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Trends in the burden of hypertensive heart disease attributed to high BMI in China and globally from 1990 to 2021
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Li MA1, Peng-yao LI1, Qian-kun LIU2, Ju-ju HUANG1, Jia-xue PANG1, Yang XU1, Hui XIE1
Modern Preventive Medicine | 2026, 53(1) : 32 - 38
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Modern Preventive Medicine | 2026, 53(1): 32-38
• Epidemiology and Statistical Methods •
Trends in the burden of hypertensive heart disease attributed to high BMI in China and globally from 1990 to 2021
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Li MA1, Peng-yao LI1, Qian-kun LIU2, Ju-ju HUANG1, Jia-xue PANG1, Yang XU1, Hui XIE1
Affiliations
  • School of Nursing, Bengbu Medical University, Bengbu, Anhui 233030, China
Published: 2026-01-10 doi: 10.20043/j.cnki.MPM.202409512
Outline
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Objective

To analyze the current status and trends of hypertensive heart disease burden attributable to high BMI in China and globally from 1990 to 2021, in order to provide data support for the development of obesity and cardiovascular disease prevention and control strategies in China and worldwide.

Methods

Data on disability-adjusted life years (DALYs) and deaths from hypertensive heart disease attributable to high BMI were extracted from the 2021 Global Burden of Disease database. The total DALYs and number of deaths caused by high BMI-related hypertensive heart disease in China and globally in 2021, as well as the age-standardized mortality rate and trends from 1990 to 2021, were described. The Joinpoint regression model was used to calculate the average annual percentage change (AAPC) in age-standardized DALY and mortality rates from 1990 to 2021 in both China and globally.

Results

In 2021, the age-standardized mortality rate attributable to high BMI-related hypertension heart disease in China was 6.90 per 100 000 (AAPC=-1.09, P<0.001), and the age-standardized DALY rate was 120.03 per 100 000 (AAPC=-1.41, P<0.001), both showing a downward trend. Globally, the age-standardized mortality rate was 7.21 per 100 000 (AAPC=0.19, P<0.001), and the age-standardized DALY rate was 147.34 per 100 000 (AAPC=0.07),showing a slow upward trend.

Conclusion

From 1990 to 2021, the age-standardized mortality rate and DALY rate for hypertensive heart disease attributable to high BMI in China showed a downward trend, contrary to the global trend. However,the burden was heavier among women and the elderly. Therefore, it is crucial to emphasize obesity prevention and control strategies for the elderly, promote healthy lifestyle habits, and adopt targeted interventions to reduce the disease burden.

Hypertensive heart disease  /  High BMI  /  Global Burden of Disease Study  /  DALYs
马丽, 李鹏鹞, 刘乾坤, 黄菊菊, 庞佳雪, 徐洋, 谢晖. 1990—2021年中国和全球归因于高BMI的高血压性心脏病疾病负担变化趋势分析. 现代预防医学, 2026 , 53 (1) : 32 -38 . DOI: 10.20043/j.cnki.MPM.202409512
Li MA, Peng-yao LI, Qian-kun LIU, Ju-ju HUANG, Jia-xue PANG, Yang XU, Hui XIE. Trends in the burden of hypertensive heart disease attributed to high BMI in China and globally from 1990 to 2021[J]. Modern Preventive Medicine, 2026 , 53 (1) : 32 -38 . DOI: 10.20043/j.cnki.MPM.202409512
Year 2026 volume 53 Issue 1
19
10
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doi: 10.20043/j.cnki.MPM.202409512
  • Receive Date:2024-09-29
  • Online Date:2026-11-02
  • Published:2026-01-10
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  • Received:2024-09-29
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    School of Nursing, Bengbu Medical University, Bengbu, Anhui 233030, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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