2011年与2017年南京市25岁以上人群归因于高盐饮食的疾病负担研究-东南大学学报医学版

2011年与2017年南京市25岁以上人群归因于高盐饮食的疾病负担研究

作者：叶青¹ 范周全² 杨华凤¹ 周海茸¹ 戚圣香¹ 陈旭鹏¹ 周金意³ 洪忻¹

单位：1. 南京市疾病预防控制中心慢病防制科, 江苏南京 210003;
2. 上海市浦东新区疾病预防控制中心慢病防制科, 上海 201209;
3. 江苏省疾病预防控制中心慢性非传染病防制所, 江苏南京 210009

分类号：R195

出版年·卷·期（页码）：2022·41·第四期（459-464）

摘要：

目的：评估2011年与2017年南京市居民由于高盐饮食导致的疾病负担。方法：使用2011年和2017年南京市慢性病及其危险因素监测获得的血压水平，计算高盐饮食的人群归因分值，进而利用死因登记资料和人口统计数据评估高盐饮食造成的疾病负担。结果：2011年南京市25岁以上人群全部死亡中，9.06%由高盐饮食造成，2017年有9.37%归因于高盐饮食，较2011年增长了3.42%。2011年南京25岁以上人群高盐饮食归因标化死亡率为73.39/10万，2017年下降至54.54/10万，下降了25.7%，其中男性下降了26.7%，女性下降了25.0%。与2011年（1 262.75/10万）相比，2017年（880.11/10万）高盐饮食造成的标化过早死亡损失寿命年（YLL）率下降了30.3%。2011年高盐饮食导致南京市人群期望寿命损失0.84岁，男性（0.86岁）高于女性（0.79岁）；2017年导致的期望寿命损失0.88岁，男性（0.89岁）高于女性（0.84岁）。结论：南京市居民高盐饮食造成的疾病负担较重，2011年至2017年高盐饮食造成的死亡和期望寿命损失增加。

Objective: To estimate the burden of diseases from high-sodium diet among population over 25 years old in Nanjing City in 2011 and 2017.Methods: Population attributable fraction(PAF) of high-sodium diet were calculated by using data related to blood press levels from chronic disease risk factor surveillance in Nanjing, 2011 and 2017. Together with PAFs, data related to death, demographics, the burden of diseases from high-sodium diet was estimated. Results: 9.06% of all deaths in population over 25 years old was attributed to high-sodium diet in 2011, while appeared as 9.37% in 2017 by increasing of 3.42%. The mortality rate attributed to high-sodium diet in Nanjing population over 25 years old was 73.39/100 000 in 2011, which decreased to 54.54/100 000 in 2017, with a decrease of 25.7%, 26.7% in males and 25.0% in females respectively. Compared with 2011(1 262.75/100 000), the rate of years of life lost(YLL) due to high-sodium diets in 2017(880.11/100 000) decreased by 30.3%. The loss of life expectancy caused by high-sodium diet for Nanjing population was 0.84 years, higher in males(0.86 years) than that in females(0.79 years), and the loss of life expectancy in 2017 was 0.88 years, higher for males(0.89 years) than for females(0.84 years). Conclusion: High-sodium diet is a major risk factor for the burden of diseases and death. Deaths and loss of life expectancy caused by high-sodium diet increases between 2011 and 2017 in Nanjing city.

参考文献：

[1] CAI W, LANG M, JIANG X, et al.Correlation among high salt intake, blood pressure variability, and target organ damage in patients with essential hypertension:study protocol clinical trial(SPIRIT compliant)[J].Medicine, 2020, 99(14):e19548.
[2] HE F J, LI J, MACGREGOR G A.Effect of longer-term modest salt reduction on blood pressure[J].Cochrane Database Syst Rev, 2013, (4):Cd004937.
[3] SALVI P, GIANNATTASIO C, PARATI G.High sodium intake and arterial stiffness[J].J Hypertens, 2018, 36(4):754-758.
[4] MOZAFFARIAN D, FAHIMI S, SINGH G M, et al.Global sodium consumption and death from cardiovascular causes[J].N Engl J Med, 2014, 371(7):624-634.
[5] GBD 2017 Risk Factor Collaborators.Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017:a systematic analysis for the Global Burden of Disease Study 2017[J].Lancet, 2018, 392(10159):1923-1994.
[6] 国家卫生和计划生育委员会疾病预防控制局.中国居民营养与慢性病状况报告(2015)[M].北京:人民卫生出版社, 2016.
[7] 南京市疾病预防控制中心.南京市慢性病及其危险因素监测报告[M].南京:江苏科学技术出版社, 2011:33-34.
[8] 中国疾病预防控制中心人口死亡信息登记管理系统[EB/OL].[2020-08-12].https://10.249.1.170:8880
[9] AHMAD O B, BOSCHI-PINTO C, LOPEZ A D, et al.Age standardization of rates:a new WHO standard[EB/OL].(2017-05-20).Geneva, Switzerland:World Health Organization.http://www.who.int/healthinfo/paper31.pdf.
[10] ZHOU M, WANG H, ZENG X, et al.Mortality, morbidity, and risk factors in China and its provinces, 1990-2017:a systematic analysis for the Global Burden of Disease Study 2017[J].Lancet, 2019, 394(10204):1145-1158.
[11] GBD 2017 Causes of Death Collaborators.Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017:a systematic analysis for the Global Burden of Disease Study 2017[J].Lancet, 2018, 392(10159):1736-1788.
[12] CUI Y, WU H, LI Q, et al.Impairment of Bitter taste sensor transient receptor potential channel M5-mediated aversion aggravates high-salt intake and hypertension[J].Hypertension, 2019, 74(4):1021-1032.
[13] WU D, CHEN Y, GUAN H, et al.Association of abnormal serum electrolyte levels with hypertension in a population with high salt intake[J].Public Health Nutr, 2019, 22(9):1635-1645.
[14] SHARMAN J E, SMART N A, COOMBES J S, et al.Exercise and sport science australia position stand update on exercise and hypertension[J].J Hum Hypertens, 2019, 33(12):837-843.
[15] 刘敏, 李镒冲, 刘世炜, 等.2013年中国归因于高盐饮食的疾病负担研究[J].中华预防医学杂志, 2016, 50(9):759-763.
[16] 刘世炜, 蔡玥, 曾新颖, 等.2013年中国居民高盐膳食对死亡和期望寿命的影响[J].中华高血压杂志, 2017, 38(8):1022-1027.
[17] 张继国, 王志宏, 杜文雯, 等.2015年中国15个省份成年居民膳食钠的摄入状况[J].中华预防医学杂志, 2019, 53(5):455-458.
[18] GIRGIS S, NEAL B, PRESCOTT J, et al.A one-quarter reduction in the salt content of bread can be made without detection[J].Eur J Clin Nutr, 2003, 57(4):616-620.
[19] PIETINEN P, VALSTA L M, HIRVONEN T, et al.Labelling the salt content in foods:a useful tool in reducing sodium intake in Finland[J].Public Health Nutr, 2008, 11(4):335-340.
[20] 李园, 张娟, 静雷, 等.全民健康生活方式行动在我国慢性病防控工作中的作用[J].中华预防医学杂志, 2014, 48(8):741-743.
[21] ZHANG J, ASTELL-BURT T, SEO D C, et al.Multilevel evaluation of ‘China Healthy Lifestyles for All’, a nationwide initiative to promote lower intakes of salt and edible oil[J].Prev Med, 2014, 67:210-215.
[22] 南京市卫生健康委员会.关于印发2018年南京市户籍居民病, 伤死亡原因统计简析的通知[Z].南京:宁卫办规财, 2019.

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