Disparities of obesity and non-communicable disease burden between the Tibetan Plateau and developed megacities in China

Dados Bibliográficos

ID22085558
AutoresWen Peng (0000-0002-7939-676X, Qinghai University, autor correspondente), Wenxiu Jian (Qinghai University), Tiemei Li (0000-0002-5727-2280, Qinghai University), Maureen Malowany (Hebrew University of Jerusalem), Xiao Tang (0000-0001-9545-247X, Qinghai University), Mingyu Huang (0000-0002-9451-3901, Qinghai University), Youfa Wang (0000-0002-6041-6011, Xi'an Jiaotong University), Yanming Ren (0000-0001-6681-5008, Qinghai University, autor correspondente)
Ano2023
Volume10
Páginas1070918-1070918
Data de publicação2023-01-10
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.1070918
PMID36703857
OpenAlexW4315489863
IdiomaEN
Citações recebidas1
Referências citadas38

Background Non-communicable diseases (NCDs) including risk factors, e.g., obesity, are the major causes of preventable deaths in China, yet NCD disparities in China remain under-studied. Objective This study aimed to compare the determinants and burden of NCDs within four selected provinces in mainland China: the least developed Qinghai-Tibet Plateau group (PG, Tibetan Autonomous Region [TAR] and Qinghai Province) and most developed megacity group (MCG, Shanghai, and Beijing). Methods Studies, reports, and other official sources with comparable data for NCD burden and related determinants for the four provinces were searched. Geographic, demographic, socioeconomic, and dietary characteristics and selected health indicators (e.g., life expectancy) were extracted from the China Statistical Yearbook and China Health Statistics Yearbook. Data on NCD burdens were extracted from the National Chronic Disease and Risk Factor Surveillance Study and other nationally representative studies. Results The overall NCD mortality rates and prevalence of metabolic risk factors including obesity, hypertension, and diabetes in mainland China have increased in the past 20 years, and this trend is expected to continue. The PG had the highest level of standardized mortality rates (SMRs) on NCDs (711.6–896.1/100,000, 6th/6-level); the MCG had the lowest (290.6–389.6/100,000, 1st/6-level) in mainland China. The gaps in SMRs were particularly high with regard to chronic respiratory diseases (PG 6th / 6-level, MCG 1st/6-level) and cardiovascular diseases (6th/6 and 4th/6 in TAR and Qinghai; 1st/6-level and 2nd/6-level in Shanghai and Beijing). In contrast, the prevalence rates of obesity, hypertension, and diabetes were generally higher or comparable in MCG compared to PG. Diabetes prevalence was particularly high in MCG (5th/5-level, 13.36–14.35%) and low in PG (1st/5-level, 6.20–10.39%). However, awareness, treatment, and control of hypertension were poor in PG. Additionally, PG had much lower and severely inadequate intakes of vegetables, fruits, and dairy products, with additional indicators of lower socioeconomic status (education, income, etc.,) compared with MCG. Conclusion Evidence showed large disparities in NCD burden in China's provinces. Socioeconomic disparity and dietary determinants are probably the reasons. Integrated policies and actions are needed

China · Disease · Disease burden · Environmental health · Geography · Life expectancy · Mainland China · Megacity · Non-communicable disease · Obesity · Overweight · Population · Socioeconomic status · Cardiovascular Health and Risk Factors · Demography · Diabetes, Cardiovascular Risks, and Lipoproteins · Global Public Health Policies and Epidemiology · Medicine · Epidemiology · Internal Medicine