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The Burden of Colorectal Cancer Attributable to Diet Low in Fiber from 1990 to 2019: A Global, Regional and National Analysis

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机构: [1]Tongji Univ, Sch Med, Shanghai Peoples Hosp 10, Dept Gen Surg, 301 Yanchang Rd, Shanghai 200072, Peoples R China [2]Shanghai Jiao Tong Univ, Sch Med, Tongren Hosp, Dept Gen Surg, Shanghai, Peoples R China [3]Tongji Univ, Sch Med, Shanghai Peoples Hosp 4, Dept Gen Surg, 1279 Sanmen Rd, Shanghai 200072, Peoples R China
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关键词: Colorectal cancer death diet low in fiber disability-adjusted life-year global burden of disease study

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Objectives The colorectal cancer (CRC) burden is increasingly high. The aim of this study was to investigate temporal and geographical trends in CRC deaths and disability-adjusted life-years (DALYs) attributable to diet low in fiber globally from 1990 to 2019. Design Cross-sectional study. Setting The study based on the Global Burden of Disease Study (GBD) 2019. Participants The population comprised individuals from 204 countries and territories who were diagnosed with CRC attributable to diet low in fiber from 1990 to 2019. Measurements Deaths, DALYs, age-standardized mortality rates (ASMR), and age-standardized DALY rates (ASDR) for CRC attributable to diet low in fiber were described, and estimated annual percentage change (EAPC) was further calculated to assess the burden in different regions, countries, sexes, and age groups. Additionally, we explored the association between EAPC and ASMR/ASDR (in 1990) and Human Development Index (HDI, in 2019). Results From 1990 to 2019, global ASMR and ASDR for CRC attributable to diet low in fiber decreased slightly, but the corresponding deaths and DALYs increased by 63.37% and 51.36%, respectively. Those burden varied considerably between regions and countries. The burden was higher in high, high-middle and middle SDI regions, especially in Asia and Western Europe, but when HDI > 0.7, an increasingly rapid decline in ASMR and ASDR was revealed. Unexpectedly, many less well-developed countries within the traditionally low deaths and DALYs regions of Africa, Central Latin America, and Middle East showed gradual increases in ASMR and ASDR. Conclusion The global burden of CRC attributable to diet low in fiber has decreased over the last 30 years, but remains at a high level. It is essential for decision-makers to take targeted measures for improving population awareness and intake of dietary fiber.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 营养学 4 区 老年医学
最新[2023]版:
大类 | 3 区 医学
小类 | 4 区 老年医学 4 区 营养学
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出版当年[2020]版:
Q2 NUTRITION & DIETETICS Q2 GERIATRICS & GERONTOLOGY
最新[2023]版:
Q1 GERIATRICS & GERONTOLOGY Q1 NUTRITION & DIETETICS

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Tongji Univ, Sch Med, Shanghai Peoples Hosp 10, Dept Gen Surg, 301 Yanchang Rd, Shanghai 200072, Peoples R China
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通讯机构: [1]Tongji Univ, Sch Med, Shanghai Peoples Hosp 10, Dept Gen Surg, 301 Yanchang Rd, Shanghai 200072, Peoples R China [3]Tongji Univ, Sch Med, Shanghai Peoples Hosp 4, Dept Gen Surg, 1279 Sanmen Rd, Shanghai 200072, Peoples R China [*1]Department of General Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, 301 Yanchang Road, Shanghai, 200072, China, Department of General Surgery, Shanghai Fourth People’s Hospital, Tongji University School of Medicine, 1279 Sanmen Road, Shanghai, 200072, China [*2]Department of General Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, 301 Yanchang Road, Shanghai, 200072, China
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