Pan Shijie, Lin Zhihan, Yao Teng, Guo Xiaoli, Xu Tongtong, Sheng Xinyan, Song Xi, Chen Zuhai, Wei Wanting, Yan Yizhong, Hu Yunhua
Department of Stomatology, School of Medicine, Shihezi University, Shihezi, Xinjiang, China.
Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi, Xinjiang, China.
Front Nutr. 2023 Aug 24;10:1202763. doi: 10.3389/fnut.2023.1202763. eCollection 2023.
The aim of this study was to assess the global burden of disease from non-communicable chronic diseases (NCD) due to diet low in fruits from 1990 to 2019.
Based on data from the Global Burden of Disease (GBD) 2019, the global burden of disease due to diet low in fruits was analyzed for each country or region, disaggregated by disease type, age, sex, and year. The number of deaths and disability-adjusted life years (DALYs), population attributable fraction (PAF), age-standardized mortality rate (ASMR) and age-standardized DALY rate (ASDR) were calculated, and the average annual percentage change (AAPC) was calculated to describe trends in ASMR and ASDR from 1990 to 2019.
From 1990 to 2019, the number of deaths and DALYs due to diet low in fruits increased by 31.5 and 27.4%, respectively. Among the tertiary diseases, ischemic heart disease, stroke, and diabetes and kidney disease were the top three contributors to the global increase in deaths and DALYs. However, both ASMR and ASDR showed a decreasing trend. The fastest decline in ASMR and ASDR was in stroke, with AAPC of -2.13 (95% CI: -2.22, -2.05, < 0.05) and -0.56 (95% CI: -0.62, -0.51, < 0.05), respectively. For GBD regions, high PAF occurred mainly in South Asia, Oceania, and sub-Saharan Africa. Age-specific PAF for stroke and ischemic heart disease death attributable to diet low in fruits was significantly negatively associated with age. Diet low in fruits related ASMR and ASDR showed an M-shaped relationship with the socio-demographic index (SDI), but with an overall decreasing trend.
The number of deaths and DALYs due to diet low in fruits continues to increase. Therefore, early nutritional interventions should be implemented by the relevant authorities to reduce the burden of diseases caused by diet low in fruits.
本研究旨在评估1990年至2019年因水果摄入量低的非传染性慢性病（NCD）导致的全球疾病负担。
基于《2019年全球疾病负担》（GBD）的数据，按疾病类型、年龄、性别和年份对每个国家或地区因水果摄入量低导致的全球疾病负担进行分析。计算死亡人数、伤残调整生命年（DALY）、人群归因分数（PAF）、年龄标准化死亡率（ASMR）和年龄标准化DALY率（ASDR），并计算平均年变化百分比（AAPC）以描述1990年至2019年ASMR和ASDR的趋势。
1990年至2019年，因水果摄入量低导致的死亡人数和DALY分别增加了31.5%和27.4%。在三级疾病中，缺血性心脏病、中风以及糖尿病和肾病是全球死亡人数和DALY增加的三大主要原因。然而，ASMR和ASDR均呈下降趋势。ASMR和ASDR下降最快的是中风，AAPC分别为-2.13（95%CI：-2.22，-2.05，<0.05）和-0.56（95%CI：-0.62，-0.51，<0.05）。对于GBD地区，高PAF主要发生在南亚、大洋洲和撒哈拉以南非洲。因水果摄入量低导致的中风和缺血性心脏病死亡的年龄特异性PAF与年龄呈显著负相关。水果摄入量低相关的ASMR和ASDR与社会人口指数（SDI）呈M形关系，但总体呈下降趋势。
因水果摄入量低导致的死亡人数和DALY持续增加。因此，相关当局应尽早实施营养干预措施，以减轻因水果摄入量低导致的疾病负担。
