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目的定量分析超重肥胖在江西省人群中造成的疾病负担,为制定江西省超重肥胖预防和控制措施提供数据支持和政策建议。方法采用世界卫生组织比较性风险评估(comparative risk assessment,CRA)方法,利用江西省人群体质指数数据和超重肥胖相对危险度(relative risk,RR)计算江西省超重肥胖人群归因分值(population attributable fraction,PAF),结合江西省人群死亡数据,评价超重肥胖造成的疾病负担。结果 2010年江西省超重肥胖导致5 121人死亡,超重肥胖粗死亡率11.55/10万,占全省超重肥胖相关疾病死亡人数的9.79%;超重肥胖死亡人数较多的疾病有缺血性心脏病、缺血性中风、高血压病和Ⅱ型糖尿病。BMI降至理论最低暴露水平后,全省人群期望寿命可提高0.18岁。结论降低人群肥胖流行率,对减少江西省人群缺血性心脏病和Ⅱ型糖尿病的疾病负担,降低人群死亡风险,提高期望寿命有积极作用。
Objective To quantitatively analyze the burden of disease caused by overweight and obesity in the population of Jiangxi Province and provide data support and policy recommendations for the prevention and control of overweight and obesity in Jiangxi Province. Methods Using the comparative risk assessment (CRA) method of World Health Organization (WHO), the population risk factors of overweight and obesity in Jiangxi Province were calculated using the data of body mass index of Jiangxi Province and the relative risk (RR) of overweight and obesity. fraction, PAF), combined with death toll in Jiangxi Province, to assess the burden of disease caused by overweight and obesity. Results In 2010, overweight and obesity in Jiangxi Province resulted in 5 121 deaths and 11.55 / 100 000 of overweight and obesity fatal cases, accounting for 9.79% of the total number of overweight and obesity related diseases in the province. Among the overweight and obese fatalities, ischemic heart disease , Ischemic stroke, hypertension and type II diabetes. After the BMI dropped to the theoretical minimum exposure level, the life expectancy of people in the province can be raised by 0.18 years. Conclusions Reducing the prevalence of obesity in the population has a positive effect on reducing the burden of disease and reducing the risk of death and increasing the life expectancy of people with ischemic heart disease and type 2 diabetes in Jiangxi Province.