Change on burden of diseases from hypercholesterolemia among the Chinese population from 1990 to 2010 / 中华心血管病杂志

<p><b>OBJECTIVE</b>To quantify the change on burden of disease from hypercholesterolemia in China from 1990 to 2010.</p><p><b>METHODS</b>Related data were obtained from the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010). Population attributable risk was adopted to estimate the burden of disease from hypercholesterolemia.</p><p><b>RESULTS</b>The death and burden of disease from hypercholesterolemia for Chinese residents increased from 98 000 and 2.237 million disability-adjusted of life years (DALY) in 1990 to 281 000 and 5.912 million DALY respectively. In 2010, 251 000 ischemic heart disease and 30 000 ischemic stroke deaths were caused by hypercholesterolemia, accounted for 3.4% (28.1/830.2) of the total deaths. In 2010, the DALY of ischemic heart disease and ischemic stroke attributed to hypercholesterolemia was 5.169 million and 0.743 million respectively. DALY was 3.356 million in male and 2.555 million in female. Years of life lost due to premature mortality (YLL) was 5.268 million, and years lived with disability (YLD) was 0.644 million.</p><p><b>CONCLUSION</b>Hypercholesterolemia is a major risk factor for deaths and life loss in 2010, and the burden of disease and death from hypercholesterolemia increased obviously from 1990 to 2010 in China.</p>

Reduce the burden of disease, realize the health dream of Chinese / 中华预防医学杂志

Along with the society and economy development in China, life expectancy of Chinese increased substantially since 1990, chronic and non-communicable disease has became a serious disease effecting on health. In the process of transition of the health mode, it's a complicated challenge how to effectively reduce the burden of and improve the health of Chinese. Based on the results of the burden of disease study of Chinese, referring to the experience of other countries and combining with the practice in our country, we put forward some suggestions to solve the health problems in China, and we hope we can promote the development of the prevention and control of disease, and realize the health dream of Chinese.

Burden of disease attributable to main behavioral risk factor of chronic disease inactivity in China, 1990 and 2010 / 中华预防医学杂志

<p><b>OBJECTIVE</b>To examine burden of disease (BOD) attributable to dietary risk factors, tobacco smoking, alcohol use, and physical inactivity in China in 1990 and 2010.</p><p><b>METHODS</b>The results of the Global Burden of Diseases Study 2010(GBD 2010) for China were extracted to examine BOD attributable to the four behavioral risk factors in terms of current status, time trend, age patterns, and their diseasecomposition. Measurements for attributable BOD were years of life lost due to premature mortality (YLL), years lived with disability (YLD), and disability-adjusted life years (DALY).</p><p><b>RESULTS</b>In 1990, for both genders combined, BOD attributable to dietary risk factors, tobacco smoking, and alcohol use were 37.28 (32.88-42.12), 28.32 (22.50-35.73), and 13.02 (10.50-15.74) million DALYs, respectively; for men, attributable BOD were 21.17 (18.26-24.48), 17.87 (13.59-23.74), and 10.23 (8.22-12.38) million DALYs, respectively, more than those in women (16.11 (13.90-19.32), 10.45 (727-15.69), and 2.79 (1.81-392) million DALYs, respectively). In 2010, BOD attributable to dietary risk factors, tobacco smoking, alcohol use, and physical inactivity were 51.70 (46.07-56.65), 30.00 (23.43-35.92), 13.78 (10.89-16.88), and 11.44(9.49-13.68) million DALYs, respectively, all of which combined accounted for 33.7% of overall BOD; in male BOD attributable to these 4 risk factors were 32.91 (28.43-36.54), 22.71 (17.09-28.27), 11.62 (9.19-14.28), and 6.34 (5.09-7.74) million DALYs, respectively, higher than those in women (18.79 (16.31-20.92), 7.29 (4.47-9.73), 2.16 (1.25-3.10), and 5.10 (4.21-6.05) million, respectively). Compared with 1990, attributable BOD among men in 2010 had increased by 55.5% for dietary risk factors, 27.1% for tobacco smoking and 13.6% for alcohol use, whilst only had BOD attributable dietary risk factors increased (by 16.6%) among women, with decreasing trends in smoking (-30.2%) and alcohol use (-22.6%). Diet low in fruits accounted for the largest portion of 35.4% in total BOD attributable to all dietary risk factors, followed by diet high in sodium which accounted for 20.2%.</p><p><b>CONCLUSION</b>The BOD attributable to the 4 behavioral risk factors was quite high in China, with significant increase in BOD of men.</p>