[1]冯文娟,林铭钐,翁舒珅,等.1990—2023年中国归因于饮食因素的 慢性肾脏病疾病负担分析[J].卫生经济研究,2026,43(05):34-38,43.
　FENG Wenjuan,LIN Mingshan,WENG Shushen,et al.Analysis of the Disease Burden of Chronic Kidney Disease Attributable to Dietary Factors in China from 1990 to 2023[J].Journal Press of Health Economics Research,2026,43(05):34-38,43.
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1990—2023年中国归因于饮食因素的 慢性肾脏病疾病负担分析

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年05期
页码:
34-38,43
栏目:
疾病负担
出版日期:
2026-04-24

文章信息/Info

Title:
Analysis of the Disease Burden of Chronic Kidney Disease Attributable to Dietary Factors in China from 1990 to 2023
作者:
冯文娟1; 2; 林铭钐1; 2; 翁舒珅1; 2; 杨朝阳1; 2
1.福建中医药大学中医证研究基地，福建 福州 350122
2.福建省2011中医健康管理协同创新中心，福建 福州 350122
Author(s):
FENG Wenjuan;  LIN Mingshan;  WENG Shushen;  YANG Zhaoyang
Traditional Chinese Medicine Syndrome Research Base, Fujian University of Traditional Chinese Medicine, Fuzhou Fujian 350122, China
关键词:
慢性肾脏病; 饮食因素; 疾病负担
Keywords:
chronic kidney disease;  dietary factors;  disease burden
分类号:
R19
文献标志码:
A
摘要:
目的：分析1990—2023年我国归因于饮食因素的慢性肾脏病（CKD）及其亚型疾病负担，为制定CKD防控策略提供参考。方法：在GBD 2023数据库中提取中国人群相关数据，运用Joinpoint评估其年龄标准化死亡率（ASMR）和年龄标准化DALY率（ASDR）的变化趋势。结果：1990—2023年，中国归因于饮食因素的CKD死亡人数呈上升趋势，ASMR和ASDR呈下降趋势，亚型中高血压肾病的负担最重，其余依次为2型糖尿病肾病、其他和未特指肾病、肾小球肾炎肾病；CKD及其亚型疾病负担虽总体呈下降趋势，但2020—2023年疾病负担上升；性别和年龄分组结果显示，70岁以上人群疾病负担显著增高，男性疾病负担明显高于女性；钠摄入过多和水果摄入不足是CKD最主要的饮食风险因素。结论：需重视归因于饮食因素的CKD疾病负担，重点关注高盐饮食控制，增加水果摄入，建立四级防控体系，进一步加强对老年男性等重点人群的疾病预防与干预。
Abstract:
Objective To analyze the disease burden of chronic kidney disease(CKD) and its subtypes attributable to dietary factors in China from 1990 to 2023, providing references for formulating CKD prevention and control strategies. Methods Data on the Chinese population were extracted from the Global Burden of Disease(GBD) 2023 database. Joinpoint regression analysis was used to evaluate the trends of age-standardized mortality rate(ASMR) and age-standardized disability-adjusted life year rate(ASDR). Results From 1990 to 2023, the number of deaths from CKD attributable to dietary factors in China showed an upward trend, while ASMR and ASDR showed downward trends. Among the subtypes, hypertensive kidney disease carried the heaviest burden, followed by type 2 diabetic kidney disease, other and unspecified kidney diseases, and glomerulonephritis. Although the overall disease burden of CKD and its subtypes showed a downward trend, an increase was observed from 2020 to 2023. Results by gender and age showed that the disease burden was significantly higher in the population aged 70 and above, and the disease burden in males was significantly higher than that in females. Excessive sodium intake and insufficient fruit intake were the main dietary risk factors for CKD. Conclusion China should continue to pay attention to the disease burden of CKD attributable to dietary factors, with a focus on controlling high-salt diets, increasing fruit intake, and establishing a four-level prevention and control system. Further efforts should be made to strengthen disease prevention and intervention among key populations such as elderly males.

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更新日期/Last Update: 2026-04-24