Temporal trends in disability adjusted life year and mortality for colorectal cancer attributable to a high red meat diet in China from 1990 to 2021: an analysis of the global burden of disease study 2021

被引：0
作者：
Yuxin Liu [1 ]
Chaofu Zhu [1 ]
Haonan Song [2 ]
Mengqi Che [1 ]
Beijia Xu [1 ]
Baiping An [1 ]
机构：
[1] Hospital of Chengdu University of Traditional Chinese Medicine, No. 39 Shi-er-Qiao Road, Sichuan, Chengdu
[2] Chengdu University of Traditional Chinese Medicine, No.37, Shi-er-Qiao Road, Sichuan, Chengdu
来源：
BMC Gastroenterology | / 24卷 / 1期
关键词：
1990–2021; China; Colorectal cancer; Global burden of disease; High red meat diet;
D O I：
10.1186/s12876-024-03563-7
中图分类号：
学科分类号：
摘要：
Background: High red meat consumption is a main modifiable risk factor for colorectal cancer mortality (CRC), but its attributable disease burden remains unclear in China. We aimed to analyze the temporal trends in CRC deaths and disability-adjusted life years (DALYs) attributable to high red meat consumption in China from 1990 to 2021 and to predict the disease burden in the next 15 years. Methods: Data was obtained from the Global Burden of Disease (GBD) 2021 study. The Joinpoint regression model was used to calculate the annual percentage change (APC) and the average annual percentage change (AAPC). In addition, the age-period-cohort (APC) model was employed to explore the effects of age, period, and cohort on CRC mortality. The autoregressive integrated moving average (ARIMA) model was utilized to predict the disease burden in 2022–2036. We also compared the CRC burden attributed to high red meat in China with 204 countries worldwide. Results: The results showed that the number of CRC deaths in China due to high red meat consumption increased nearly 2.5 times, from 17,608 (95% UI: -3 to 36,613) in 1990 to 43,580 (95% UI: -16 to 92,083) in 2021. Male CRC deaths exhibited a more pronounced increase, rising from 9,800 in 1990 to 27,600 in 2021. Additionally, the number of DALYs increased from 518,213 (95% UI: -105,107 to 1,074,174) in 1990 to 1,091,788 (95% UI: -509 to 2,295,779) in 2021. Joinpoint regression analysis confirmed that the AAPC in ASDR and ASMR was − 0.20 (95% CI: -0.40 ∼ 0.00) and − 0.30 (95% CI: -0.40 ~ -0.10). When age, period, and cohort effects were examined as the reference group, the risk of CRC was found to increase with age. However, women experienced a marked decline in both period and cohort effects compared to men. Conclusions: Compared to global levels, the burden in China is heavier. In terms of mortality or DALY standardized rates, Chinese women show a similar downward trend to the overall trend, while Chinese men show a striking upward trend. This study provides valuable insights into enhancing CRC prevention and improving dietary patterns in China. © The Author(s) 2024.
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  • [1] Danpanichkul P., Suparan K., Tothanarungroj P., Dejvajara D., Rakwong K., Pang Y., Et al., Epidemiology of gastrointestinal cancers: a systematic analysis from the global burden of disease study 2021, Gut, 74, 1, pp. 26-34, (2024)
  • [2] Arnold M., Abnet C.C., Neale R.E., Vignat J., Giovannucci E.L., McGlynn K.A., Et al., Global Burden of 5 Major Types of Gastrointestinal Cancer, Gastroenterology, 159, 1, pp. 335-e4915, (2020)
  • [3] Bray F., Laversanne M., Sung H., Ferlay J., Siegel R.L., Soerjomataram I., Et al., Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries, CA Cancer J Clin, 74, 3, pp. 229-263, (2024)
  • [4] Xia C., Dong X., Li H., Cao M., Sun D., He S., Et al., Cancer statistics in China and United States, 2022: profiles, trends, and determinants, Chin Med J (Engl), 135, 5, pp. 584-590, (2022)
  • [5] Dekker E., Tanis P.J., Vleugels J.L.A., Kasi P.M., Wallace M.B., Colorectal cancer, Lancet, 394, pp. 1467-1480, (2019)
  • [6] Li N., Lu B., Luo C., Cai J., Lu M., Zhang Y., Et al., Incidence, mortality, survival, risk factor and screening of colorectal cancer: A comparison among China, Europe, and northern America, Cancer Lett, 522, pp. 255-268, (2021)
  • [7] Islam Z., Akter S., Kashino I., Mizoue T., Sawada N., Mori N., Et al., Meat subtypes and colorectal cancer risk: A pooled analysis of 6 cohort studies in Japan, Cancer Sci, 110, 11, pp. 3603-3614, (2019)
  • [8] Knuppel A., Papier K., Fensom G.K., Appleby P.N., Schmidt J.A., Tong T.Y.N., Et al., Meat intake and cancer risk: prospective analyses in UK Biobank, Int J Epidemiol, 49, 5, pp. 1540-1552, (2020)
  • [9] Liu X., Ho M.S., Hewings G.J.D., Dou Y., Wang S., Wang G., Et al., Aging population, balanced diet and China’s grain demand, Nutrients, 15, 13, (2023)
  • [10] Zhang Y., Zhang X.B., Ding Y.W., Kong Y., Zhu X.F., Li P.H., Et al., Distinct time trends in colorectal cancer incidence in countries with SDI levels from 1990 to 2019: an age-period-cohort analysis for the Global Burden of Disease 2019 study, Front Public Health, 12, (2024)
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