低纤维饮食引起的缺血性卒中负担的全球趋势、差异和未来预测：基于GBD 2021的分析

IF 2 4区医学 Q3 NEUROSCIENCES

Journal of Stroke & Cerebrovascular Diseases Pub Date : 2025-04-08 DOI:10.1016/j.jstrokecerebrovasdis.2025.108308

Jianhong Gao , Zhenhua Wei , Zhengyu Wang , Yun Zhang

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引用次数: 0

摘要

本研究旨在利用全球疾病负担（GBD）数据库的数据，分析1990年至2021年与低纤维饮食相关的缺血性卒中疾病负担（IFD-IS），以确定疾病负担的趋势和影响因素。方法我们对与IFD-IS相关的死亡人数、残疾调整生命年（DALYs）、生命损失年（YLLs）和残疾损失年（YLDs）进行了综合分析，涵盖了不同地区和人群。采用断点回归、分解分析、健康不平等分析和预测分析等统计方法评估趋势及其与社会人口指数（SDI）的相关性。结果研究结果表明，与IFD-IS相关的死亡、DALYs、YLLs和YLDs在全球范围内逐渐增加，男性的负担明显高于女性。观察到明显的区域差异，特别是中国和撒哈拉以南非洲的负担更重。SDI较高的地区对疾病负担的控制较好，而老龄化和人口增长是导致SDI增加的主要因素。此外，与IFD-IS相关的保健不平等趋势略有减少，尽管预计到2040年疾病负担将继续上升。结论：本研究强调了对IFD-IS实施有针对性的公共卫生干预的必要性，特别是在低SDI地区。加强饮食教育和资源配置可显著缓解IFD-IS上升趋势。持续的监测和研究对于制定有效的卫生政策以应对这一公共卫生挑战至关重要。

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Global trends, disparities, and future projections of ischemic stroke burden attributed to low-fiber diets: An analysis based on GBD 2021

Objective

This study aims to analyze the disease burden attributed to ischemic stroke related to low-fiber diets (IFD-IS) from 1990 to 2021, utilizing data from the Global Burden of Disease (GBD) database to identify trends and influencing factors of the disease burden.

Methods

We conducted a comprehensive analysis of the number of deaths, Disability-Adjusted Life Years (DALYs), Years of Life Lost (YLLs), and Years Lost due to Disability (YLDs) associated with IFD-IS, covering various regions and populations. Statistical methods, including breakpoint regression, decomposition analysis, health inequality analysis, and forecasting analysis, were employed to assess trends and their correlation with the Sociodemographic Index (SDI).

Results

The findings indicate that deaths, DALYs, YLLs, and YLDs related to IFD-IS have gradually increased globally, with a significantly higher burden in males compared to females. Notable regional disparities were observed, particularly with heavier burdens in China and sub-Saharan Africa. Higher SDI regions demonstrated better control over disease burdens, while aging and population growth were the primary factors contributing to the increase. Additionally, the trend of health inequality related to IFD-IS has slightly diminished, although it is projected that the disease burden will continue to rise by 2040.

Conclusion

This study underscores the necessity of implementing targeted public health interventions for IFD-IS, particularly in low SDI regions. Enhancing dietary education and resource allocation can significantly mitigate the rising trend of IFD-IS. Ongoing monitoring and research are crucial for formulating effective health policies to address this public health challenge.

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来源期刊

Journal of Stroke & Cerebrovascular Diseases Medicine-Surgery

CiteScore

5.00

自引率

4.00%

发文量

583

审稿时长

62 days

期刊介绍： The Journal of Stroke & Cerebrovascular Diseases publishes original papers on basic and clinical science related to the fields of stroke and cerebrovascular diseases. The Journal also features review articles, controversies, methods and technical notes, selected case reports and other original articles of special nature. Its editorial mission is to focus on prevention and repair of cerebrovascular disease. Clinical papers emphasize medical and surgical aspects of stroke, clinical trials and design, epidemiology, stroke care delivery systems and outcomes, imaging sciences and rehabilitation of stroke. The Journal will be of special interest to specialists involved in caring for patients with cerebrovascular disease, including neurologists, neurosurgeons and cardiologists.