Burden and trends of type 2 diabetes mellitus attributed to a low-fiber diet from 1990 to 2019 in China:findings from the global burden of disease study 2019  

1990-2019年中国因低纤维饮食导致的2型糖尿病疾病负担与趋势:2019年全球疾病负担研究的发现

作　　者：ZHONG Fei-fei GU Jun-wang CHEN Xiao-chen LI Juan 钟菲菲;古军旺;陈晓晨;李娟(赣南医科大学公共卫生与健康管理学院,江西赣州341000)

机构地区：[1]School of Public Health and Health Management,Gannan Medical University,Ganzhou,Jiangxi 341000

出　　处：《赣南医科大学学报》2025年第2期154-166,共13页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：Objective:To investigate the temporal trends of the burden of type 2 diabetes mellitus(T2DM)in China attributed to low-fiber diet from 1990 to 2019,highlighting the importance of dietary fiber in T2DM prevention.Methods:Using data from the GBD 2019,age-and sex-specific mortality and DALYs related to T2DM attributed to a low-fiber diet in China were analyzed through join-point regression and age-period-cohort model analysis.Results:In 2019,T2DM deaths and disability-adjusted life years(DALYs)attributed to a low-fiber diet in China totaled 2887 and 182251,respectively.Males under 60 years had higher mortality and DALYs rates than females,but the trend reversed for those over 60.The ASMR and ASDR decreased by 43%and 38%since 1990,respectively.Before 2008,female age-standardized mortality rate(ASMR)and age-standardized disability-adjusted life years rate(ASDR)were higher than males,but it was reversed after 2010.Both male and female ASDR decreased,while the relative risk of mortality increased with age.The period effect on T2DM burden remained stable,while the cohort effect declined.Conclusion:The burden of T2DM attributed to a low-fiber diet in China showed an initial increase followed by a decrease from 1990 to 2019.The burden was higher among the elderly,with gender-specific differences among age groups.目的:调查1990—2019年中国低纤维饮食导致的2型糖尿病负担的时间趋势,强调膳食纤维在预防2型糖尿病(Type 2 diabetes mellitus,T2DM)中的重要性。方法:利用GBD 2019数据,采用连接点回归和年龄-时期-队列模型,分析了中国由低纤维饮食导致的T2DM相关的年龄和性别特异性的死亡率和伤残调整生命年(Disability-adjusted life years,DALYs)率。结果:2019年,中国因低纤维饮食导致的T2DM死亡人数和DALYs数分别为2887人和182251人。60岁以下男性死亡率和DALYs率高于女性,60岁以上男性的趋势则相反。1990年以来,ASMR和ASDR分别下降了43%和38%。2008年之前,女性的年龄标准化死亡率(Age-standardized mortality rate,ASMR)和年龄标准化伤残调整寿命年率(Age-standardized disability-adjusted life years rate,ASDR)都高于男性,但在2010年之后,情况发生了逆转。男性和女性ASDR均下降,而相对死亡风险随着年龄的增长而增加。时期效应对T2DM负担的影响保持稳定,而队列效应呈下降趋势。结论:1990—2019年,中国低纤维饮食导致的2型糖尿病负担呈现先上升后下降的趋势。老年人的负担更重,不同年龄组之间存在性别差异。

关 键 词：Low-fiber diet Type 2 diabetes mellitus Global burden of disease Burden and trends China 

分 类 号：R151.4[医药卫生—营养与食品卫生学]