Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Sci Rep. 2024 Aug 3;14(1):18012. doi: 10.1038/s41598-024-69089-w.
Ischemic heart disease (IHD) is a condition in which the heart is starved of oxygen. Knowing the dietary risk factors implementing appropriate nutritional interventions in this regard seems essential. Therefore, the present study was carried out to determine the epidemiological features of IHD affected by dietary risks. This study used data from the Global Burden of Disease (GBD) study. In this study, we collected information on death, years lived with disability (YLD), and disability-adjusted life years (DALYs) of IHD affected by dietary risks in one hundred thousand people with 95% confidence based on the direct Age Standard Rate (ASR). We applied these data based on the Socio-demographic Index (SDI). In 2019, the number of IHD deaths, YLDs, and DALYs attributable to dietary risks was 62.43 million (95% UI [50.97-73.63] per 100,000 population), 36.88 (95% UI [23.87-53.32] per 100,000 population), and 1271.32 (95% UI [1061.29-1473.75] per 100,000 population), respectively. We found that the lowest DALYs of IHD affected by dietary risks by ASR are for high SDI countries. Most dietary risk factors related to IHD in countries with high and high middle SDI were related to a diet high in red and processed meat, sodium, and low in legumes, but in countries with low and low middle SDI, it was related to a diet low in fiber, fruit, nuts and seeds, PUFA, seafood W3 fatty acids, vegetables and whole grain. Considering that the dietary risk factors related to IHD are different based on SDI, it is necessary to consider nutritional interventions according to SDI.
缺血性心脏病（IHD）是一种心脏缺氧的疾病。了解饮食风险因素，在此方面实施适当的营养干预似乎至关重要。因此，本研究旨在确定受饮食风险影响的 IHD 的流行病学特征。本研究使用了全球疾病负担（GBD）研究的数据。在这项研究中，我们根据直接年龄标准化率（ASR），以 95%置信区间为基础，收集了每 10 万人中由饮食风险导致的 IHD 死亡、残疾生存年（YLD）和伤残调整生命年（DALY）的信息。我们根据社会人口指数（SDI）应用了这些数据。2019 年，由饮食风险导致的 IHD 死亡、YLD 和 DALY 分别为 6243 万人（95%UI[5097-7363]/10 万人）、3688 万人（95%UI[2387-5332] /10 万人）和 12713.2 万人（95%UI[1061.29-1473.75] /10 万人）。我们发现，SDI 越高，ASR 下受饮食风险影响的 IHD 的 DALY 越低。高和高中等 SDI 国家与 IHD 相关的大多数饮食风险因素与高红和加工肉类、钠以及低豆类的饮食有关，但在低和低中等 SDI 国家，与低纤维、水果、坚果和种子、多不饱和脂肪酸、海鲜 W3 脂肪酸、蔬菜和全谷物的饮食有关。考虑到与 IHD 相关的饮食风险因素因 SDI 而异，有必要根据 SDI 考虑营养干预。
