Department of Neurology, Xi'an Ninth Hospital Affiliated to Medical College of Xi'an Jiaotong University, Xi'an, China.
Key Laboratory of Biomedical Information Engineering of Education Ministry, School of Life Science and Technology, Xi'an Jiaotong University, Xi'an, China.
Neurol Res. 2021 Jun;43(6):474-481. doi: 10.1080/01616412.2020.1867950. Epub 2020 Dec 30.
: High sodium intake is associated with a higher risk of stroke. However, global patterns and trends in the stroke burden attributable to high sodium intake have not been systematically assessed.: We used the numbers and age-standardized mortality rate (ASMR), and disability-adjusted life years (DALYs) rate (ASDR) of the stroke burden attributable to high sodium intake by sex, socio-demographic index (SDI), and country, obtained from the Global Burden of Disease Study (GBD) 2019. We calculated the estimated annual percentage changes (EAPCs) to assess the trends of ASMR and ASDR of the disease burden attributable to high sodium intake between 1990 and 2019. We further calculated the contribution of changes in population growth, population aging, and mortality or DALYs to changes in total stroke deaths and DALYs.: From 1990 to 2019, the global burden of stroke attributable to high sodium intake changed significantly, from a universal burden in Asia and Europe to one that mainly affected some countries in Asia and Oceania. This change was due to the combined effects of demographic changes and changes in mortality or DALY rates. For countries in Asia and Oceania, the effects of population aging and population growth outweighed the effects of declining mortality and DALY rates, resulting in an absolute increase in strokes attributable to high sodium intake.: Although the age-standardized global stroke burden attributable to high sodium intake has declined from 1990 to 2019, the burdens in some Asia and Oceania countries, particularly China, remain high.
高钠摄入量与中风风险增加有关。然而,高钠摄入量导致的中风负担的全球模式和趋势尚未得到系统评估。
我们使用 1990 年至 2019 年全球疾病负担研究(GBD)中按性别、社会人口指数(SDI)和国家划分的高钠摄入量导致的中风负担的人数和年龄标准化死亡率(ASMR)和伤残调整生命年(DALY)率(ASDR),计算了疾病负担归因于高钠摄入量的 ASMR 和 ASDR 的估计年变化百分比(EAPC),以评估 1990 年至 2019 年的趋势。我们进一步计算了人口增长、人口老龄化、死亡率或 DALY 变化对总中风死亡和 DALY 变化的影响。
从 1990 年到 2019 年,高钠摄入量导致的全球中风负担发生了显著变化,从亚洲和欧洲的普遍负担转变为主要影响亚洲和大洋洲一些国家的负担。这种变化是由于人口变化和死亡率或 DALY 率变化的综合影响。对于亚洲和大洋洲的国家,人口老龄化和人口增长的影响超过了死亡率和 DALY 率下降的影响,导致高钠摄入量导致的中风负担绝对增加。
尽管高钠摄入量导致的全球中风负担从 1990 年到 2019 年有所下降,但中国等一些亚洲和大洋洲国家的负担仍然很高。