1990—2021年浙江省居民身体活动不足归因疾病负担研究

doi:10.19485/j.cnki.issn2096-5087.2026.03.008

预防医学

2026, Vol. 38

Issue (3): 251-256 DOI: 10.19485/j.cnki.issn2096-5087.2026.03.008

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1990—2021年浙江省居民身体活动不足归因疾病负担研究

张洁, 周晓燕, 胡如英, 龚巍巍, 潘劲, 钟节鸣

浙江省疾病预防控制中心,浙江杭州 310051

Burden of disease attributable to insufficient physical activity among residents in Zhejiang Province from 1990 to 2021

ZHANG Jie, ZHOU Xiaoyan, HU Ruying, GONG Weiwei, PAN Jin, ZHONG Jieming

Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China

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摘要目的分析1990—2021年浙江省居民身体活动不足归因疾病负担及其变化趋势,为优化慢性病防控策略提供参考。方法通过2021年全球疾病负担（GBD）研究数据库收集浙江省居民身体活动不足过早死亡损失寿命年（YLL）、伤残损失寿命年（YLD）和伤残调整寿命年（DALY）等资料,采用平均年度变化百分比（AAPC）分析1990—2021年YLL率、YLD率和DALY率变化趋势。结果浙江省居民归因于身体活动不足的YLL率、YLD率、DALY率分别从1990年的42.65/10万、11.12/10万和53.77/10万上升至2021年的85.67/10万、31.56/10万和117.23/10万,呈上升趋势（AAPC=2.267%、3.428%和2.517%,均P<0.05）。1990—2021年女性身体活动不足YLL率、YLD率和DALY率均高于男性,男性和女性YLL率（AAPC=2.631%、2.031%）、YLD率（AAPC=3.711%、3.268%）和DALY率（AAPC=2.840%、2.303%）呈上升趋势（均P<0.05）。1990—2021年浙江省居民YLL率、YLD率和DALY率均为≥70岁组最高。1990—2021年15~<50岁和≥70岁组YLL率（AAPC=0.439%、0.818%）、YLD率（AAPC=3.102%、1.351%）和DALY率（AAPC=1.749%、0.932%）呈上升趋势（均P<0.05）;50~<70岁组YLD率（AAPC=1.222%）呈上升趋势,YLL率（AAPC=-1.400%）、DALY率（AAPC=-0.663%）呈下降趋势（均P<0.05）。1990年和2021年浙江省居民身体活动不足归因疾病前5位均为脑卒中、糖尿病、结直肠癌、缺血性心脏病和慢性肾病;相较于1990年,2021年5类疾病DALY率均上升,变化率分别为89.20%、164.84%、110.67%、223.40%和80.95%。结论 1990—2021年浙江省身体活动不足归因疾病负担总体呈上升趋势;女性、老年人和脑卒中等慢性病疾病负担较重,50~<70岁居民过早死亡负担有所下降。

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关键词 ：身体活动不足, 过早死亡损失寿命年, 伤残损失寿命年, 伤残调整寿命年, 慢性病

Abstract：Objective To analyze the trend in disease burden attributable to insufficient physical activity among residents in Zhejiang Province from 1990 to 2021, so as to provide evidence for developing targeted prevention and control strategies. Methods Data on years of life lost due to premature mortality (YLL), years lived with disability (YLD), and disability-adjusted life years (DALY) due to insufficient physical activity among residents of Zhejiang Province were collected from the Global Burden of Disease (GBD) 2021 database. The average annual percentage change was used to analyze the trends in YLL, YLD, and DALY rates from 1990 to 2021. Results YLL, YLD, and DALY rates attributable to insufficient physical activity among residents of Zhejiang Province increased from 42.65/10⁵, 11.12/10⁵, and 53.77/10⁵ in 1990 to 85.67/10⁵, 31.56/10⁵, and 117.23/10⁵ in 2021, respectively, showing an upward trend (AAPC=2.267%, 3.428%, and 2.517%, all P<0.05). From 1990 to 2021, the YLL, YLD, and DALY rates attributable to insufficient physical activity were consistently higher in females than in males. Both males and females demonstrated upward trends in YLL (AAPC=2.631%, 2.031%), YLD (AAPC=3.711%, 3.268%), and DALY (AAPC=2.840%, 2.303%) rates (all P<0.05). From 1990 to 2021, the YLL, YLD, and DALY rates were highest in the ≥70 years age group. From 1990 to 2021, 15-<50 and ≥70 years age groups showed upward trends in YLL (AAPC=0.439%, 0.818%), YLD (AAPC=3.102%, 1.351%), and DALY (AAPC=1.749%, 0.932%) rates (all P<0.05). The 50-<70 years age group exhibited an increasing trend in YLD rate (AAPC=1.222%), while declining trends in YLL (AAPC=-1.400%) and DALY (AAPC=-0.663%) (all P<0.05). In both 1990 and 2021, the top five diseases attributable to insufficient physical activity in Zhejiang Province were stroke, diabetes, colorectal cancer, ischemic heart disease, and chronic kidney disease. Compared to 1990, the DALY rates for these five diseases increased in 2021, with change rates of 89.20%, 164.84%, 110.67%, 223.40%, and 80.95%, respectively. Conclusions From 1990 to 2021, the overall disease burden attributable to insufficient physical activity in Zhejiang Province showed an upward trend. The disease burden was relatively high among females, the elderly, and for chronic diseases such as stroke, while premature mortality burden declined among residents aged 50-<70 years.

Key words： insufficient physical activity years of life lost due to premature mortality years lived with disability disability-adjusted life years chronic disease

收稿日期: 2025-12-09 修回日期: 2026-02-21 出版日期: 2026-03-10

中图分类号:

R195.4

基金资助:浙江省卫生健康行业科技计划项目（WKJ-ZJ-26036）

作者简介: 张洁,硕士,副主任医师,主要从事慢性病预防控制工作

通信作者: 钟节鸣,E-mail：981794290@qq.com

引用本文:

张洁, 周晓燕, 胡如英, 龚巍巍, 潘劲, 钟节鸣. 1990—2021年浙江省居民身体活动不足归因疾病负担研究[J]. 预防医学, 2026, 38(3): 251-256.
ZHANG Jie, ZHOU Xiaoyan, HU Ruying, GONG Weiwei, PAN Jin, ZHONG Jieming. Burden of disease attributable to insufficient physical activity among residents in Zhejiang Province from 1990 to 2021. Preventive Medicine, 2026, 38(3): 251-256.

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https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2026.03.008 或 https://www.zjyfyxzz.com/CN/Y2026/V38/I3/251

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