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ORIGINAL RESEARCH article

Front. Neurol.
Sec. Neuroepidemiology
Volume 15 - 2024 | doi: 10.3389/fneur.2024.1437633
This article is part of the Research Topic Translational neuroeconomic approach: From economic decision making to neuropsychological disorders View all 4 articles

Global, Regional, and National Burden of Stroke attributable to Diet high in sodium from 1990 to 2019: A Systematic Analysis from the Global Burden of Disease Study 2019

Provisionally accepted
Xuan Zhang Xuan Zhang 1Wen-qian Ye Wen-qian Ye 2学科 辛 学科 辛 2Ying-jie Gao Ying-jie Gao 2Fan Yang Fan Yang 2,3*
  • 1 The Fifth Clinical Medical College of Shanxi Medical University, Taiyuan 030001, China, Taiyuan, China
  • 2 School of Pharmaceutical Science, Medicinal Basic Research Innovation Center of Chronic Kidney Disease, Ministry of Education, Shanxi Medical University, Taiyuan, Shanxi Province, China
  • 3 Shanxi University, Taiyuan, China

The final, formatted version of the article will be published soon.

    Abstract Purpose: Given the increasing occurrence of stroke and high-sodium diets (DHIS) over the past thirty years, it is crucial to assess the global, national, and regional impact of DHIS on the burden of stroke. Methods and materials: The Global Burden of Diseases Study 2019 provided the study's data. We used the Bayesian meta-regression tool DisMod-MR 2.1 to evaluate the burden of stroke attributable to DHIS. Age-standardized disability-adjusted life years (ASDR) and age-standardized mortality rate (ASMR) were used to quantify the burden. We perform correlation analysis utilizing the Spearman rank-order correlation method, and we calculate the estimated annual percentage change (EAPC) to evaluate temporal trends. Results: Globally, DHIS accounts for 17,673.33 thousand disability-adjusted life years (DALYs) and 700.98 thousand deaths of stroke in 2019. The burden of stroke attributable to DHIS has declined between 1990 and 2019 globally and in the majority of regions, with the largest declines seen in regions with high sociodemographic indexes (SDI). Both ASMR and ASDR were higher regionally in regions with moderate SDI than those in developed regions. Furthermore, the absolute values of EAPC, reflecting the rate of decrease, were notably lower in these regions compared to developed nations. High-income North America, categorized within the SDI regions, notably witnessed the smallest decline in ASDR over the last three decades. Additionally, from 1990 to 2019, males consistently bore a larger burden of stroke attributable to DHIS. Conclusion: The burden of stroke attributable to DHIS remained a major concern despite advancements in public knowledge of stroke and their utilization of emergency medical services. Over the past thirty years, more burden has been placed on males and regions with moderate SDI values; in males, higher EAPC values for both ASMR and ASDR have been found. This underscores the urgent need for effective interventions to alleviate the burden of stroke associated with DHIS. Key words: GBD 2019; mortality; disability-adjusted life year; stroke; diet high in sodium.

    Keywords: GBD 2019, Mortality, Disability-adjusted life year, Stroke, diet high in sodium

    Received: 24 May 2024; Accepted: 31 Jul 2024.

    Copyright: © 2024 Zhang, Ye, 辛, Gao and Yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Fan Yang, Shanxi University, Taiyuan, China

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