Le Duc-Cuong, Pham Truong-Minh, Quy Pham Nguyen, Kondo Aki, Le Thi Thu Huong, Crocker Alysha, Singh Narender, Kubo Tatsuhiko, Fujino Yoshihisa, Matsuda Shinya
Faculty of Public Health, Thai Binh University of Medicine and Pharmacy, Thaibinh, 410000 Vietnam.
Surveillance and Reporting, Cancer Advanced Analytics, Cancer Research and Analytics, Cancer Care Alberta, Alberta Health Services, Edmonton and Calgary, Canada.
Diabetol Int. 2025 Feb 2;16(2):372-378. doi: 10.1007/s13340-025-00801-5. eCollection 2025 Apr.
We examined if there has been improvements in the lifespan of people who died from diabetes in Japan between 2000 and 2020 using the novel average lifespan shortened (ALSS) measure.
The number of deaths due to diabetes in Japan were obtained from the World Health Organization mortality database. We calculated age standardized rates (ASR) using direct method adjusted to the World Standard Population. Years of life lost (YLL) due to diabetes was calculated using Japanese life tables. ALSS measure was calculated as a ratio of YLL to the expected lifespan. We used the bootstrap method to calculate 95% confidence interval (95% CI) for the ALSS measure.
The ASR of deaths due to diabetes decreased from 5.5 to 3.7 deaths per 100,000 people in men, and from 2.9 to 1.5 deaths in women over the study period. The ALSS results show that men with diabetes lost 18.0% (95% CI 17.7-18.3) of their lifespan at the beginning of the study period, but only 14.3% (95% CI 14.1-14.6) of their lifespan at the end of the study period. Similarly, the ALSS values for women decreased from 15.0% (95% CI 14.7-15.2) of their lifespan to 12.1% (95% CI 11.9-12.3) at the end of the study period.
Results from the new ALSS measure show lifespan of people who died from diabetes prolonged by about 4 and 3 percentage points in men and women over the study.
我们使用新的平均寿命缩短（ALSS）指标，研究了2000年至2020年期间日本死于糖尿病的人群的寿命是否有所改善。
日本糖尿病死亡人数来自世界卫生组织死亡率数据库。我们使用根据世界标准人口调整的直接法计算年龄标准化率（ASR）。使用日本生命表计算糖尿病导致的寿命损失年数（YLL）。ALSS指标计算为YLL与预期寿命的比值。我们使用自助法计算ALSS指标的95%置信区间（95%CI）。
在研究期间，男性因糖尿病死亡的ASR从每10万人5.5例降至3.7例，女性从2.9例降至1.5例。ALSS结果显示，在研究期开始时，糖尿病男性损失了18.0%（95%CI 17.7 - 18.
