Cardiovascular disease burden attributable to dietary risk factors from 1990 to 2019: A systematic analysis of the Global Burden of Disease study
Cardiovascular disease burden attributable to dietary risk factors from 1990 to 2019: A systematic analysis of the Global Burden of Disease study
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DOI：
10.1016/j.numecd.2021.11.012
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发表时间：
2022-04-07
影响因子：
3.9
通讯作者：
Wang, Tingzhong
中科院分区：
文献类型：
--
作者：
Dong, Caijuan;Bu, Xiang;Wang, Tingzhong
背景和目的：饮食风险一直是心血管疾病（CVD）的主要危险因素，尤其是在年轻人中。本文旨在提供1990年至2019年期间饮食归因的CVD负担的空间，时间和性别异质性的最新和全面的观点。方法和结果：饮食归因的CVD负担数据摘自2019年全球疾病负担（GBD）研究。确定了死亡人数和年龄标准化死亡率（ASR）、残疾调整生命年（DADs）和相应的估计年百分比变化（EAPC）。在全球范围内，二零一九年因饮食导致的心血管疾病死亡人数及伤残人数分别为690万及1.532亿，较一九九零年分别增加43. 8%及34. 3%。然而，随着时间的推移，死亡和残疾的ASR有所下降。饮食相关心血管疾病死亡和糖尿病的ASR最高的地区是中亚，而心血管疾病死亡和糖尿病的ASR最低的地区是高收入的亚太地区。在全球范围内，男性的死亡率和伤残调整生命年负担高于女性。缺血性心脏病和中风是全球CVD死亡和残疾的主要原因。关于特定的饮食组，低全谷物，高钠，低水果，低坚果和种子，低蔬菜和低海鲜ω-3脂肪酸的饮食导致心血管疾病死亡和糖尿病最多。饮食风险占较高比例的人年龄小于65岁。结论：饮食引起的心血管疾病威胁公众健康，特别是在低SDI国家和年轻一代。由于饮食相关的心血管疾病具有国家特异性，因此公共卫生干预措施的优先顺序应以证据为基础。(c)2021年意大利糖尿病学会，意大利动脉粥样硬化研究学会，意大利人类营养学会和临床医学和外科学系，费德里科二世大学。Elsevier B. V.出版，保留所有权利。
Background and aims: Dietary risks have always been a major risk factor for cardiovas-cular diseases (CVDs), especially in young people. This article aimed to provide an updated and comprehensive view of the spatial, temporal and sexual heterogeneity in diet-attributable CVD burdens from 1990 to 2019.Methods and results: Data on diet-attributable CVD burdens were extracted from the Global Burden of Disease (GBD) Study 2019. Numbers and age-standardized rates (ASRs) of deaths, disability-adjusted life years (DALYs) and corresponding estimated annual percentage change (EAPC) were determined. Globally, the number of diet-attributable CVD deaths and DALYs in 2019 were 6.9 million and 153.2 million, marking 43.8% and 34.3% increases since 1990, respec-tively. However, ASRs of death and DALYs have declined over time. The regions with the highest ASRs of diet-related CVD deaths and DALYs were in Central Asia, whereas the lowest ASRs of CVD deaths and DALYs were observed in the high-income Asia Pacific region. Globally, men suffered higher death and DALY burdens than women. Ischemic heart disease and stroke were the leading causes of CVD deaths and DALYs, globally. Regarding the specific diet group, diets low in whole grains, high in sodium, low in fruits, low in nuts and seeds, low in vegetables and low in seafood omega-3 fatty acids contributed to CVD deaths and DALYs the most. Dietary risks accounted for a higher proportion in people aged less than 65 years old.Conclusions: Diet-attributable CVDs threaten public health, particularly in low SDI countries and younger generations. As diet-related CVDs are nation-specific, the prioritization of public health interventions should be evidence-based.(c) 2021 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.