江西省人群超重肥胖疾病负担评价  

The evaluation of disease burden attributable to overweight and obesity in Jiangxi Province

作　　者：王健[1] 胡嘉[2] 周脉耕[3] 于石成[4] 李镒冲[3] 刘世炜[3] 

机构地区：[1]江西省疾病预防控制中心应急和传染病防制所,江西南昌330029 [2]江西省疾病预防控制中心结核病防治所,江西南昌330029 [3]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050 [4]中国疾病预防控制中心流行病学办公室,北京102206

出　　处：《中华疾病控制杂志》2015年第11期1126-1130,共5页Chinese Journal of Disease Control & Prevention

基　　金：江西省卫生厅科技计划(20133163)

摘　　要：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 disease burden attributable to overweight and obesity, in order to provide data support and policy proposals for the development of overweight-obesity prevention and control measurements in Jiangxi province. Methods With the Comparative Risk Assessment （CRA） method, BMI data of Jiangxi population and its relative risk （RR） of overweight-obesity were used to calculate population attributable fraction （PAF）. With the ap- plication of PAF, the population mortality data was used to evaluate disease burden attributable to overweight-obesity and its impact on life expectancy of population in Jiangxi Province. Results In 2010, the death attributable to overweight-obesity was 5 121, the crude mortality was 11.55 per 100 000, accounting for 9.79% of all death caused by overweight-obesity re- lated diseases in Jiangxi Province. Related diseases with attributable death ranking on top are ischaemic heart disease, is- chaemic stroke, hypertension and type 2 diabetes. In case that BMI decreased to theoretical minimum exposure distribu- tion, the life expectancy of population in Jiangxi province would increase by O. 18 year. Conclusions Reduction of the prevalence of population obesity has a positive effect on reducing disease burden of ischaemic heart disease and type 2 dia- betes, reducing death risk and improving life expectancy of population.

关 键 词：肥胖症 患病代价 预期寿命 

分 类 号：R589.25[医药卫生—内分泌]