Exploring Dietary Factors of CVD Burden in China Using Age-period-cohort Model
10.11783/j.issn.1002-3674.2024.06.008
- VernacularTitle:利用年龄-时期-队列模型探讨中国CVD疾病负担的饮食因素
- Author:
Mengyue REN
1
;
Yuchen GAO
;
Jingxiao LI
Author Information
1. 沈阳医学院流行病学与卫生统计学教研室(110034)
- Publication Type:Journal Article
- Keywords:
Cardiovascular disease;
Diet;
Age-period-cohort model;
Change trend
- From:
Chinese Journal of Health Statistics
2024;41(6):846-850,856
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the change trend of age,period and cohort of disease burden of cardiovascular disease(CVD)caused by different dietary factors from 1990 to 2019,so as to provide scientific basis for formulating prevention and treatment strategies for patients with cardiovascular disease.Methods Nine dietary factors related to cardiovascular disease in GBD were downloaded,and the change trend and independent effect of each dietary factor were estimated by constructing age period cohort(APC)model combined with endogenous estimation algorithm(IE).Results The rate of CVD DALYs caused by dietary factors in males from 1990 to 2019 was approximately twice that of females.The APC model fits the age effects of various dietary factors,indicating that they continue to increase with age and significantly increase from the age of 50.The period effect indicates that with the change of period,the risk of low fruit,low vegetable,and low nut seed intake decreases,and from 1990 to 2019,it sequentially changed from 0.19 to-0.16,1.35 to-0.98,and 0.17 to-0.09.The risk of other dietary factors increasing with the change of period effect.The cohort effect of various dietary factors indicates that as the cumulative risk of birth cohort decreases,the later the birth population,the lower the risk of dietary factors.Conclusion The CVD DALYs attributed to diet showed an overall downward trend from 1990 to 2019,but the influence of age factors continued to increase with age,and males were about twice as high as females.The intake of animal foods,high sodium,alcohol,and sugar should be reduced,and the intake of whole grains,vegetables,fruits,and nut seeds should be increased.Continuously strengthen the prevention measures of CVD to screen high-risk groups,especially men,and strengthen community health education,develop healthy lifestyle and eating habits,and gradually reduce the disease burden of CVD.