Burden of Disease
Burden of disease attributable to high fasting plasma glucose in 1990 and 2013 in China
Zhao Yanfang, Wang Zhuoqun, Yang Jing, Li Yichong, Yin Peng, You Jinling, Zhou Maigeng
Published 2016-09-06
Cite as Chin J Prev Med, 2016,50(9): 769-775. DOI: 10.3760/cma.j.issn.0253-9624.2016.09.005
Abstract
ObjectiveTo analyze the burden of disease attributed to high fasting plasma glucose(FPG)in China in 1990 and 2013.
MethodsThe analysis used data obtained from the 2013 Global Burden of Diseases Study and examined deaths, death rate, disability-adjusted life years(DALY), years lived with disability(YLD)and years of life lost(YLL)attributed to high FPG in 1990 and 2013 in China(not including Taiwan, China). An average world population age-structure for the period 2000- 2025 was adopted to calculate age-standardized rates.
ResultsIn 2013, the number of deaths attributed to high FPG in China increased to 621.9 thousand from 320.3 thousand in 1990. From 1990- 2013, the age-standardized death rate attributable to high FPG increased from 45.69/100 000 to 48.64/100 000. DALYs caused by high FPG increased to 20.389 1 million in 2013 from 10.648 3 million in 1990. In 2013, high FPG caused 8.751 5 million YLD and 11.637 6 million YLL, and the percentage of YLL in DALY decreased to 57.1% in 2013 from 68.7% in 1990. Compared with 1990, the age-standardized DALY rate attributed to high FPG increased by 10.81%. In 2013, the top three provinces with the highest burden of disease attributed to high FPG were Xinjiang, Jilin and Liaoning provinces, with standardized death rates of 83.38, 74.01 and 68.64/100 000, respectively, and the standardized DALY rate was 2 217.96, 2 001.84 and 1 837.79/100 000 in the three provinces, respectively.
ConclusionCompared with 1990, the burden of disease attributed to high FPG in 2013 increased substantially in China, in particular the burden of attributed YLD. However, the burden of YLL attributed to high FPG has decreased modestly. The burden of disease caused by high FPG shows variation among different provinces in China.
Key words:
China; Blood glucose; Cost of illness; Disability-adjusted life years; Population attributable fraction
Contributor Information
Zhao Yanfang
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Wang Zhuoqun
Yang Jing
Li Yichong
Yin Peng
You Jinling
Zhou Maigeng
