摘要
目的研究中国成年人糖尿病疾病负担及其相关影响因素,分析变化趋势,为更好防控糖尿病提供依据。方法利用1990—2019年全球疾病负担(Global Burden of Disease,GBD)糖尿病相关数据、中国慢性病与危险因素监测2018—2019年调查等相关数据,分析1990—2019年中国成年人(≥18岁)糖尿病疾病负担及其变化情况。同时解析糖尿病相关的危险因素并预测未来疾病负担发展趋势。结果2019年≥18岁成年人糖尿病的总体标准化患病率为12.4%(95%CI:11.8%~13.0%),糖尿病和糖尿病前期的合并患病率为50.5%。2030年糖尿病患病率的预测值将达到19.8%。2019年>20岁人群糖尿病伤残调整寿命年(disability-adjusted life years,DALYs)为986.8万人年;50~<75岁的患者DALYs总体上明显高于其他年龄段,为616.7万人年。1990—2019年,中国糖尿病的DALYs快速上升,未来糖尿病DALYs保持增长趋势,预测值在2030年达到1223.7万人年。糖尿病的患病率、死亡率在1990—2019年也呈上升趋势。加之糖尿病知晓率和控制率低、人口老龄化等因素将使糖尿病疾病负担继续加剧。结论中国糖尿病疾病负担在过去30年持续快速增长,预计未来仍将上升。中国应及时采取有效综合措施防控糖尿病,改善民众健康水平。
Objective To describe the disease burden and risk factors of diabetes in Chinese adults,and to analyze the trends of the disease burden,in order to ultimately provide evidence for more effective prevention and control of diabetes in China.Methods Using the Global Burden of Disease(GBD)data 1990-2019 and the data from China Chronic Disease and Risk Factor Surveillance Survey 2018-2019,the disease burden of diabetes in Chinese adults(≥18 years old)and its changes over time from 1990 to 2019 were analyzed.In addition,the disease burden of diabetes in the future was predicted based on various risk factors.Results In 2019,the standardized prevalence of diabetes among adults above 18 years old was 12.4%(95%CI:11.8%-13.0%),and the combined prevalence of diabetes and prediabetes was 50.5%.The prevalence of diabetes in 2030 was projected to be 19.8%.The disability-adjusted life years(DALYs)due to diabetes among adults above 20 years old were 9868000 personyears in 2019.In particular,patients aged 50-<75 years had higher DALYs from diabetes(6167000 person-years)compared with other age groups.DALYs from diabetes in China raised rapidly from 1990 to 2019,and was projected to reach 12237000 person-years in 2030.The prevalence and mortality of diabetes also showed an increasing trend from 1990 to 2019.Low awareness and control rate of diabetes and aging population may continue to aggravate the burden of this disease.Conclusions The disease burden of diabetes in China has been increasing rapidly in the past 30 years and may keep growing in the future.Effective comprehensive management measures should be taken in time to prevent and control diabetes to improve public health in China.
作者
马越
孔祥婕
彭雯
孙晓敏
王亚楠
崔巍
王友发
MA Yue;KONG Xiangjie;PENG Wen;SUN Xiaomin;WANG Yanan;CUI Wei;WANG Youfa(International Obesity and metabolic Disease Researdn Center,Xi'an Jiaotong University,Xi'an,Shaanxi 710061,China;不详)
出处
《中国预防医学杂志》
CAS
CSCD
北大核心
2023年第4期281-286,共6页
Chinese Preventive Medicine
基金
国家自然科学基金资助项目(82103846)
青海省重点研发与转化计划(2023-QY-204)。
