Potential Impact of Time Trend of Life-Style Factors on Cardiovascular Disease Burden in China.
Potential Impact of Time Trend of Life-Style Factors on Cardiovascular Disease Burden in China.
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DOI：
10.1016/j.jacc.2016.06.011
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发表时间：
2016-08-23
影响因子：
24
通讯作者：
Hu FB
中科院分区：
文献类型：
--
作者：
Li Y;Wang DD;Ley SH;Howard AG;He Y;Lu Y;Danaei G;Hu FB
心血管疾病（CVD）是中国的主要死亡原因。评估风险因素及其对疾病负担的影响对于未来的公共卫生举措和政策制定至关重要。我们使用来自中国健康与营养调查队列的数据来估计1991年至2011年心血管危险因素的时间趋势。我们应用比较风险评估方法来估计可归因于所有非最佳水平（例如，理论最小风险暴露分布（TMRED）。2011年，高血压、高低密度脂蛋白胆固醇和高血糖分别与中国310万、140万和90万例CVD事件相关。体重指数（BMI）的增加与1991年至2011年期间CVD事件的增加有关，从50万增加到110万，而体力活动减少与CVD事件增加70万相关。2011年，53.4%的男性使用烟草，估计占男性心血管疾病负担的30.1%。膳食质量有所改善，但仍不理想; 2011年，钠的平均摄入量为5.4（TMRED：2.0）g/天，水果为67.7（TMRED：300.0）g/天，坚果为6.2（TMRED：114.0）g/天，海洋omega-3脂肪酸为25.0（TMRED：250.0）mg/天。在中国，高血压仍然是与心血管疾病负担相关的最重要的个体危险因素。从1991年到2011年，BMI增加和体力活动减少也与CVD负担增加有关。男性的高烟草使用率和不健康的饮食因素继续导致中国CVD的负担。
Cardiovascular disease (CVD) is a leading cause of death in China. Evaluation of risk factors and their impacts on disease burden is important for future public health initiatives and policy making. We used data from a cohort of the China Health and Nutrition Survey to estimate time trends in cardiovascular risk factors from 1991 through 2011. We applied the Comparative Risk Assessment method to estimate the number of CVD events attributable to all non-optimal levels (e.g., theoretical-minimum-risk exposure distribution, TMRED) of each risk factor. In 2011, high blood pressure, high low-density lipoprotein cholesterol, and high blood glucose were associated with 3.1, 1.4, and 0.9 million CVD events in China, respectively. Increase in body mass index (BMI) was associated with an increase in attributable CVD events, from 0.5 million to 1.1 million between 1991 and 2011, while decreased physical activity was associated with a 0.7-million increase in attributable CVD events. In 2011, 53.4% of males used tobacco, estimated to be responsible for 30.1% of CVD burden in males. Dietary quality improved, but remained suboptimal; mean intakes were 5.4 (TMRED: 2.0) g/day for sodium, 67.7 (TMRED: 300.0) g/day for fruits, 6.2 (TMRED: 114.0) g/day for nuts, and 25.0 (TMRED: 250.0) mg/day for marine omega-3 fatty acids in 2011. High blood pressure remains the most important individual risk factor related to CVD burden in China. Increased BMI and decreased physical activity were also associated with the increase in CVD burden from 1991 to 2011. High rates of tobacco use in males and unhealthy dietary factors continue to contribute to the burden of CVD in China.
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影响因子：
5.3
作者：
Huang, Chen;Huang, Jianfeng;Gu, Dongfeng
通讯作者：
Gu, Dongfeng
影响因子：
8.3
作者：
Hu, Dan;Huang, Junqian;Qu, Yan
通讯作者：
Qu, Yan
影响因子：
3.5
作者：
Gan, Yong;Tong, Xinyue;Lu, Zuxun
通讯作者：
Lu, Zuxun
影响因子：
168.9
作者：
Lim, Stephen S.;Vos, Theo;Flaxman, Abraham D.;Danaei, Goodarz;Shibuya, Kenji;Adair-Rohani, Heather;Amann, Markus;Anderson, H. Ross;Andrews, Kathryn G.;Aryee, Martin;Atkinson, Charles;Bacchus, Loraine J.;Bahalim, Adil N.;Balakrishnan, Kalpana;Balmes, John;Barker-Collo, Suzanne;Baxter, Amanda;Bell, Michelle L.;Blore, Jed D.;Blyth, Fiona;Bonner, Carissa;Borges, Guilherme;Bourne, Rupert;Boussinesq, Michel;Brauer, Michael;Brooks, Peter;Bruce, Nigel G.;Brunekreef, Bert;Bryan-Hancock, Claire;Bucello, Chiara;Buchbinder, Rachelle;Bull, Fiona;Burnett, Richard T.;Byers, Tim E.;Calabria, Bianca;Carapetis, Jonathan;Carnahan, Emily;Chafe, Zoe;Charlson, Fiona;Chen, Honglei;Chen, Jian Shen;Cheng, Andrew Tai-Ann;Child, Jennifer Christine;Cohen, Aaron;Colson, K. Ellicott;Cowie, Benjamin C.;Darby, Sarah;Darling, Susan;Davis, Adrian;Degenhardt, Louisa;Dentener, Frank;Des Jarlais, Don C.;Devries, Karen;Dherani, Mukesh;Ding, Eric L.;Dorsey, E. Ray;Driscoll, Tim;Edmond, Karen;Ali, Suad Eltahir;Engell, Rebecca E.;Erwin, Patricia J.;Fahimi, Saman;Falder, Gail;Farzadfar, Farshad;Ferrari, Alize;Finucane, Mariel M.;Flaxman, Seth;Fowkes, Francis Gerry R.;Freedman, Greg;Freeman, Michael K.;Gakidou, Emmanuela;Ghosh, Santu;Giovannucci, Edward;Gmel, Gerhard;Graham, Kathryn;Grainger, Rebecca;Grant, Bridget;Gunnell, David;Gutierrez, Hialy R.;Hall, Wayne;Hoek, Hans W.;Hogan, Anthony;Hosgood, H. Dean, III;Hoy, Damian;Hu, Howard;Hubbell, Bryan J.;Hutchings, Sally J.;Ibeanusi, Sydney E.;Jacklyn, Gemma L.;Jasrasaria, Rashmi;Jonas, Jost B.;Kan, Haidong;Kanis, John A.;Kassebaum, Nicholas;Kawakami, Norito;Khang, Young-Ho;Khatibzadeh, Shahab;Khoo, Jon-Paul;Kok, Cindy;Laden, Francine;Lalloo, Ratilal;Lan, Qing;Lathlean, Tim;Leasher, Janet L.;Leigh, James;Li, Yang;Lin, John Kent;Lipshultz, Steven E.;London, Stephanie;Lozano, Rafael;Lu, Yuan;Mak, Joelle;Malekzadeh, Reza;Mallinger, Leslie;Marcenes, Wagner;March, Lyn;Marks, Robin;Martin, Randall;McGale, Paul;McGrath, John;Mehta, Sumi;Mensah, George A.;Merriman, Tony R.;Micha, Renata;Michaud, Catherine;Mishra, Vinod;Hanafiah, Khayriyyah Mohd;Mokdad, Ali A.;Morawska, Lidia;Mozaffarian, Dariush;Murphy, Tasha;Naghavi, Mohsen;Neal, Bruce;Nelson, Paul K.;Miquel Nolla, Joan;Norman, Rosana;Olives, Casey;Omer, Saad B.;Orchard, Jessica;Osborne, Richard;Ostro, Bart;Page, Andrew;Pandey, Kiran D.;Parry, Charles D. H.;Passmore, Erin;Patra, Jayadeep;Pearce, Neil;Pelizzari, Pamela M.;Petzold, Max;Phillips, Michael R.;Pope, Dan;Pope, C. Arden, III;Powles, John;Rao, Mayuree;Razavi, Homie;Rehfuess, Eva A.;Rehm, Juergen T.;Ritz, Beate;Rivara, Frederick P.;Roberts, Thomas;Robinson, Carolyn;Rodriguez-Portales, Jose A.;Romieu, Isabelle;Room, Robin;Rosenfeld, Lisa C.;Roy, Ananya;Rushton, Lesley;Salomon, Joshua A.;Sampson, Uchechukwu;Sanchez-Riera, Lidia;Sanman, Ella;Sapkota, Amir;Seedat, Soraya;Shi, Peilin;Shield, Kevin;Shivakoti, Rupak;Singh, Gitanjali M.;Sleet, David A.;Smith, Emma;Smith, Kirk R.;Stapelberg, Nicolas J. C.;Steenland, Kyle;Stoeckl, Heidi;Stovner, Lars Jacob;Straif, Kurt;Straney, Lahn;Thurston, George D.;Tran, Jimmy H.;Van Dingenen, Rita;van Donkelaar, Aaron;Veerman, J. Lennert;Vijayakumar, Lakshmi;Weintraub, Robert;Weissman, Myrna M.;White, Richard A.;Whiteford, Harvey;Wiersma, Steven T.;Wilkinson, James D.;Williams, Hywel C.;Williams, Warwick;Wilson, Nicholas;Woolf, Anthony D.;Yip, Paul;Zielinski, Jan M.;Lopez, Alan D.;Murray, Christopher J. L.;Ezzati, Majid
通讯作者：
Ezzati, Majid
影响因子：
8.2
作者：
Gu, D;Reynolds, K;He, J
通讯作者：
He, J