International Journal of Hygiene and Environmental Health,
Год журнала:
2024,
Номер
262, С. 114442 - 114442
Опубликована: Авг. 15, 2024
The
mortality
of
type
2
diabetes
mellitus
(T2DM)
can
be
affected
by
environmental
factors.
However,
few
studies
have
explored
the
effects
factors
across
diverse
regions
over
time.
Given
vulnerability
observed
in
elderly
group
previous
research,
this
research
applied
Bayesian
spatiotemporal
models
to
assess
associations
group.
Frontiers in Endocrinology,
Год журнала:
2025,
Номер
16
Опубликована: Март 5, 2025
Chronic
kidney
disease
(CKD)
continues
to
represent
a
significant
public
health
concern,
with
both
prevalence
and
incidence
rates
on
the
rise
globally.
Therefore,
study
employed
Global
Burden
of
Disease
(GBD)
database
investigate
global
burden
CKD
from
1990
2021.
This
utilized
data
GBD
Join-point
regression
models
were
developed
for
estimation
average
annual
percentage
change
(AAPC)
in
mortality
CKD.
Subsequently,
stepwise
multiple
linear
analysis
was
conducted
examine
trends
disability
adjusted
life
years
(DALYs)
DALYs
rate
across
diverse
populations
between
Moreover,
influence
age,
gender,
socio-demographic
index
(SDI)
among
patients
2021
examined.
Furthermore,
projection
2022
2032
also
conducted.
The
AAPC
entire
period
spanning
0.92
2.66,
respectively.
A
notable
increase
demonstrated
over
time,
indicating
growing
society
since
1990.
lowest
5-9
year
age
group
genders,
rising
thereafter
age.
Notably,
higher
males
than
females.
Regions
SDI,
generally
exhibited
lower
CKD,
while
less
regions,
opposite
pattern.
Additionally,
age-standardized
would
be
projected
8,773.85
21.26
per
100,000
individuals,
respectively,
by
2032.
research
indicated
gradual
which
might
prompt
formulation
more
efficient
policies
alleviate
its
burden.
Cardiovascular Diabetology,
Год журнала:
2024,
Номер
23(1)
Опубликована: Июль 18, 2024
Abstract
Background
The
role
of
lifestyle
factors
and
their
relative
contributions
to
the
development
mortality
cardio-renal-metabolic
multimorbidity
(CRMM)
remains
unclear.
Methods
A
study
was
conducted
with
357,554
UK
Biobank
participants.
CRMM
defined
as
coexistence
two
or
three
diseases
(CRMDs),
including
cardiovascular
disease
(CVD),
type
2
diabetes
(T2D)
chronic
kidney
(CKD).
prospective
examined
associations
individual
combined
scores
(diet,
alcohol
consumption,
smoking,
physical
activity,
sedentary
behavior,
sleep
duration
social
connection)
longitudinal
progression
from
healthy
first
(FCRMD),
then
CRMM,
ultimately
death,
using
a
multistate
model.
Subsequently,
quantile
G-computation
employed
assess
contribution
each
factor.
Results
During
median
follow-up
13.62
years,
played
crucial
in
all
transitions
FCRMD,
death.
hazard
ratios
(95%
CIs)
per
score
increase
were
0.91
(0.90,
0.91)
0.90
(0.89,
for
FCRMD
0.84
(0.83,
0.86),
0.87
(0.86,
0.89),
(0.88,
0.93)
risk
healthy,
respectively.
Among
seven
factors,
smoking
status
contributed
high
proportions
whole
progression,
accounting
19.88–38.10%.
High-risk
diet
largest
proportion
transition
22.53%.
Less-frequent
connection
28.81%.
When
we
further
consider
disease-specific
transitions,
find
that
had
slightly
stronger
T2D
than
CVD
CKD.
Conclusions
Our
indicates
may
have
protective
effect
throughout
informing
more
effective
management
treatment.
Smoking
status,
diet,
pivotal
roles
specific
transitions.
Scientific Reports,
Год журнала:
2024,
Номер
14(1)
Опубликована: Янв. 10, 2024
Abstract
Several
studies
have
reported
an
increased
risk
of
chronic
kidney
disease
(CKD)
outcomes
after
long-term
exposure
(more
than
1
year)
to
particulate
matter
with
aerodynamic
diameter
≤
2.5
µm
(PM
).
However,
the
conclusions
remain
inconsistent.
Therefore,
we
conducted
this
meta-analysis
examine
association
between
PM
and
CKD
outcomes.
A
literature
search
was
in
PubMed,
Scopus,
Cochrane
Central
Register
Controlled
trials,
Embase
for
relevant
published
until
August
10,
2023.
The
main
were
incidence
prevalence
as
well
end-stage
(ESKD).
random-effect
model
meta‐analyses
used
estimate
each
outcome
among
studies.
Twenty
two
identified,
including
14
cohort
studies,
8
cross-sectional
a
total
7,967,388
participants.
This
revealed
that
10
μg/m
3
increment
significantly
associated
risks
both
[adjusted
odds
ratio
(OR)
1.31
(95%
confidence
interval
(CI)
1.24
1.40),
adjusted
OR
CI
1.03
1.67),
respectively].
In
addition,
relationship
ESKD
is
suggestive
but
not
conclusive
(adjusted
1.16;
95%
1.00
1.36).
had
consistent
across
all
subgroups
adjustment
variables.
Our
study
observed
CKD.
more
dedicated
are
required
show
causation
warrants
urgent
action
on
mitigate
global
burden
Abstract
Background
Chronic
kidney
disease
(CKD)
presents
a
growing
global
health
challenge,
with
significant
variability
in
burden
across
different
regions
and
countries.
This
study
aimed
to
analyze
the
trends
incidence,
prevalence,
mortality,
disability-adjusted
life
years
(DALYs)
for
CKD
from
1990
2019,
utilizing
data
Global
Burden
of
Disease
Study.
Methods
We
conducted
an
in-depth
on
age-standardized
DALYs
CKD,
assessed
over
30-year
period.
Additionally,
we
explored
associations
between
healthcare
access
quality
(HAQ),
Socio-Demographic
Index
(SDI),
CKD.
Furthermore,
detailed
analysis
six
risk
factors
closely
related
based
these
findings,
provided
strong
evidence
enhancing
management
Results
In
there
were
18,986,903
cases
average
annual
percent
change
(AAPC)
1.82
(95%
CI
=
1.8
1.82)
incidence
since
1990.
The
rate
increased
192.45
per
100,000
233.65
2019.
Prevalence
also
rose,
total
69,729,430
2019
AAPC
1.19
1.2).
Mortality
have
correspondingly,
mortality
reaching
18.29
at
41,538,592
showed
that
higher
HAQ
levels
are
associated
better
outcomes
terms
lower
DALY
rates,
whereas
correlate
poorer
outcomes.
addition,
high
fasting
plasma
glucose
systolic
blood
pressure
main
contributors
CKD-related
deaths,
their
population
attributable
fraction
(PAF)
significantly
decreasing
as
SDI
decreases.
Conclusion
has
past
three
decades,
influenced
by
demographic
changes
variations
access.
Effective
public
strategies
improvements
delivery
needed
address
disparities
globally.