Li J H, Zeng X Y, Li Y C, Liu S W, Niu J Y, Wang L J, Yin P, You J L, Zhou M G
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Oct 6;51(10):903-909. doi: 10.3760/cma.j.issn.0253-9624.2017.10.007.
To analyze the burden of disease attributable to low fruit intake among Chinese population aged ≥15 years old between 1990 and 2013. We used data from the 2013 Global Burden of Disease Burden of Disease Study to study the situation in China. The population attributable fraction was calculated to estimate and compare the death and disability-adjusted life years (DALY) attributed to low fruit intake between 1990 and 2013 in China (excluded Taiwan, China). An average world population age structure of the period 2000-2025 was adopted to calculate age-standardized rates. Deaths attributable to low fruit intake accounted for 11.02% of all death in 2013, which were higher than it in 1990 (10.38%). In 2013, the number of deaths attributed to low fruit intake in China increased to 1 046 500 from 793 800 in 1990. From 1990-2013, the age-standardized death rate attributable to low fruit intake decreased from 113.04/100 000 to 79.80/100 000. DALYs caused by low fruit intake increased from 18.346 5 million in 1990 to 21.296 7 million in 2013. Compared with 1990, the age-standardized DALY rate attributed to low fruit intake decreased by 34.67%. In 2013, the top three provinces with the highest burden of disease attributed to low fruits intake were Tibet, Guizhou and Xinjiang provinces, with standardized DALY rate at 2 612.53/100 000, 2 281.85/100 000 and 2 198.22/100 000, respectively. Compared with the results in 1990, the standardized DALY attributed to low fruits intake decreased, especially in Tianjin, where decreased by 63.61%; followed by Aomen, Zhejiang, Shanghai and Beijing, where decreased by 59.74%, 59.53%, 56.64% and 53.88%, respectively. Compared with the situation in 1990, the burden of disease attributable to low fruit intake decreased in 2013, but the situation is still serious, especially in Tibet, Guizhou and Xinjiang provinces, where the burden decreased comparatively slowly.
分析1990年至2013年间中国15岁及以上人群因水果摄入量低导致的疾病负担。我们使用了2013年全球疾病负担研究的数据来研究中国的情况。计算人群归因分数，以估计和比较1990年至2013年中国（不包括中国台湾）因水果摄入量低导致的死亡和伤残调整生命年（DALY）。采用2000 - 2025年期间的世界平均人口年龄结构来计算年龄标准化率。2013年，因水果摄入量低导致的死亡占所有死亡的11.02%，高于1990年（10.38%）。2013年，中国因水果摄入量低导致的死亡人数从1990年的793,800人增加到1,046,500人。1990 - 2013年，因水果摄入量低导致的年龄标准化死亡率从113.04/10万降至79.80/10万。因水果摄入量低导致的DALY从1990年的1834.65万增加到2013年的2129.67万。与1990年相比，因水果摄入量低导致的年龄标准化DALY率下降了34.67%。2013年，因水果摄入量低导致疾病负担最高的前三个省份是西藏、贵州和新疆，标准化DALY率分别为2612.53/10万、2281.85/10万和2198.22/10万。与1990年的结果相比，因水果摄入量低导致的标准化DALY有所下降，特别是在天津，下降了63.61%；其次是澳门、浙江、上海和北京，分别下降了59.74%、59.53%、56.64%和53.88%。与1990年的情况相比，2013年因水果摄入量低导致的疾病负担有所下降，但情况仍然严重，特别是在西藏、贵州和新疆等省份，负担下降相对缓慢。
