Zhuo-Qun Wang1, Lu Zhang2, Hao Zheng3, Wen-Bo Guo2, Yang Gao2, Yan-Fang Zhao1, Dian-Wu Liu2, Mai-Geng Zhou1, Man Li4. 1. National Center for Chronic and Noncommunicable Disease Control and Prevention, China CDC, Beijing, 100050, People's Republic of China. 2. Department of Epidemiology and Statistic, Hebei Key Laboratory of Environment and Human Health, Hebei Medical University, Shijiazhuang, 050017, Hebei, People's Republic of China. 3. Hebei Chest Hospital, 050042, Shijiazhuang, People's Republic of China. 4. Department of Epidemiology and Statistic, Hebei Key Laboratory of Environment and Human Health, Hebei Medical University, Shijiazhuang, 050017, Hebei, People's Republic of China. lm772003@hebmu.edu.cn.
Abstract
PURPOSE: The burden of non-communicable diseases (NCDs) has increased in China. However, the contribution of dietary risks to the NCD burden has not been evaluated. This study aimed to estimate the burden of ischemic heart disease (IHD) and colorectal cancer (CRC) attributable to a diet low in fiber in China from 1990 to 2017. METHODS: China data from the Global Burden of Disease Study (GBD) 2017 were used to assess the age-, sex-, and province-specific mortality and disability-adjusted life-years (DALYs) of IHD and CRC related to a diet low in fiber. RESULTS: In 2017, a diet low in fiber contributed 170,143 [95% uncertainty interval (UI): 99,623-256,806] IHD deaths and 25,561 (95% UI: 13,726-39,215) CRC deaths, with the population attributable fractions (PAFs) were 9.7 and 13.7%, respectively. Males had higher risk-attributable mortality and DALY rates for IHD and CRC than females. An upward trend with age in rates of mortality and DALY was observed. All-age risk-attributable mortality and DALY rates increased significantly by 111.4 and 53.2% for IHD, and 94.4 and 59.6% for CRC from 1990 to 2017, respectively; however, the corresponding age-standardized rates for IHD and CRC showed relatively stable trends. Heilongjiang, Xinjiang, and Inner Mongolia were ranked as the top three provinces in terms of total risk-attributable NCD burden in 2017. CONCLUSIONS: China has a large and growing NCD burden attributable to a diet low in fiber. Greater priority in disease prevention and control should be given to male and older adults throughout China, particularly in some western provinces.
PURPOSE: The burden of non-communicable diseases (NCDs) has increased in China. However, the contribution of dietary risks to the NCD burden has not been evaluated. This study aimed to estimate the burden of ischemic heart disease (IHD) and colorectal cancer (CRC) attributable to a diet low in fiber in China from 1990 to 2017. METHODS: China data from the Global Burden of Disease Study (GBD) 2017 were used to assess the age-, sex-, and province-specific mortality and disability-adjusted life-years (DALYs) of IHD and CRC related to a diet low in fiber. RESULTS: In 2017, a diet low in fiber contributed 170,143 [95% uncertainty interval (UI): 99,623-256,806] IHD deaths and 25,561 (95% UI: 13,726-39,215) CRC deaths, with the population attributable fractions (PAFs) were 9.7 and 13.7%, respectively. Males had higher risk-attributable mortality and DALY rates for IHD and CRC than females. An upward trend with age in rates of mortality and DALY was observed. All-age risk-attributable mortality and DALY rates increased significantly by 111.4 and 53.2% for IHD, and 94.4 and 59.6% for CRC from 1990 to 2017, respectively; however, the corresponding age-standardized rates for IHD and CRC showed relatively stable trends. Heilongjiang, Xinjiang, and Inner Mongolia were ranked as the top three provinces in terms of total risk-attributable NCD burden in 2017. CONCLUSIONS: China has a large and growing NCD burden attributable to a diet low in fiber. Greater priority in disease prevention and control should be given to male and older adults throughout China, particularly in some western provinces.
Authors: F L Crowe; T J Key; P N Appleby; K Overvad; E B Schmidt; R Egeberg; A Tjønneland; R Kaaks; B Teucher; H Boeing; C Weikert; A Trichopoulou; V Ouranos; E Valanou; G Masala; S Sieri; S Panico; R Tumino; G Matullo; H B Bueno-de-Mesquita; J M A Boer; J W J Beulens; Y T van der Schouw; J R Quirós; G Buckland; M-J Sánchez; M Dorronsoro; J M Huerta; C Moreno-Iribas; B Hedblad; J H Jansson; P Wennberg; K-T Khaw; N Wareham; P Ferrari; A-K Illner; S-C Chuang; T Norat; J Danesh; E Riboli Journal: Eur J Clin Nutr Date: 2012-05-23 Impact factor: 4.016
Authors: Neil Murphy; Teresa Norat; Pietro Ferrari; Mazda Jenab; Bas Bueno-de-Mesquita; Guri Skeie; Christina C Dahm; Kim Overvad; Anja Olsen; Anne Tjønneland; Françoise Clavel-Chapelon; Marie Christine Boutron-Ruault; Antoine Racine; Rudolf Kaaks; Birgit Teucher; Heiner Boeing; Manuela M Bergmann; Antonia Trichopoulou; Dimitrios Trichopoulos; Pagona Lagiou; Domenico Palli; Valeria Pala; Salvatore Panico; Rosario Tumino; Paolo Vineis; Peter Siersema; Franzel van Duijnhoven; Petra H M Peeters; Anette Hjartaker; Dagrun Engeset; Carlos A González; Maria-José Sánchez; Miren Dorronsoro; Carmen Navarro; Eva Ardanaz; José R Quirós; Emily Sonestedt; Ulrika Ericson; Lena Nilsson; Richard Palmqvist; Kay-Tee Khaw; Nick Wareham; Timothy J Key; Francesca L Crowe; Veronika Fedirko; Petra A Wark; Shu-Chun Chuang; Elio Riboli Journal: PLoS One Date: 2012-06-22 Impact factor: 3.240