1990—2019年中國(guó)因低纖維飲食導(dǎo)致的2型糖尿病疾病負(fù)擔(dān)與趨勢(shì)：2019年全球疾病負(fù)擔(dān)研究的發(fā)現(xiàn)

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Corresponding author：LI Juan， female， master， professor，postgraduate tutor， researchdirection： preventive medicine and medical education research. E-mail： lily_lij@gmu.edu.cn

column：Burden and trends of type 2 diabetes mellitus attributed to a low-fiber diet from 1990 to 2019 in China：findings from the global burden of disease study 2019

ZHONG Fei-fei， GU Jun-wang， CHEN Xiao-chen， LI Juan

（School of Public Health and Health Management， Gannan Medical University， Ganzhou， Jiangxi 341000）

Abstract  ： Objective  ： To investigate the temporal trends of the burden of type 2 diabetes mellitus（T2DM） in China attributed to low-fiber diet from 1990 to 2019， highlighting the importance of dietary fiber in T2DM prevention. Methods  ： Using data from the GBD 2019， age- and sex-specific mortality and DALYs related to T2DM attributed to a low-fiber diet in China were analyzed through join-point regression and age-period-cohort model analysis. Results  ： In 2019， T2DM deaths and disability-adjusted life years（DALYs） attributed to a low-fiber diet in China totaled 2 887 and 182 251， respectively. Males under 60 years had higher mortality and DALYs rates than females， but the trend reversed for those over 60. The ASMR and ASDR decreased by 43% and 38% since 1990， respectively. Before 2008， female age-standardized mortality rate（ASMR） and age-standardized disability-adjusted life years rate（ASDR） were higher than males， but it was reversed after 2010. Both male and female ASDR decreased， while the relative risk of mortality increased with age. The period effect on T2DM burden remained stable， while the cohort effect declined. Conclusion  ： The burden of T2DM attributed to a low-fiber diet in China showed an initial increase followed by a decrease from 1990 to 2019. The burden was higher among the elderly， with gender-specific differences among age groups.

Key words  ： Low-fiber diet； Type 2 diabetes mellitus； Global burden of disease； Burden and trends； China

CLC Number：R151.4    Document code：A    Article ID：1001-5779（2025）02 -0154 -13

DOI ： 10.3969/j.issn.1001-5779.2025.02.008

摘  要：目的：調(diào)查1990—2019年中國(guó)低纖維飲食導(dǎo)致的2型糖尿病負(fù)擔(dān)的時(shí)間趨勢(shì)，強(qiáng)調(diào)膳食纖維在預(yù)防2型糖尿?。═ype 2 diabetes mellitus， T2DM）中的重要性。（剩余28652字）