2012年9月28日 星期五

2001年研究報導血壓相關疾病引起全球疾病負擔

Global burden of blood-pressure-related disease, 2001


Carlene M M Lawes, Stephen Vander Hoorn, Anthony Rodgers; for the International Society of Hypertension

Summary
摘要

Background
背景

Few studies have assessed the extent and distribution of the blood-pressure burden worldwide. The aim of this study was to quantify the global burden of disease related to high blood pressure.

一些研究已評估全球血壓負擔相關疾病的廣度和分布,這些研究的目標是要研究量化造成全球疾病負擔是與高血壓有關


Methods
方法

Worldwide burden of disease attributable to high blood pressure (≥115 mm Hg systolic) was estimated for groups according to age (≥30 years), sex, and World Bank region in the year 2001.

世界疾病負擔可歸因於高血壓 (收縮壓 > 115 毫米汞柱 )的研究以在2001年世界銀行區域內中測量大於30 不分性別的群組。

Population impact fractions were calculated with data for mean systolic blood pressure, burden of deaths and disability-adjusted life years (DALYs), and relative risk corrected for regression dilution bias.

母群體影響抽樣分配之收縮壓平均數的值 死亡負擔比與失能調整生命年數的數值已被計算, 回歸稀釋偏差被相關風險修正

Findings

調查結果

Worldwide, 76 million premature deaths (about 135% of the global total) and 92 million DALYs (60% of  the global total) were attributed to high blood pressure. About 54% of stroke and 47% of ischaemic heart disease worldwide were attributable to high blood pressure. About half this burden was in people with hypertension; the remainder was in those with lesser degrees of high blood pressure.

世界上約有760萬人過早死亡(約佔全球13.5%)9200萬人失能調整生命年數(約佔全球6.0 %)可歸因於高血壓。約有 54%的中風和 47% 缺血性心臟病可歸因於高血壓。有半數民眾受高血壓影響而造成負擔,其餘的則是較少程度的高血壓

Overall, about 80% of the attributable burden occurred in low-income and middle-income economies, and over half occurred in people aged 4569 years.

整體來說 此疾病負擔約有80%發生在低收入與中收入經濟體區 約有半數耗發在45-69歲族群。

Interpretation

說明

Most of the disease burden caused by high blood pressure is borne by low-income and middle-income countries, by people in middle age, and by people with prehypertension. Prevention and treatment strategies restricted to individuals with hypertension will miss much blood-pressure-related disease.

大部份疾病負擔肇因於中低收入國家之中年人族群忍受高血壓及高血壓前期 受限於個別的高血壓預防和治療策略將錯失與血壓相關的疾病。

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