Trends of burden on ischemic heart disease and related risk factors among residents in Jiangsu Province, 1990-2019

WANG Weiwei; YU Hao; HONG Xin; YANG Huafeng; ZHOU Hairong; QI Shengxiang; ZHOU Jinyi

doi:10.16462/j.cnki.zhjbkz.2023.10.006

Volume 27 Issue 10

Oct. 2023

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WANG Weiwei, YU Hao, HONG Xin, YANG Huafeng, ZHOU Hairong, QI Shengxiang, ZHOU Jinyi. Trends of burden on ischemic heart disease and related risk factors among residents in Jiangsu Province, 1990-2019[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(10): 1146-1152. doi: 10.16462/j.cnki.zhjbkz.2023.10.006

Citation:

WANG Weiwei, YU Hao, HONG Xin, YANG Huafeng, ZHOU Hairong, QI Shengxiang, ZHOU Jinyi. Trends of burden on ischemic heart disease and related risk factors among residents in Jiangsu Province, 1990-2019[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(10): 1146-1152. doi: 10.16462/j.cnki.zhjbkz.2023.10.006

Citation:

WANG Weiwei, YU Hao, HONG Xin, YANG Huafeng, ZHOU Hairong, QI Shengxiang, ZHOU Jinyi. Trends of burden on ischemic heart disease and related risk factors among residents in Jiangsu Province, 1990-2019[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(10): 1146-1152. doi: 10.16462/j.cnki.zhjbkz.2023.10.006

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Trends of burden on ischemic heart disease and related risk factors among residents in Jiangsu Province, 1990-2019

doi: 10.16462/j.cnki.zhjbkz.2023.10.006

1.
Department of Chronic and Non-communicable Disease Control and Prevention, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China
2.
Department of Chronic and Non-communicable Disease Control and Prevention, Jiangsu Center for Disease Control and Prevention, Nanjing 210009, China

Funds:

Nanjing Municipal Medical Science and Technique Development Foundation, China ZKX21054

Nanjing Municipal Medical Science and Technique Development Foundation, China ZKX18049

More Information

Corresponding author: ZHOU Jinyi, E-mail: zhoujinyi74@sina.com
Received Date: 2022-04-02
Rev Recd Date: 2022-08-03

Available Online: 2023-10-23

Publish Date: 2023-10-10

Abstract

Abstract

Objective To examine the trend of burden on ischemic heart disease (IHD) and related risk factors among residents in Jiangsu Province from 1990 to 2019. Methods Based on open access data from the Global Burden of Disease (GBD) 2019 Study, years of life lost (YLD), years lived with disability (YLL), disability-adjusted of life years (DALY), and population attributable fraction (PAF) were used to describe the temporal trend burden of IHD and its attributable risk factors from 1990 to 2019. A decomposition method established by Das Gupta P was applied to quantify the burden related to population growth, population age, age-specific prevalence, and the severity of the disease. Results The burden of IHD, in number of prevalence, deaths, and DALYs showed increasing trends from 1990 to 2019. During the same period, age-standardized rates of IHD YLL and DALY showed decreased trends, and the annual decreased rates of change of both YLL and DALY were much higher from 2010 to 2019 than those from 1990 to 2010. The DALY of IHD in 2019 increased by 75.78% compared with 1990, the proportions attributable to age-specific prevalence, population growth, population age and the severity of the disease were 52.06%, 46.12%, 23.52%, and -45.92, respectively. In 2019, DALY attributable to the 26 modifiable risk factors accounted for 92.75% of the total IHD DALY, and the proportion of environmental/occupational, behavioral and metabolic risk factors was 38.21%, 68.03% and 79.07%, respectively. The top five of age-standardized attributable DALY rate in 2019 were high blood pressure, high LDL cholesterol, tobacco, ambient particulate matter pollution, and diet high in sodium. From 1990 to 2019, DALYs attributed to ambient particulate matter pollution (ARC=1.29%), high body-mass index (ARC=1.76%), diet high in red meat (ARC=0.36%), diet high in processed meat (ARC=0.32%), and alcohol use (ARC=4.19%) exhibited the greatest increase. From 2010 to 2019, the age-standardized DALY rate ranking for 10 risk factors for IHD increased, and the age-standardized DALY rate ranking for 8 risk factors decreased. Conclusions The burden of IHD continues to increase in Jiangsu residents. Population age and age-specific prevalence are responsible for the considerable increase in the burden of IHD among Jiangsu residents. It is important to strengthen programs on prevention and control for hypertension, dyslipidemia and obesity. Behavior risk factors such as smoking, drinking and unreasonable diet habits should be reduced. Outdoor environment should be improved.
- Ischemic heart disease,
- Burden of disease,
- Risk factors,
- Variation trend

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References(20)

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