1% DALYs in all chronic diseases. CONCLUSION The burden of diet-related chronic diseases in China is severe and it continues increasing over years.