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Accepted for/Published in: JMIR Public Health and Surveillance

Date Submitted: Feb 22, 2025
Date Accepted: Jul 6, 2025

The final, peer-reviewed published version of this preprint can be found here:

Dietary Risk Factors and Associated Disease Burden Among Chinese Adults Aged 25 Years and Older: Systematic Analysis of the Global Burden of Disease Study 2021

Tian M, Ye P, Xin Y, Shui D, Yan G, Tian W, Tang N, Liang J, Peng J, Sun H, Ge A, Liu X, Kissock K, Trieu K, Zhang J, Zhang X

Dietary Risk Factors and Associated Disease Burden Among Chinese Adults Aged 25 Years and Older: Systematic Analysis of the Global Burden of Disease Study 2021

JMIR Public Health Surveill 2025;11:e72978

DOI: 10.2196/72978

PMID: 40934441

PMCID: 12441878

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

The Impact of Dietary Risk Factors on the Burden of Diseases among Adults Aged 25 and above in China: A Systematic Analysis of the Global Burden of Disease Study 2021

  • Maoyi Tian; 
  • Pengpeng Ye; 
  • YuZe Xin; 
  • Dong Shui; 
  • Guangcan Yan; 
  • Wei Tian; 
  • Ning Tang; 
  • Jinyu Liang; 
  • Junyi Peng; 
  • Hongru Sun; 
  • Anqi Ge; 
  • Xinyan Liu; 
  • Katrina Kissock; 
  • Kathy Trieu; 
  • Jing Zhang; 
  • Xinyi Zhang

ABSTRACT

Background:

With rapid economic growth and lifestyle changes, diet-related diseases have emerged as a major global public health concern. As one of the most populous countries in the world, China is experiencing significant shifts in dietary patterns and is actively implementing a range of dietary interventions.

Objective:

This study seeks to provide a comprehensive assessment of diet-related burden of diseases in China and explore their trends from 1990 to 2021.

Methods:

Data on sex- and age- specific burdens from dietary risks in China were obtained from the Global Burden of Disease (GBD) Study 2021. The GBD study included number of deaths, mortality rate, years of life lost (YLLs), years lived with disability (YLDs) and disability-adjusted life years (DALYs) to assess the disease burden. Temporal trends of age-standardized rates (ASRs) from 1990 to 2021 were evaluated by estimating annual percentage changes (EAPCs).

Results:

In China, the number of deaths and DALYs attributed to dietary factors in 2021 was estimated at 1.70 million (95% uncertainty interval [UI]: 0.69–2.68) and 38.39 million person-years (95% UI: 16.21–58.61) respectively. The ASR-DALY had an EAPC of -1.76 (95% UI: -2.39 to -1.55). Cardiovascular diseases were the leading cause of diet-related deaths, with high sodium, low whole grain and low fruit intake as the leading dietary risk factors.

Conclusions:

The diet-related disease burden in China remains a significant concern. We recommend regular monitoring of population nutrient intake, raising public awareness on the importance of a nutritious diet and adopting appropriate evidence-based strategies to intervene dietary risk factors.


 Citation

Please cite as:

Tian M, Ye P, Xin Y, Shui D, Yan G, Tian W, Tang N, Liang J, Peng J, Sun H, Ge A, Liu X, Kissock K, Trieu K, Zhang J, Zhang X

Dietary Risk Factors and Associated Disease Burden Among Chinese Adults Aged 25 Years and Older: Systematic Analysis of the Global Burden of Disease Study 2021

JMIR Public Health Surveill 2025;11:e72978

DOI: 10.2196/72978

PMID: 40934441

PMCID: 12441878

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