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1990年至2021年成年女性因食用大量红肉饮食导致乳腺癌负担的全球、区域和国家分析:纵向观察研究

Global, regional, and national analyses of the burden among adult women of breast cancer attributable to diet high in red meat from 1990 to 2021: longitudinal observational study.

作者信息

Ding Xiaoyun, Tang Zhenning, Ma Hang, Jiang Can

机构信息

General Hospital of Ningxia Medical University, Yinchuan, China.

The Department of Anesthesiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Front Public Health. 2025 May 13;13:1580177. doi: 10.3389/fpubh.2025.1580177. eCollection 2025.

Abstract

BACKGROUND

The association between red meat consumption and breast cancer risk has been well established; however, it is crucial to understand the temporal trends, geographical variations, and socio-demographic factors that influence this risk among women aged 25-45. Consequently, this study seeks to investigate the impact of red meat consumption on breast cancer risk among adult women for the first time.

METHODS

Data were extracted from the Global Burden of Disease (GBD) 2021 study to calculate age-standardized rates (ASR) for mortality and disability-adjusted life years (DALYs). Trends were assessed using estimated annual percentage change (EAPC) with linear regression analysis. Hierarchical clustering identified temporal trends, and examined the relationships between EAPC, ASR, DALYs, and the socio-demographic index (SDI).

RESULTS

Our findings indicate that breast cancer-related deaths and DALYs attributable to high red meat consumption increased globally, rising from 44,492 deaths and 1,379,721 DALYs in 1990 to 79,956 deaths and 2,407,092 DALYs in 2021. In high SDI regions, age-standardized mortality (-1.47%) and DALYs (-1.48%) rates declined, while low-middle and high-middle SDI regions showed significant increases. Low SDI regions, despite lower absolute numbers, experienced sharp relative increases in both deaths and DALYs. Additionally, a nonlinear relationship between ASR and SDI was observed, with the burden peaking in moderate SDI regions.

CONCLUSION

This study concludes the rising global burden of breast cancer in adult women associated with high red meat consumption, with particularly pronounced impacts in low and middle SDI regions.

摘要

背景

红肉消费与乳腺癌风险之间的关联已得到充分证实;然而,了解影响25至45岁女性这一风险的时间趋势、地理差异和社会人口因素至关重要。因此,本研究首次旨在调查红肉消费对成年女性乳腺癌风险的影响。

方法

从《2021年全球疾病负担》(GBD)研究中提取数据,以计算死亡率和伤残调整生命年(DALY)的年龄标准化率(ASR)。使用估计年度百分比变化(EAPC)和线性回归分析评估趋势。层次聚类确定时间趋势,并检验EAPC、ASR、DALY与社会人口指数(SDI)之间的关系。

结果

我们的研究结果表明,全球范围内,与高红肉消费相关的乳腺癌死亡人数和DALY有所增加,从1990年的44492例死亡和1379721个DALY增至2021年的79956例死亡和2407092个DALY。在高SDI地区,年龄标准化死亡率(-1.47%)和DALY率(-1.48%)下降,而低中SDI地区和高中SDI地区则显著上升。低SDI地区尽管绝对数量较低,但死亡人数和DALY的相对增幅都很大。此外,观察到ASR与SDI之间存在非线性关系,负担在中等SDI地区达到峰值。

结论

本研究得出结论,成年女性中与高红肉消费相关的乳腺癌全球负担正在上升,在低中SDI地区的影响尤为明显。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33ec/12107595/77eeab03edc7/fpubh-13-1580177-g001.jpg

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