Wang Jian, Chen Zhu, Chen Lan
Department of Cardiology, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, China.
Department of Laboratory, Ningbo No. 2 Hospital, Ningbo, Zhejiang, China.
Arch Med Sci. 2024 Jan 18;20(4):1077-1088. doi: 10.5114/aoms/175467. eCollection 2024.
Nutritional deficiencies remain a severe public health burden worldwide. They include some deficiencies and can lead to protein-energy malnutrition. Recent data has showed that inapprioprate nutrition and diet might be responsible for several milion deaths due to cardiovascular diseases. Thus, we aimed to determined the incidence rate of and DALYs due to nutritional deficiencies in 204 countries and territories.
We used data from the Global Burden of Disease Study 2019 to calculate the incidence rates of and estimated annual percentage changes (EAPCs) in disability-adjusted life-years (DALYs) due to nutritional deficiencies in 204 countries and territories from 1990 to 2019.
During this period, the age-standardized incidence rate of nutritional deficiencies remained stable globally (EAPC = -0.05; 95% confidence interval (CI): -0.20 to 0.09) and increased the most in high-middle-sociodemographic-index (SDI) areas. In addition, at the region level, from 1990 to 2019, the age-standardized incidence rate of nutritional deficiencies increased the most in South Asia, whereas at the country level, it increased the most in Czechia (EAPC = 1.81) and Turkey (EAPC = 1.45). Furthermore, from 1990 to 2019, the global age-standardized DALY rates due to nutritional deficiencies decreased (EAPC = -2.91), especially in East Asia, Andean Latin America, and Eastern Sub-Saharan Africa.
From 1990 to 2019, the age-standardized incidence rate of and DALY rates due to nutritional deficiencies remained high in low-middle- and low-SDI areas, and Southeast Asia, Czechia, and Turkey had the highest levels of nutritional deficiencies.
营养缺乏在全球范围内仍然是一个严重的公共卫生负担。它们包括一些营养素缺乏，可导致蛋白质-能量营养不良。最近的数据表明，不适当的营养和饮食可能导致数百万例心血管疾病死亡。因此，我们旨在确定204个国家和地区营养缺乏的发病率及伤残调整生命年（DALY）。
我们使用了《2019年全球疾病负担研究》的数据，来计算1990年至2019年期间204个国家和地区营养缺乏导致的伤残调整生命年的发病率及估计年百分比变化（EAPC）。
在此期间，全球营养缺乏的年龄标准化发病率保持稳定（EAPC = -0.05；95%置信区间（CI）：-0.20至0.09），在高中社会人口指数（SDI）地区增长最多。此外，在区域层面，1990年至2019年期间，南亚营养缺乏的年龄标准化发病率增长最多，而在国家层面，捷克（EAPC = 1.81）和土耳其（EAPC = 1.45）增长最多。此外，1990年至2019年期间，全球营养缺乏导致的年龄标准化DALY率下降（EAPC = -2.91），尤其是在东亚、安第斯拉丁美洲和东撒哈拉以南非洲。
1990年至2019年期间，中低和低SDI地区营养缺乏的年龄标准化发病率和DALY率仍然很高，东南亚、捷克和土耳其的营养缺乏水平最高。
