文章摘要
齐金蕾,刘韫宁,周脉耕,王黎君,曾新颖,刘世炜,刘江美,由金玲,王丽敏,张梅,赵振平,殷鹏.2013年中国25岁及以上人群水果摄入不足的归因死亡分析[J].中华流行病学杂志,2017,38(8):1038-1042
2013年中国25岁及以上人群水果摄入不足的归因死亡分析
Mortality attributable to inadequate intake of fruits among population aged 25 and above in China,2013
收稿日期:2017-03-13  出版日期:2017-08-12
DOI:10.3760/cma.j.issn.0254-6450.2017.08.008
中文关键词: 水果摄入不足  归因分析  死亡率  期望寿命
英文关键词: Low fruits intake  Mortality  Attribution analysis  Life expectancy
基金项目:科技部科技基础性工作专项(2014FY121100)
作者单位E-mail
齐金蕾 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控中心生命登记与死因监测室  
刘韫宁 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控中心生命登记与死因监测室  
周脉耕 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控中心  
王黎君 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控中心生命登记与死因监测室  
曾新颖 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控中心综合防控与评价室  
刘世炜 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控中心综合防控与评价室  
刘江美 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控中心生命登记与死因监测室  
由金玲 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控中心生命登记与死因监测室  
王丽敏 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控中心危险因素监测室  
张梅 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控中心危险因素监测室  
赵振平 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控中心危险因素监测室  
殷鹏 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控中心生命登记与死因监测室 yinpengcdc@163.com 
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中文摘要:
      目的 分析2013年我国≥ 25岁人群归因于水果摄入不足的死亡情况及其对期望寿命的影响。方法 利用2013年中国慢性病及其行为危险因素监测调查数据计算分性别和地区的水果摄入量,采用潜在影响分值(PIF)分析归因于水果摄入不足的相关疾病死亡数、死亡率及对期望寿命的影响情况。结果 2013年,我国≥ 25岁人群的水果摄入量平均为(113.3±168.9)g/d[男性为(103.6±160.1)g/d,女性为(122.7±176.6)g/d)],城市居民的水果摄入量明显高于农村地区,东部地区高于中部和西部地区;总死因中的15.21%是由于水果摄入不足造成的,水果摄入不足对相关疾病的PIF均约为35.00%。农村地区(16.50%)全死因的PIF高于城市地区(13.88%),东部(15.48%)及中部(16.27%)全死因的PIF高于西部地区(13.75%);归因于水果摄入不足导致死亡数约为134.84万,相关疾病死亡数依次为缺血性心脏病(47.25万)、出血性中风(33.88万)、缺血性中风(25.90万)、肺癌(20.84万)、食管癌(6.07万)、喉癌(0.54万)和口腔癌(0.36万);城市的全死因及相关疾病的归因死亡数明显低于农村地区,中部地区的全死因归因死亡数(45.27万)高于东部(53.11万)及西部地区(36.46万),我国因水果摄入不足造成期望寿命损失1.73岁(男性损失1.80岁,女性损失1.58岁),农村高于城市,中部高于东部和西部地区。结论 我国水果摄入量与推荐标准相差甚远,水果摄入不足导致相关疾病的PIF较高,且对居民期望寿命的影响较为严重。
英文摘要:
      Objective To assess the mortality attributable to low fruit intake among people over 25 years old in China, 2013, and its effect on life expectancy. Methods Based on data collected from China Chronic Disease and Risk Factor Surveillance in 2013, the average fruit intake in different genders and areas were calculated. Potential impact fraction (PIF) was used to examine the impact on deaths, mortality and life expectancy. Results The average daily fruit intake was (113.3±168.9) g among people over 25 years old, with (103.6±160.1) g for men and (122.7±176.6) g for women, in China in 2013. Fruit intake for urban residents was significantly higher than that in rural residents and higher in eastern regions than that in central or western regions. Scores that attributable to low fruit intake accounted for 15.21% of the total deaths and the population attributable fraction of inadequate intake of fruits to associated diseases was 35.00%. PIF for all the deaths in rural residents (16.50%) appeared higher than that of the urban residents (13.88%), and higher in the residents living in the eastern region (15.48%) than that in the central (16.27%) or western (13.75%) regions. Number of deaths that attributable to low fruit intake was 1.348 4 million. Deaths caused by related diseases appeared as:ischemic heart disease (472.5 thousands), hemorrhagic stroke (338.8 thousands), ischemic stroke (259.0 thousands), lung cancer (208.4 thousands), esophageal cancer (60.7 thousands), laryngeal cancer (5.4 thousands) and oral cancer (3.6 thousands). Numbers of all deaths and related diseases for urban residents were lower than that of the rural residents, with central regions (452.7 thousands) higher than that in the eastern (531.1 thousands) or western (364.6 thousands) regions. The average life expectancy loss caused by low fruit intake was 1.73 years, 1.80 years for men and 1.58 years for women, in this country. Loss of life expectancy in the rural residents was higher than that of the urban residents, and higher in central regions than that in the eastern or western regions. Conclusions The intake of fruit was far lower than the recommended standard set for the Chinese people. Population attributable fraction was related to the associated diseases caused by inadequate intake of fruits which also made serious impact on life expectancy.
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