Jiang Y Y, Liu M, Ji N, Zeng X Y, Dong W L, Mao F, Liu S W, Dong J Q, Zhou M G
Department of Chronic Disease Prevention and Evaluation, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Department of Risk Factor Intervention and Health Promotion, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2019 Jan 10;40(1):46-51. doi: 10.3760/cma.j.issn.0254-6450.2019.01.010.
To analyze the burden of disease (BOD) on diabetes attributable to high BMI in China from 1990 to 2016. Data based on population of the 2016 Global Burden of Disease Study for China were used to analyze the attributable fractions (PAF) of BOD for diabetes attributable to high BMI. Measurements for attributable BOD of diabetes included disability adjusted life years (DALY), years of lost life (YLL), years living with disability (YLD), death number and mortality rate. The average world population from 2010 to 2035 was used as a reference. In 2016, death number of diabetes attributable to high BMI was 40 310, which was significantly higher than that in 1990 (15 008). Age-standardized death rate of diabetes attributable to high BMI increased from 2.01/100 000 in 1990 to 2.60/100 000 in 2016, which showed a more significant increasing trend in both males and people aged 15-49 years. DALYs of diabetes attributable to high BMI increased from 1.09 million person years to 3.30 million person years. YLL and YLD also showed increasing trends. The highest increasing rate of YLD was in people aged 15-49 years. High BMI was responsible for 26.01 of the diabetes deaths in 2016 in China, an increase of 39.39 compared with that in 1990 (18.66). Most provinces in China experienced a sharp increase of DALY of diabetes attributable to high BMI from 1990 to 2016. Inner Mongolia, Xinjiang, Zhejiang, Macao SAR, Sichuan and Qinghai had the most significant increase tendency in terms of DALY rate during this period. There was a rapid increase of the deaths and mortality rate of diabetes attributable to high BMI, causing a heavy disease burden, in China from 1990 to 2016. The BOD varied in both different age and gender groups. More attention should be paid to males and people aged 15-49 years in the prevention and control programs of diabetes.
分析1990年至2016年中国高体重指数导致的糖尿病疾病负担。基于2016年全球疾病负担研究中国人群的数据，用于分析高体重指数导致的糖尿病疾病负担的归因分数（PAF）。糖尿病可归因疾病负担的测量指标包括伤残调整生命年（DALY）、生命损失年数（YLL）、带病生存年数（YLD）、死亡人数和死亡率。使用2010年至2035年的世界平均人口作为参照。2016年，高体重指数导致的糖尿病死亡人数为40310人，显著高于1990年（15008人）。高体重指数导致的糖尿病年龄标准化死亡率从1990年的2.01/10万增至2016年的2.60/10万，在男性以及15至49岁人群中呈现更显著的上升趋势。高体重指数导致的糖尿病伤残调整生命年从109万人年增至330万人年。生命损失年数和带病生存年数也呈上升趋势。带病生存年数上升速率最高的是15至49岁人群。2016年在中国，高体重指数导致26.01%的糖尿病死亡，与1990年（18.66%）相比增加了39.39%。1990年至2016年，中国多数省份高体重指数导致的糖尿病伤残调整生命年急剧增加。在此期间，内蒙古、新疆、浙江、澳门特别行政区、四川和青海在伤残调整生命年率方面有最显著的上升趋势。1990年至2016年，中国高体重指数导致的糖尿病死亡人数和死亡率迅速上升，造成沉重的疾病负担。疾病负担在不同年龄和性别组中有所不同。在糖尿病防控项目中应更加关注男性以及15至49岁人群。
