Resolve to Save Lives, New York, NY, US.
Vital Strategies, New York, NY, US.
Glob Heart. 2020 Jul 30;15(1):50. doi: 10.5334/gh.531.
Non-communicable diseases (NCDs) are the world's leading causes of death and disability, with cardiovascular disease (CVD) accounting for half of NCD deaths. An ambitious global target established by the United Nations Sustainable Development Goals - indicator 3.4.1 - aims to reduce the risk of premature death among people aged 30-69 years from CVD, cancer, diabetes, and chronic lung disease by one third by 2030. This article reviews the science and practice informing what is required to achieve this target, identifying seven interventions that can accelerate progress: 1) tobacco control; 2) treatment to reduce cardiovascular risk; 3) reduction of dietary sodium; 4) reduction of household air pollution; 5) elimination of artificial trans fat; 6) reduction of alcohol use; and 7) prevention, detection, and treatment of cancers. Achieving the target is possible - there has already been progress in some areas, particularly related to CVD reduction - but only if there is faster, more concerted action.
非传染性疾病（NCDs）是全球死亡和残疾的主要原因，其中心血管疾病（CVD）占 NCD 死亡人数的一半。联合国可持续发展目标设定了一个雄心勃勃的全球目标——指标 3.4.1——旨在到 2030 年，将 30-69 岁人群因 CVD、癌症、糖尿病和慢性肺病导致的过早死亡风险降低三分之一。本文综述了实现这一目标所需的科学和实践，确定了七种可以加速进展的干预措施：1）烟草控制；2）降低心血管风险的治疗；3）减少饮食中的钠；4）减少家庭空气污染；5）消除人工反式脂肪；6）减少酒精使用；以及 7）癌症的预防、检测和治疗。实现这一目标是有可能的——在某些领域已经取得了进展，特别是在 CVD 减少方面——但前提是需要更快、更协调的行动。
