Sun Hongyu, Liu Yuqi, Xu Ying, Gong Xingyu, Zhai Chunxia, Hu Wanqin, Wang Yuhua, Zong Qiqun, Yu Guanghui, Wang Linlin, Yan Ziye, Zhang Tingyu, Wang Fang, Zou Yanfeng
Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
Department of Oncology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Prev Med. 2023 Oct;175:107690. doi: 10.1016/j.ypmed.2023.107690. Epub 2023 Sep 1.
High sugar-sweetened beverages (SSBs) are a controllable risk factor for chronic non-communicable diseases (NCDs), but their effect on the global disease burden is uncertain. The study aims to assess the global burden of high SSBs from 1990 to 2019. Global Burden of Disease (GBD) 2019 provides data on deaths, disability-adjusted life years (DALYs), years of life with disabilities (YLDs) and years of life lost (YLLs) ascribe to high SSBs by ages, genders, regions and countries. For the past 30 years, overall exposure to high SSBs decreased for males and increased for females. The number of deaths from chronic NCDs ascribed to high SSBs increased from 149,988 (110,278-182,947) to 242,218 (172,045-302,250), DALYs increased from 3,698,578 (2,693,476-4,559,740) to 6,307,562 (4,300,765-8,079,556), especially the males. Age-standardized YLDs rate (ASYLDs) increased from 11.58 to 17.03. The number of ischemic heart disease (IHD) and diabetes mellitus (DM) deaths and DALYs ascribed to high SSBs has been increasing. Age-standardized death rate (ASDR) for DM risen from 0.56 to 0.62, age-standardized DALYs rate (ASDALYs) risen from 21.41 to 28.21. The burden of disease ascribed to high SSBs was in the elderly significantly higher than in the young and middle-aged, mainly concentrated in Central Asia and Oceania. The disease burden was highest in regions with moderate sociodemographic index (SDI). More extraordinary efforts should be made to raise awareness among the general public about interventions aimed at limiting the use of high SSBs, to reduce disease burden ascribed to high SSBs.
高糖甜味饮料（SSB）是慢性非传染性疾病（NCD）的一个可控风险因素，但其对全球疾病负担的影响尚不确定。该研究旨在评估1990年至2019年高糖甜味饮料的全球负担。《2019年全球疾病负担》（GBD 2019）提供了按年龄、性别、地区和国家划分的归因于高糖甜味饮料的死亡、伤残调整生命年（DALY）、残疾生活年数（YLD）和生命损失年数（YLL）的数据。在过去30年中，男性对高糖甜味饮料的总体暴露量有所下降，而女性则有所增加。归因于高糖甜味饮料的慢性非传染性疾病死亡人数从149,988（110,278 - 182,947）增加到242,218（172,045 - 302,250），DALY从3,698,578（2,693,476 - 4,559,740）增加到6,307,562（4,300,765 - 8,079,556），尤其是男性。年龄标准化YLD率（ASYLDs）从11.58增加到17.03。归因于高糖甜味饮料的缺血性心脏病（IHD）和糖尿病（DM）死亡人数及DALY一直在增加。DM的年龄标准化死亡率（ASDR）从0.56上升到0.62，年龄标准化DALY率（ASDALYs）从21.41上升到28.21。归因于高糖甜味饮料的疾病负担在老年人中明显高于年轻人和中年人，主要集中在中亚和大洋洲。疾病负担在社会人口指数（SDI）中等的地区最高。应做出更多特别努力，提高公众对旨在限制高糖甜味饮料使用的干预措施的认识，以减轻归因于高糖甜味饮料的疾病负担。
