School of Public Health and Healthcare Management, Gannan Medical University, Ganzhou, Jiangxi, 341000, China.
Public Health. 2024 Dec;237:122-129. doi: 10.1016/j.puhe.2024.09.026. Epub 2024 Oct 4.
This study aims to comprehensively assess how dietary risk factors have influenced the prevalence of Type 2 Diabetes Mellitus (T2DM) in China from 1990 to 2021. The study seeks to provide robust data and scientific evidence essential for formulating effective preventive and control strategies to combat T2DM in China.
This cross-sectional study conducted secondary analyses using data from the Global Burden of Disease 2021 (GBD 2021) to assess the burden of T2DM in China attributable to dietary risks.
The study analyzed age-adjusted metrics related to T2DM, including death counts, Disability-Adjusted Life Years (DALYs), and Age-Standardized Rates (ASRs), using GBD 2021 data, stratified by age and sex. Additionally, Estimated Annual Percentage Changes (EAPCs) were employed to track trends over time.
In 2021, the results show that 21.43 % of T2DM-related deaths and 23.51 % of DALYs were attributable to dietary risk factors, notably a diet low in whole grains and high in red and processed meats. Over the period from 1990 to 2021, there has been an increasing trend in the EAPCs of death rates and DALYs associated with dietary risks in China, suggesting a substantial impact of dietary factors on the burden of T2DM in the country.
This study highlights the urgent need for targeted public health interventions to promote dietary changes and reduce the burden of T2DM in China.
本研究旨在全面评估 1990 年至 2021 年期间饮食风险因素对中国 2 型糖尿病（T2DM）患病率的影响。本研究旨在为制定中国 T2DM 预防和控制策略提供有力的数据和科学依据。
本横断面研究使用 2021 年全球疾病负担研究（GBD 2021）的数据进行二次分析，评估饮食风险对中国 T2DM 负担的影响。
本研究使用 GBD 2021 数据，按年龄和性别分层，分析与 T2DM 相关的年龄调整指标，包括死亡人数、伤残调整生命年（DALYs）和年龄标准化率（ASRs）。此外，还采用估计年平均变化百分比（EAPCs）来跟踪随时间的趋势。
2021 年的结果表明，21.43%的 T2DM 相关死亡和 23.51%的 DALYs归因于饮食风险因素，主要是全谷物摄入不足和红肉类及加工肉类摄入过多。1990 年至 2021 年期间，中国与饮食相关的死亡率和 DALYs 的 EAPCs 呈上升趋势，这表明饮食因素对中国 T2DM 负担有重大影响。
本研究强调了中国迫切需要采取有针对性的公共卫生干预措施，以促进饮食改变，减轻 T2DM 负担。
