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| Disease burden and risk factors of colorectal cancer in Zhejiang Province from 1990 to 2019 |
| CHEN Shushu1, GONG Weiwei2, GUAN Yunqi2, ZHOU Xiaoyan2, PAN Jin2, DAI Pinyuan2, WANG Hao2, LI Na2, YU Min2
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1. Health Science Center, Ningbo University, Ningbo, Zhejiang 315211, China;
2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China |
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Abstract Objective To analyze the disease burden and risk factors of colorectal cancer in Zhejiang Province from 1990 to 2019, so as to provide the basis for prevention and control of colorectal cancer. Methods Based on data of 2019 Global Burden of Disease (GDB 2019), disease burden and risk factors of colorectal cancer in Zhejiang Province from 1990 to 2019 was assessed using years of life lost (YLL), years lived with disability (YLD), disability-adjusted life years (DALY). Results In 2019, the YLL rate, YLD rate and DALY rate caused by colorectal cancer in Zhejiang Province were 496.15/105, 31.81/105 and 527.96/105, respectively. From 1990 to 2019, the YLL rate, YLD rate and DALY rate caused by colorectal cancer in Zhejiang Province increased by 114.90%, 482.60% and 123.38%, respectively, showing increasing trends (average annual percent change values were =2.663, 6.283 and 2.800, respectively,all P<0.05). From 1990 to 2019, the YLL rate, YLD rate and DALY rate in the age groups of 15 to 49 years, 50 to 69 years and 70 years and older showed increasing trends (all P<0.05). In 1990, the top ten risk factors for colorectal cancer in Zhejiang Province were diet low in calcium, diet low in milk, diet low in whole grains, smoking, alcohol use, low physical activity, high fasting plasma glucose, diet high in red meat, diet low in fiber and high body mass index. In 2019, the top ten risk factors for colorectal cancer in Zhejiang Province were diet low in milk, diet low in whole grains, diet low in calcium, alcohol use, diet high in red meat, high body mass index, high fasting plasma glucose, low physical activity, diet low in fiber and diet high in processed meat. Conclusions The disease burden of colorectal cancer in Zhejiang Province showed an upward trend from 1990 to 2019. The top ten risk factors for colorectal cancer remained between 1990 and 2019, while there was a slight change in ranking.
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Received: 23 November 2023
Revised: 24 January 2024
Published: 20 March 2024
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[1] SUNG H,FERLAY J,SIEGEL R L,et al.Global Cancer Statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin,2021,71(3):209-249.
[2] SHARMA R.An examination of colorectal cancer burden by socioeconomic status:evidence from GLOBOCAN 2018[J]. EPMA J,2019,11(1):95-117.
[3] 王娜,刘洁,李晓东,等. 中国1990—2019年结直肠癌疾病负担分析[J]. 中国循证医学杂志,2021,21(5):520-524.
[4] ZHOU M G,WANG H D,ZENG X Y,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.
[5] 陈新民,姜春晓,张安羽,等.浙江省居民结直肠癌发病与死亡资料分析[J].预防医学,2019,31(12):1200-1204.
[6] 王悠清,李辉章,龚巍巍,等.2015年浙江省肿瘤登记地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2019,28(1):12-22.
[7] 黄钊慰,薛明劲,胡雨迪,等. 1990—2019年中国结直肠癌归因于各类危险因素的疾病负担分析与模型预测[J]. 中华疾病控制杂志,2022,26(1):7-13.
[8] 李建,张尧,胡登敏,等.1990—2019年中国人群早发性结直肠癌疾病负担及变化趋势分析[J].现代预防医学,2022,49(19):3468-3473.
[9] 关云琦,龚巍巍,王浩,等. 1990—2019年浙江省2型糖尿病疾病负担和危险因素变化趋势的研究[J].中华糖尿病杂志,2023,15(4):303-310.
[10] GBD 2019 Risk Factors Collaborators. Global burden of 87 risk factors in 204 countries and territories,1990-2019:a systematic analysis for the Global Burden of Disease Study 2019BD 2019 Risk Factors Collaborators. Global burden of 87 risk factors in 204 countries and territories,1990-2019:a systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet,2020,396(10258):1223-1249.
[11] MALDONADO G,GREENLAND S.Estimating causal effects[J]. Int J Epidemiol,2002 ,31(2):422-429.
[12] GBD 2019 Colorectal Cancer Collaborators. Global,regional,and national burden of colorectal cancer and its risk factors,1990-2019:a systematic analysis for the Global Burden of Disease Study 2019BD 2019 Colorectal Cancer Collaborators. Global,regional,and national burden of colorectal cancer and its risk factors,1990-2019:a systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet Gastroenterol Hepatol,2022,7(7):627-647.
[13] QIU H B,CAO S M,XU R H.Cancer incidence,mortality,and burden in China:a time-trend analysis and comparison with the United States and United Kingdom based on the global epidemiological data released in 2020[J]. Cancer Commun(Lond),2021,41(10):1037-1048.
[14] 周小龙,赵洋,耿叶,等.1990—2019年中国70岁及以上人群结直肠癌疾病负担分析[J].中国慢性病预防与控制,2022,30(6):442-446.
[15] DENG Y J,WEI B J,ZHAI Z,et al.Dietary risk-related colorectal cancer burden:estimates from 1990 to 2019[J/OL]. Front Nutr,2021 [2024-01-24]. https://doi.org/10.3389/fnut.2021.690663.
[16] 罗鹏飞,俞浩,韩仁强,等.1990—2019年江苏省结直肠癌疾病负担与危险因素变化趋势研究[J].中国肿瘤,2022,31(12):967-974.
[17] SHIN A,LI H L,SHU X O,et al.Dietary intake of calcium,fiber and other micronutrients in relation to colorectal cancer risk:results from the Shanghai Women's Health Study[J]. Int J Cancer,2006,119(12):2938-2942.
[18] ABID Z,CROSS A J,SINHA R.Meat,dairy,and cancer[J]. Am J Clin Nutr,2014,100(1):386-393.
[19] SONG M,GARRETT W S,CHAN A T.Nutrients,foods,and colorectal cancer prevention[J]. Gastroenterology,2015,148(6):1244-1260.
[20] VIEIRA A R,ABAR L,CHAN D S M,et al. Foods and beverages and colorectal cancer risk:a systematic review and meta-analysis of cohort studies,an update of the evidence of the WCRF-AICR Continuous Update Project[J]. Ann Oncol,2017,28(8):1788-1802. |
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