Risk assessment of dietary factors in global pattern of ischemic heart disease mortality and disability-adjusted life years over 30 years
ObjectivesThe aim of this study was to investigate differences in the burden of ischemic heart disease (IHD)-related mortality and disability-adjusted life years (DALYs) caused by dietary factors, as well as the influencing factors with age, period, and cohort effects, in regions with different soci...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2023.1151445/full |
| _version_ | 1827926385722654720 |
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| author | Fang Wang Fang Wang Fang Wang Sumaira Mubarik Yu Zhang Wenqi Shi Chuanhua Yu Chuanhua Yu |
| author_facet | Fang Wang Fang Wang Fang Wang Sumaira Mubarik Yu Zhang Wenqi Shi Chuanhua Yu Chuanhua Yu |
| author_sort | Fang Wang |
| collection | DOAJ |
| description | ObjectivesThe aim of this study was to investigate differences in the burden of ischemic heart disease (IHD)-related mortality and disability-adjusted life years (DALYs) caused by dietary factors, as well as the influencing factors with age, period, and cohort effects, in regions with different social-demographic status from 1990 to 2019.MethodsWe extracted data on IHD mortality, DALYs, and age-standardized rates (ASRs) related to dietary risks from 1990 to 2019 as IHD burden measures. Hierarchical age–period–cohort analysis was used to analyze age- and time-related trends and the interaction between different dietary factors on the risk of IHD mortality and DALYs.ResultsGlobally, there were 9.2 million IHD deaths and 182 million DALYs in 2019. Both the ASRs of death and DALYs declined from 1990 to 2019 (percentage change: −30.8% and −28.6%, respectively), particularly in high and high-middle socio-demographic index (SDI) areas. Low-whole-grain, low-legume, and high-sodium diets were the three main dietary factors that increased the risk of IHD burden. Advanced age [RR (95%CI): 1.33 (1.27, 1.39)] and being male [1.11 (1.06, 1.16)] were independent risk factors for IHD mortality worldwide and in all SDI regions. After controlling for age effects, IHD risk showed a negative period effect overall. Poor diets were positively associated with increased risk of death but were not yet statistically significant. Interactions between dietary factors and advanced age were observed in all regions after adjusting for related variables. In people aged 55 and above, low intake of whole grains was associated with an increased risk of IHD death [1.28 (1.20, 1.36)]. DALY risks showed a similar but more obvious trend.ConclusionIHD burden remains high, with significant regional variations. The high IHD burden could be attributed to advanced age, sex (male), and dietary risk factors. Dietary habits in different SDI regions may have varying effects on the global burden of IHD. In areas with lower SDI, it is recommended to pay more attention to dietary problems, particularly in the elderly, and to consider how to improve dietary patterns in order to reduce modifiable risk factors. |
| first_indexed | 2024-03-13T05:38:25Z |
| format | Article |
| id | doaj.art-39d0d5be83d24a5490b1f08561ac76cc |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-03-13T05:38:25Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Nutrition |
| spelling | doaj.art-39d0d5be83d24a5490b1f08561ac76cc2023-06-14T04:36:06ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-06-011010.3389/fnut.2023.11514451151445Risk assessment of dietary factors in global pattern of ischemic heart disease mortality and disability-adjusted life years over 30 yearsFang Wang0Fang Wang1Fang Wang2Sumaira Mubarik3Yu Zhang4Wenqi Shi5Chuanhua Yu6Chuanhua Yu7Department of Biostatistics, School of Public Health, Xuzhou Medical University, Xuzhou, ChinaCenter for Medical Statistics and Data Analysis, Xuzhou Medical University, Xuzhou, ChinaKey Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan, ChinaSchool of Medicine, Hubei Polytechnic University, Huangshi, ChinaDepartment of Biostatistics, School of Public Health, Xuzhou Medical University, Xuzhou, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan, ChinaGlobal Health Institute, Wuhan University, Wuhan, ChinaObjectivesThe aim of this study was to investigate differences in the burden of ischemic heart disease (IHD)-related mortality and disability-adjusted life years (DALYs) caused by dietary factors, as well as the influencing factors with age, period, and cohort effects, in regions with different social-demographic status from 1990 to 2019.MethodsWe extracted data on IHD mortality, DALYs, and age-standardized rates (ASRs) related to dietary risks from 1990 to 2019 as IHD burden measures. Hierarchical age–period–cohort analysis was used to analyze age- and time-related trends and the interaction between different dietary factors on the risk of IHD mortality and DALYs.ResultsGlobally, there were 9.2 million IHD deaths and 182 million DALYs in 2019. Both the ASRs of death and DALYs declined from 1990 to 2019 (percentage change: −30.8% and −28.6%, respectively), particularly in high and high-middle socio-demographic index (SDI) areas. Low-whole-grain, low-legume, and high-sodium diets were the three main dietary factors that increased the risk of IHD burden. Advanced age [RR (95%CI): 1.33 (1.27, 1.39)] and being male [1.11 (1.06, 1.16)] were independent risk factors for IHD mortality worldwide and in all SDI regions. After controlling for age effects, IHD risk showed a negative period effect overall. Poor diets were positively associated with increased risk of death but were not yet statistically significant. Interactions between dietary factors and advanced age were observed in all regions after adjusting for related variables. In people aged 55 and above, low intake of whole grains was associated with an increased risk of IHD death [1.28 (1.20, 1.36)]. DALY risks showed a similar but more obvious trend.ConclusionIHD burden remains high, with significant regional variations. The high IHD burden could be attributed to advanced age, sex (male), and dietary risk factors. Dietary habits in different SDI regions may have varying effects on the global burden of IHD. In areas with lower SDI, it is recommended to pay more attention to dietary problems, particularly in the elderly, and to consider how to improve dietary patterns in order to reduce modifiable risk factors.https://www.frontiersin.org/articles/10.3389/fnut.2023.1151445/fullischemic heart diseaseglobal burdendeathdietarytemporal trends |
| spellingShingle | Fang Wang Fang Wang Fang Wang Sumaira Mubarik Yu Zhang Wenqi Shi Chuanhua Yu Chuanhua Yu Risk assessment of dietary factors in global pattern of ischemic heart disease mortality and disability-adjusted life years over 30 years Frontiers in Nutrition ischemic heart disease global burden death dietary temporal trends |
| title | Risk assessment of dietary factors in global pattern of ischemic heart disease mortality and disability-adjusted life years over 30 years |
| title_full | Risk assessment of dietary factors in global pattern of ischemic heart disease mortality and disability-adjusted life years over 30 years |
| title_fullStr | Risk assessment of dietary factors in global pattern of ischemic heart disease mortality and disability-adjusted life years over 30 years |
| title_full_unstemmed | Risk assessment of dietary factors in global pattern of ischemic heart disease mortality and disability-adjusted life years over 30 years |
| title_short | Risk assessment of dietary factors in global pattern of ischemic heart disease mortality and disability-adjusted life years over 30 years |
| title_sort | risk assessment of dietary factors in global pattern of ischemic heart disease mortality and disability adjusted life years over 30 years |
| topic | ischemic heart disease global burden death dietary temporal trends |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2023.1151445/full |
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