高体重指数导致的全球疾病负担和2040年的预测:基于2019年全球疾病负担研究的研究

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES
Eun-Ji Kim, Yoonseo Park, Sewon Park, Mihajlo Jakovljevic, Munjae Lee
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引用次数: 0

摘要

背景:高身体质量指数(BMI)的流行会增加各种疾病的风险。该研究旨在确定1990年至2019年与高BMI相关的全球疾病负担趋势,并预测到2040年。方法:利用2019年全球疾病负担(GBD)研究的数据,我们分析了与高BMI相关的残疾调整生命年(DALYs)的数量和比例。数据按性别、年龄、社会人口指数(SDI)、世界卫生组织(WHO)区域和疾病水平进行分析。采用自回归综合移动平均(ARIMA)模型预测到2040年的高bmi相关疾病负担。结果:2019年,全球高BMI导致的疾病负担为1932.54(95%不确定区间[UI]: 1276.61, 2639.74),增加0.18 (95% UI: 0.02, 0.42)。男性、中年和老年人群的疾病负担一直较高,特别是在2040年之前的预测结果中,50-69岁和≥70岁人群之间的差距正在缩小。此外,中等SDI区域以及北非和中东世卫组织超级区域的疾病负担最高。此外,心血管疾病在疾病中排名最高。结论:与高BMI相关的疾病负担不断增加,突出表明需要制定有针对性的卫生政策,重点关注老年人群、低收入和中等收入国家以及心血管疾病和糖尿病等主要疾病。要解决这些趋势,就需要对卫生规划和管理采取以公平为重点的综合办法,以减轻全球影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Global Burden of Disease Due to High Body Mass Index and Projections to 2040: A Study Based on the Global Burden of Disease Study 2019.

Background: The prevalence of high body mass index (BMI) contributes to an increased risk of various diseases. This study aimed to identify global disease burden trends associated with high BMI from 1990 to 2019 and forecasts up to 2040.

Methods: Using data from the global burden of disease (GBD) 2019 study, we analysed the number and ratio of disability-adjusted life years (DALYs) related to high BMI. The data were analysed by sex, ages, socio-demographic index (SDI), world health organization (WHO) region, and disease level. The autoregressive integrated moving average (ARIMA) model was employed to predict high BMI-related disease burden up to 2040.

Results: In 2019, the global burden of disease due to high BMI was 1932.54 (95% uncertainty interval [UI]: 1276.61, 2639.74), representing an increase of 0.18 (95% UI: 0.02, 0.42). Disease burden was consistently higher in males, middle-aged and older populations, particularly noting a narrowing gap between those aged 50-69 years and≥ 70 years in the forecast results until 2040. Additionally, regions with a middle SDI and the North Africa and Middle East WHO super-regions exhibited the highest disease burdens. Also, Cardiovascular disease ranked highest among diseases.

Conclusion: The rising disease burden associated with high BMI highlights the need for targeted health policies focussing on older populations, low and middle-income countries, and major conditions like cardiovascular disease and diabetes. Addressing these trends requires an integrated, equity-focused approach to health planning and management to mitigate global impacts.

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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
期刊介绍: Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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