| 赵艳芳,王卓群,杨静,刘韫宁,刘世炜,曾新颖,李镒冲,殷鹏,周脉耕.2013年中国25岁及以上人群高血糖归因死亡对期望寿命的影响[J].中华流行病学杂志,2017,38(8):1028-1032 |
| 2013年中国25岁及以上人群高血糖归因死亡对期望寿命的影响 |
| Number of deaths that attributable to high fasting plasma glucose among population aged 25 and above and its impact on life expectancy in China,2013 |
| 收稿日期:2017-03-03 出版日期:2017-08-12 |
| DOI：10.3760/cma.j.issn.0254-6450.2017.08.006 |
| 中文关键词: 高血糖 人群监测 归因死亡 期望寿命 |
| 英文关键词: Hyperglycemia Population surveillance Attributed mortality Life expectancy |
| 基金项目:国家科技支撑计划（2013BAI04B02） |
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| 中文摘要: |
| 目的 分析2013年中国≥ 25岁人群高血糖归因死亡和期望寿命损失情况。方法 用2013年中国居民死因监测及中国慢性病及其危险因素监测数据，采用人群归因分值估计高血糖危险因素造成的死亡和对期望寿命的影响。结果 2013年中国≥ 25岁人群归因于高血糖的总死亡人数为62.1万，其中男性33.3万，女性28.8万。高血糖造成的相关疾病死亡人数以缺血性心脏病为最多，约21.2万，其次为脑血管病，约18.1万，其余依次为糖尿病（14.5万）、慢性肾病（5.2万）和结核病（3.1万）。去除高血糖危险因素后，2013年中国居民期望寿命可达到76.5岁，较全死因期望寿命平均提高0.7岁。其中，男性提高0.7岁，女性提高0.8岁。结论 高血糖是影响中国居民死亡和期望寿命的重要危险因素之一。应加强高血糖及相关疾病的预防控制。 |
| 英文摘要: |
| Objective To analyze deaths that attributable to high fasting plasma glucose and its impact on life expectancy among Chinese residents in 2013. Methods Data from the Mortality Surveillance Programs in National Disease Surveillance Points System and the China Chronic Disease Surveillance (2013) were used. Death attributed to high fasting plasma glucose and its impact on the life expectancy of Chinese residents were estimated, based on the principle of population attributable fraction. Results In 2013, the total number of deaths attributed to high fasting plasma glucose among aged ≥ 25 years old was 621 thousand, with 333 thousand males and 288 thousand females. Diseases related to the number of deaths caused by high fasting plasma glucose would include ischemic heart disease (212 thousand) as the most important one. Cerebrovascular disease appeared the 2nd place, with around 181 thousand cases and then followed by diabetes (145 thousand), chronic kidney disease (52 thousand) and tuberculosis (31 thousand). After removal of the effects on high blood glucose exposure, the life expectancy of Chinese residents in 2013 would have reached 76.5 years old, an average increase of 0.7 years, compared to the average life expectancy of all deaths, with men having an increase of 0.7 years and women of 0.8 years, respectively. Conclusions High fasting plasma glucose appeared an important risk factor for mortality and life expectancy on the Chinese residents. Programs related to prevention and control of high fasting plasma glucose and related diseases should be strengthened. |
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