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采用风险因素方法应对全球非传染性疾病挑战:来自世界各地的声音。

Addressing the global Challenge of NCDs using a Risk Factor approach: voices from around the world.

作者信息

Saran Rajiv, Randolph Elizabeth, Omollo Kathleen Ludewig

机构信息

Division of Nephrology Department of Internal Medicine University of Michigan Michigan Medicine Ann Arbor Michigan USA.

Department of Epidemiology School of Public Health University of Michigan Ann Arbor Michigan USA.

出版信息

FASEB Bioadv. 2021 Feb 16;3(4):259-265. doi: 10.1096/fba.2020-00131. eCollection 2021 Apr.

Abstract

Noncommunicable diseases (NCDs) are growing at an alarming rate around the world, drawing attention in multiple United Nations high-level meetings, the Sustainable Development Goals, regional alliances for NCDs, and in scientific research agendas. In 2018, the World NCD Federation selected the University of Michigan from seven universities around the world to host the 2nd World NCD Congress in 2020. For the scientific program, we defined an intersecting matrix of "risk factors" and "disease-oriented" lenses for examining NCDs to highlight the multiple risk factors that contribute to major NCDs. Through deliberation with two committees representing over 50 individuals and 11 countries, eight risk factors were selected for the scientific program: social determinants of health and demographics, climate and environment, stress, sleep, substance use, nutrition, and physical activity, and genetics. These eight risk factors served as submission categories for a call for abstracts as well as topics for the planned plenary sessions. In April 2020, we pivoted our approach when meeting in person for a conference was no longer feasible. Building upon the risk factor model, we shifted the invited talks to invited articles for publication as a special collection for FASEB BioAdvances. We are delighted to launch this collection with 13 invited articles by 32 experts from ten countries. Significant transferable lessons about key risk factors and prevention of NCDs from this collection could be leveraged in various geographic areas and in settings with varying levels of resources, as they cover a diverse range of topics from community-level interventions to indigenous leadership structures to national policies to intergovernmental programs.

摘要

非传染性疾病(NCDs)在全球正以惊人的速度增长,在联合国多次高级别会议、可持续发展目标、非传染性疾病区域联盟以及科学研究议程中都受到了关注。2018年,世界非传染性疾病联合会从全球七所大学中挑选了密歇根大学来主办2020年第二届世界非传染性疾病大会。对于科学项目,我们定义了一个“风险因素”和“以疾病为导向”视角的交叉矩阵来审视非传染性疾病,以突出导致主要非传染性疾病的多种风险因素。通过与代表50多人和11个国家的两个委员会进行商讨,为科学项目选定了八个风险因素:健康的社会决定因素和人口统计学、气候与环境、压力、睡眠、物质使用、营养、身体活动以及遗传学。这八个风险因素既作为摘要征集的提交类别,也作为计划全会的主题。2020年4月,当面对面召开会议不再可行时,我们改变了方法。在风险因素模型的基础上,我们将受邀演讲改为受邀文章以供发表,作为《FASEB生物进展》的一个特刊。我们很高兴推出这个特刊,其中包含来自十个国家的32位专家撰写的13篇受邀文章。由于该特刊涵盖了从社区层面干预到本土领导结构、国家政策以及政府间项目等广泛的主题,因此可以在不同地理区域和资源水平各异的环境中利用从该特刊中学到的关于非传染性疾病关键风险因素和预防的重要可借鉴经验。

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本文引用的文献

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