Global, regional, and national temporal trends of diet-related ischemic stroke mortality and disability from 1990 to 2019.

IF 6.3 2区 医学 Q1 CLINICAL NEUROLOGY
International Journal of Stroke Pub Date : 2024-07-01 Epub Date: 2024-03-16 DOI:10.1177/17474930241237932
Rongguang Ge, Shoujiang You, Danni Zheng, Zengli Zhang, Yongjun Cao, Jie Chang
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引用次数: 0

Abstract

Background: Stroke is the second leading cause of death and the third leading cause of disability in the general population worldwide. However, the changing trend of ischemic stroke burden attributable to various dietary risk factors has not been fully revealed and may contribute to a better understanding of stroke epidemiology.

Aims: Our article aimed to evaluate the temporal trend of diet-related ischemic stroke burden to inform future research and policy-making.

Methods: This analysis was based on the data from the Global Burden of Disease (GBD) Study 2019 (spanning years 1990 to 2019), and we used the joinpoint regression to model temporal trends in diet-related ischemic stroke burden across countries and regions of the world during the study period. Six specific dietary factors known to influence stroke risk, including sodium, red meat, fiber, vegetables, whole grains, and fruits, were evaluated in the GBD study to determine their individual and joint impact on ischemic stroke. The changing trend was primarily measured by the average annual percent change (AAPC). Age-standardized rates (ASRs) of mortality and years lived with disability (YLD) per 100,000 population were used to evaluate disease burden. Finally, the socioeconomic background, which was quantified as sociodemographic index (SDI), and its association with diet-related ischemic stroke burden were also explored with the Pearson correlation coefficient.

Results: During the study period, the ischemic stroke ASR of mortality attributable to overall dietary risk decreased by an average of 1.6% per year, while the ASR of YLD decreased by an average of 0.2% per year. High sodium diet was still a key driver of diet-related ischemic stroke, accounting for 8.4% and 11.0% of deaths and disabilities, respectively, in 2019. In addition, we found a negative association between temporal evolution of stroke burden and socioeconomic background (r = -0.6603 for mortality and r = -0.4224 for disability, P < 0.001), which suggested that the developing countries with weak social and economic foundation faced greater challenges from the ongoing burden of diet-related strokes compared with developed countries.

Conclusions: Our study found declining trends and revealed the current status of diet-related ischemic stroke mortality and disability. Interdisciplinary countermeasures involving the development of effective food policies, evidence-based guidelines, and public education are needed in the future to combat this global epidemic.

Data access statement: The data used for analysis were open-access and can be obtained from https://vizhub.healthdata.org/gbd-results/.

1990 年至 2019 年全球、地区和国家与饮食相关的缺血性中风死亡率和致残率的时间趋势。
背景:脑卒中是全球第二大死因和第三大致残原因。目的:本文旨在评估与饮食相关的缺血性脑卒中负担的时间趋势,为未来的研究和政策制定提供参考:本分析基于《2019 年全球疾病负担(GBD)研究》(时间跨度为 1990 年至 2019 年)的数据,我们使用连接点回归法建立了研究期间世界各国和各地区饮食相关缺血性卒中负担的时间趋势模型。GBD 研究评估了六种已知会影响中风风险的特定膳食因素,包括钠、红肉、纤维、蔬菜、全谷物和水果,以确定它们对缺血性中风的单独和联合影响。变化趋势主要通过年均百分比变化(AAPC)来衡量。每 10 万人的年龄标准化死亡率(ASR)和残疾生存年数(YLD)用于评估疾病负担。最后,还利用皮尔逊相关系数探讨了社会经济背景(量化为社会人口指数(SDI))及其与饮食相关缺血性脑卒中负担的关系:结果:在研究期间,整体膳食风险导致的缺血性卒中死亡率ASR平均每年下降1.6%,而YLD导致的死亡率ASR平均每年下降0.2%。高钠饮食仍然是饮食相关缺血性卒中的主要驱动因素,2019 年分别占死亡和残疾的 8.4% 和 11.0%。此外,我们还发现中风负担的时间演变与社会经济背景之间存在负相关(死亡率r=-0.6603,残疾率r=-0.4224):我们的研究发现了与饮食相关的缺血性中风死亡率和致残率的下降趋势,并揭示了其现状。未来需要采取跨学科对策,包括制定有效的食品政策、循证指南和公众教育,以应对这一全球性流行病:用于分析的数据是开放获取的,可从 https://vizhub.healthdata.org/gbd-results/ 获取。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Stroke
International Journal of Stroke 医学-外周血管病
CiteScore
13.90
自引率
6.00%
发文量
132
审稿时长
6-12 weeks
期刊介绍: The International Journal of Stroke is a welcome addition to the international stroke journal landscape in that it concentrates on the clinical aspects of stroke with basic science contributions in areas of clinical interest. Reviews of current topics are broadly based to encompass not only recent advances of global interest but also those which may be more important in certain regions and the journal regularly features items of news interest from all parts of the world. To facilitate the international nature of the journal, our Associate Editors from Europe, Asia, North America and South America coordinate segments of the journal.
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