Wang Feng-Xia, Kong Xiang-Hua, Guo Zhe, Li Lu-Xia, Zhang Shu
Department of Urology, Shanxi Bethune Hospital, Shanxi Academy of Medical Science, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
Front Nutr. 2024 Feb 13;11:1354287. doi: 10.3389/fnut.2024.1354287. eCollection 2024.
The objective of this study is to explore the prevalence and attributable burden of diet high in processed meat (DHIPM) in global, regional, and national level due to the burden caused by unhealthy dietary pattern worldwide.
Cross-sectional study.
All the data involved in this research were obtained from Global Burden of Diseases Study 2019. DisMod-MR 2.1, a Bayesian meta-regression tool, was used to estimate the prevalence, which was measured by summary exposure value (SEV) and attributable burden of DHIPM. The Spearman rank order correlation method was performed to measure the correlation between sociodemographic index (SDI) and the prevalence as well as attributable burden. The estimated annual percentage change (EAPC) was calculated to demonstrate the temporal trends.
Globally, there were 304.28 thousand deaths and 8556.88 disability-adjusted life years (DALYs) caused by DHIPM in 2019 and increased by 34.63 and 68.69%, respectively. The prevalence had decreased slightly from 1990 to 2019, however increased in most regions and countries, especially in middle SDI regions, despite the implicitly high prevalence in high SDI regions. Countries with higher SDI values were facing higher prevalence and attributable burden of DHIPM while developing countries were observed with severer temporal trends. Compared with women, men had suffered from lower exposure level however graver attributable burden of DHIPM in the past three decades.
The progress of continuous urbanization allowed increasingly severe prevalence and attributable burden of DHIPM, thus the challenge to alleviate this trend was acute. Effective measures such as education on beneficial dietary pattern and supplement on healthy food were urgently required, especially in developing regions and countries.
由于全球不健康饮食模式造成的负担,本研究旨在探讨全球、区域和国家层面加工肉类高摄入饮食(DHIPM)的患病率和归因负担。
横断面研究。
本研究涉及的所有数据均来自《2019年全球疾病负担研究》。使用贝叶斯元回归工具DisMod-MR 2.1来估计患病率,该患病率通过汇总暴露值(SEV)和DHIPM的归因负担来衡量。采用Spearman等级相关法来衡量社会人口指数(SDI)与患病率以及归因负担之间的相关性。计算估计的年度百分比变化(EAPC)以展示时间趋势。
2019年全球范围内,DHIPM导致30.428万例死亡和85568.8个伤残调整生命年(DALYs),分别增加了34.63%和68.69%。从1990年到2019年,患病率略有下降,但在大多数地区和国家有所上升,尤其是在中等SDI地区,尽管高SDI地区的患病率隐含地较高。SDI值较高的国家面临着更高的DHIPM患病率和归因负担,而发展中国家的时间趋势更为严峻。在过去三十年中,与女性相比,男性的暴露水平较低,但DHIPM的归因负担更严重。
持续城市化进程使得DHIPM的患病率和归因负担日益严重,因此缓解这一趋势的挑战十分严峻。迫切需要采取有效措施,如有益饮食模式教育和健康食品补充,特别是在发展中地区和国家。