Changing trends in burden of cardiovascular diseases in Zhejiang Province from 1990 to 2019
LIN Yongxing1,2, LIU Zuyun2, LI Na3, YU Cun1
1. Department of Intergrated Support, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China; 2. Zhejiang University, Hangzhou, Zhejiang 310058, China; 3. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China
Abstract：Objective To investigate the changing trends in the burden of cardiovascular diseases (CVD) in Zhejiang Province from 1990 to 2019, so as to provide insights into CVD control in the province. Methods Based on the data of the Global Burden of Disease Study (GBD) 2019 (GBD 2019), the years lived with disability (YLD), years of life lost (YLL), disability-adjusted life years (DALY), YLD rate, YLL rate and DALY rate due to CVD were estimated to assess the burden of CVD in Zhejiang Province from 1990 to 2019. The changing trends in the burden of CVD were using annual percent change (APC) in Zhejiang Province from 1990 to 2019, and compared to China and global regions with different socio-demographic indexes (SDI). Results The YLL rate (APC=-0.50%, F=22.366, P<0.001) and DALY rate due to CVD (APC=-0.20%, F=5.212, P=0.030) appeared a tendency towards a decline in Zhejiang Province from 1990 to 2019, while the YLD rate showed a tendency towards a rise (APC=1.92%, F=1 117.891, P<0.001). The YLL rate (APC=-1.09%, F=56.871, P<0.001), YLD rate (APC=1.92%, F=922.541, P<0.001) and DALY rate (APC=-0.60%, F=28.974, P<0.001) appeared the same tendency among women relative to among the whole populations, while only the YLD rate showed a clear-cut change among men, appearing a tendency towards a rise (APC=1.82%, F=1 238.423, P<0.001). Both the YLL rate and DALY rate appeared a tendency towards a decline among subjects at all age groups, with the most significant reduction among subjects at ages of 50 to 69 years (YLL rate: APC=-4.40%, F=1 443.608, P<0.001; DALY rate: APC=-3.82%, F=1 519.452, P<0.001). Among all types of CVD, the highest burden was measured in cerebrovascular diseases, with a standardized DALY rate of 1 359.7/105, and the most remarkable reduction in the standardized DALY rate was seen in rheumatic heart diseases. The burden of CVD in Zhejiang Province was lower than that in China and the majority of the world, with consistent changing trends with that in China and global regions with different SDI. Conclusions The overall burden of CVD appeared a tendency towards a decline in Zhejiang Province from 1990 to 2019, which was in agreement with that in China and global regions with different SDI. A remarkable reduction in the burden of CVD was seen among women, residents at ages of 50 to 69 years and cases with rheumatic heart diseases.
林永兴, 刘足云, 李娜, 于村. 1990—2019年浙江省心血管疾病负担变化趋势[J]. 预防医学, 2022, 34(10): 1020-1025.
LIN Yongxing, LIU Zuyun, LI Na, YU Cun. Changing trends in burden of cardiovascular diseases in Zhejiang Province from 1990 to 2019. Preventive Medicine, 2022, 34(10): 1020-1025.
[1] ROTH G A,MENSAH G A,JOHNSON C O,et al.Global burden of cardiovascular diseases and risk factors,1990-2019[J].J Am Coll Cardiol,2020,11(10):1-40. [2] MASAEBI F,SALEHI M,KAZEMI M,et al.Trend analysis of disability adjusted life years due to cardiovascular diseases:results from the global burden of disease study2019[J/OL].BMC Public Health,2021,21(1)[2022-07-14].https://doi.org/10.1186/s12889-021-11348-w. [3] 刘芳超,顾东风.中国心血管病防治的过去、现在和未来[J].心脑血管病防治,2020,20(1):2-4,17. LIU F C,GU D F.Past,present and future of cardiovascular disease prevention and treatment in China[J].Prev Treat Cardio-Cereb-Vasc Dis,2020,20(1):2-4,17. [4] 中国心血管健康与疾病报告编写组.中国心血管健康与疾病报告2021概要[J].中国循环杂志,2022,37(6):553-578. The Writing Committee of the Report on Cardiovascular Health and Diseases in China.Report on cardiovascular health and diseases in China 2021:an updated summary[J].Chin Circ J,2022,37(6):553-578. [5] 王浩,李娜,俞佳男,等.2003—2017年浙江省阿尔茨海默病发病和死亡趋势分析[J].预防医学,2022,34(3):227-231. WANG H,LI N,YU J N,et al.Trends in incidence and mortality of Alzheimer's disease in Zhejiang Province from 2003 to 2017[J].Prev Med,2022,34(3):227-231. [6] 张洁,费方荣,胡如英,等.浙江省慢性病主要危险因素的归因疾病负担研究[J].预防医学,2022,34(6):541-546. ZHANG J,FEI F R,HU R Y,et al.Burden of disease attributable to main risk factors of chronic diseases in Zhejiang Province[J].Prev Med,2022,34(6):541-546. [7] 宇传华,白建军.社会人口指数(SDI)的概念及其应用[J].公共卫生与预防医学,2020,31(1):5-10. YU C H,BAI J J.The concept of Socio-Demographic Index(SDI)and its application[J].J Public Health Prev Med,2020,31(1):5-10. [8] LIN X,XU Y,XU J,et al.Global burden of noncommunicable disease attributable to high body mass index in 195 countries and territories,1990-2017[J].Endocrine,2020,69(2):310-320. [9] LIU S,LI Y,ZENG X,et al.Burden of cardiovascular diseases in China,1990-2016:findings from the 2016 Global Burden of Disease Study[J].JAMA Cardiol,2019,4(4):342-352. [10] 王媛,曹新西,侯亚冰,等.1990和2017年中国与全球心血管病疾病负担研究[J].中国慢性病预防与控制,2020,28(1):10-13,19. WANG Y,CAO X X,HOU Y B,et al.Study on Chinese and flobal cardiovascular diseases burden in 1990 and 2017[J].Chin J Prev Contr Chron Dis,2020,28(1):10-13,19. [11] 亓建羽,王晨冉,刘咪,等.1990—2017年中国与不同社会人口学指数地区脑卒中疾病负担和危险因素的比较分析[J].中华预防医学杂志,2021,55(8):958-964. QI J Y,WANG C R,LIU M,et al.Analysis on disease burden of stroke in China and the regions with different sociodemographic index from 1990 to 2017[J].Chin J Prev Med,2021,55(8):958-964. [12] WANG H,NAGHAVI M,ALLEN C,et al.Global,regional,and national life expectancy,all-cause mortality,and cause-specific mortality for 249 causes of death,1980-2015:a systematic analysis for the Global Burden of Disease Study 2015[J].Lancet,2016,388(10053):1459-1544. [13] LV J,YU C,GUO Y,et al.Adherence to healthy lifestyle and cardiovascular diseases in the Chinese population[J].J Am Coll Cardiol,2017,69(9):1116-1125.
