我国成年居民胃癌归因于钠摄入过量的发病和死亡负担研究

方柯红; 房玥晖; 连怡遥; 逯晓娣; 何宇纳

doi:10.16462/j.cnki.zhjbkz.2022.01.001

我国成年居民胃癌归因于钠摄入过量的发病和死亡负担研究

doi: 10.16462/j.cnki.zhjbkz.2022.01.001

方柯红^{1, 2},
房玥晖¹,
连怡遥¹,
逯晓娣¹,
何宇纳^1, ,

1.
100050 北京, 中国疾病预防控制中心营养与健康所
2.
310021 杭州, 杭州市疾病预防控制中心健康危险因素监测所

基金项目:

国家重点研发计划 2018YFC1315303

详细信息

通讯作者:
何宇纳，E-mail：heyn@ninh.chinacdc.cn

中图分类号: R195.4;R181
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- 被引次数: 0
出版历程
- 收稿日期: 2021-05-27
- 修回日期: 2021-08-30
- 网络出版日期: 2022-01-16
- 刊出日期: 2022-01-10

Study on morbidity and mortality burden of gastric cancer attributed to excessive sodium intake in Chinese adult residents

1.
National Institute of Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China
2.
Health Risk Factors Monitoring Institute, Hangzhou Center for Disease Control and Prevention, Hangzhou 310021, China

Funds:

National Key Research and Development Program of China 2018YFC1315303

More Information

Corresponding author: HE Yu-na, E-mail: heyn@ninh.chinacdc.cn

摘要

摘要: 目的分析我国各省成年居民胃癌归因于钠摄入过量的发病和死亡负担。方法根据2012年中国居民营养与健康状况监测获得的膳食钠消费量数据，结合协同克里金空间插值的方法估算各省成年居民的膳食钠暴露水平。2015年胃癌发病和死亡数据来自《肿瘤登记年报》，按照比例风险评估理论，分省计算胃癌发病和死亡归因于钠摄入过量的归因分值。结果 2015年成年居民高钠饮食对胃癌发病和死亡的人口归因比例分别为29.94%和28.95%，归因于高钠饮食的胃癌发病数和死亡数分别为80 718人和56 578人，发病率和死亡率分别为8.04/10万和5.64/10万。甘肃省归因于高钠饮食的胃癌发病率和死亡率最高，分别为24.85/10万和14.51/10万。归因于高钠饮食发病率最低的省份是广东省(2.51/10万)，西藏自治区居民归因于高钠饮食的胃癌死亡率最低(0.29/10万)。结论 2015年我国成年居民胃癌归因于高钠饮食的发病和死亡负担处于较高的水平，各省间差异大。
- 胃癌 /
- 钠 /
- 疾病负担
Abstract: Objective To study the burden of gastric cancer attributable to overconsumption of sodium among Chinese adults. Methods Based on the data of dietary sodium consumption obtained from the China National Nutrition and Health Surveillance 2012, the dietary sodium intake of adults in each province was estimated by using the method of Cooperative Kriging. Data on the incidence and death of gastric cancer in 2015 were obtained from Annals of the Cancer Registry. According to the proportional risk assessment theory, the Population Attributable Fraction of the incidence and death of gastric cancer attributable to high sodium intake was calculated by province. Results In 2015, the Population Attributable Fraction of overconsumption of sodium to the incidence and death of gastric cancer in adult was 29.94% and 28.95%. The number of incidence and death of gastric cancer attributable to overconsumption of dietary sodium were 80 718 and 56 578, and the morbidity and mortality were 8.04/100 000 and 5.64/100 000. Gansu had the highest morbidity and mortality of gastric cancer attributable to overconsumption of sodium (24.85/100 000 and 14.51/100 000 respectively). The lowest morbidity of gastric cancer attributed to high sodium diet was found in Guangdong (2.51/100 000), and the lowest mortality of gastric cancer attributed to high sodium diet was found in Tibet (0.29/100 000). Conclusion In 2015, the morbidity and mortality burden of gastric cancer in Chinese adults due to overconsumption of dietary sodium was at a high level, with great differences among provinces.
- Gastric cancer /
- Sodium /
- The burden of disease

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图 1 各省(自治区、直辖市)高钠饮食对胃癌发病和死亡的人口归因比例

Figure 1. Population attribution of high sodium diet to the incidence and death of gastric cancer in different provinces (autonomous region, municipality)

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图 2 各省(自治区、直辖市)归因于高钠饮食的胃癌发病数和死亡数

Figure 2. The number of gastric cancer cases and deaths attributable to high sodium diets by province (autonomous region, municipality)

下载: 全尺寸图片幻灯片

图 3 各省(自治区、直辖市)归因于高钠饮食的胃癌发病率和死亡率(/10万)

Figure 3. Provinces (autonomous region, municipality) attributed overconsumption of dietary sodium to gastric cancer morbidity and mortality(/100 000)

下载: 全尺寸图片幻灯片

表 1 各年龄组高钠饮食对胃癌发病和死亡的人口归因比例

Table 1. Population attribution of high sodium diet to incidence and death of gastric cancer in different age groups

年龄组(岁)	发病人口归因比例(%)			死亡人口归因比例(%)
年龄组(岁)	男性	女性	合计	男性	女性	合计
20~ < 25	37.88	34.03	36.00	37.52	33.92	36.09
25~ < 30	27.70	25.58	26.45	27.58	25.47	26.20
30~ < 35	29.96	26.95	28.08	29.81	26.99	28.06
35~ < 40	28.87	26.99	27.83	28.84	27.04	27.81
40~ < 45	40.66	35.44	38.29	40.65	35.55	38.33
45~ < 50	32.35	30.22	31.50	32.18	30.27	31.39
50~ < 55	30.24	27.48	29.29	30.10	27.47	29.16
55~ < 60	38.53	33.92	37.26	38.46	33.97	37.10
60~ < 65	39.23	34.62	37.96	39.25	34.70	37.94
65~ < 70	27.56	24.76	26.80	27.47	24.76	26.72
70~ < 75	26.17	24.45	25.68	26.06	24.50	25.61
75~ < 80	25.57	23.55	25.00	25.50	23.59	24.95
≥80	26.53	24.22	25.84	26.46	24.23	25.77
合计	30.81	27.95	29.94	29.72	27.23	28.95

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表 2 各年龄组归因于高钠饮食的胃癌发病数、死亡数、发病率和死亡率

Table 2. Number of gastric cancer cases, deaths, morbidity and mortality attributable to overconsumption of dietary sodium by age group

年龄组(岁)	发病数(人)			死亡数(人)			发病率(/10万)			死亡率(/10万)
年龄组(岁)	男性	女性	合计	男性	女性	合计	男性	女性	合计	男性	女性	合计
20~ < 25	92	79	171	57	34	91	0.15	0.13	0.14	0.09	0.05	0.07
25~ < 30	132	175	307	60	104	163	0.26	0.35	0.31	0.12	0.21	0.16
30~ < 35	217	327	544	124	186	310	0.45	0.70	0.57	0.25	0.40	0.32
35~ < 40	476	551	1 027	258	319	577	0.80	0.96	0.88	0.43	0.56	0.49
40~ < 45	1 737	1 262	2 999	913	666	1 579	2.75	2.06	2.41	1.45	1.09	1.27
45~ < 50	2 563	1 595	4 157	1 318	869	2 187	4.79	3.09	3.96	2.46	1.69	2.08
50~ < 55	3 656	1 761	5 417	1 915	961	2 876	9.09	4.60	6.90	4.76	2.51	3.66
55~ < 60	9 202	3 101	12 304	4 882	1 870	6 753	22.46	7.73	15.18	11.92	4.66	8.33
60~ < 65	11 082	3 724	14 806	6 612	2 373	8 984	37.22	12.94	25.29	22.21	8.25	15.35
65~ < 70	7 998	2 696	10 694	5 331	1 832	7 162	38.60	13.26	26.05	25.72	9.01	17.44
70~ < 75	7 324	2 780	10 104	5 705	2 190	7 895	44.72	16.81	30.69	34.83	13.24	23.98
75~ < 80	6 694	2 426	9 120	6 140	2 322	8 462	59.45	19.34	38.31	54.53	18.50	35.54
≥80	6 538	2 529	9 068	6 741	2 796	9 537	74.69	20.76	43.31	77.00	22.95	45.55
合计	57 712	23 006	80 718	40 057	16 520	56 578	11.41	4.62	8.04	7.92	3.32	5.64

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