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Diabetes risk factors dominate the major causes of global mortality and increase COVID-19 risk

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Tobacco use is a major risk factor for total health loss in 2019, killing 550,000 people throughout the year, but “metabolic risk is hyperglycemia (495,000 deaths in 2019), hyperglycemia Dominates other major risk factors for death, such as (439,000)), dietary risk (418,000), and high [body mass index] (394,000). “

Put these metabolic risk factors Millions Americans at high risk of developing Diabetes mellitus..Diabetes is currently the 7th best cause of death In the United States, however, the disease greatly increases the likelihood of developing severe COVID-19. complications.. August, COVID-19 Third major cause The death of the United States lagging behind heart disease and cancer.Meanwhile, tough With obesity Hyperglycemia Both are independent risk factors for COVID-19 mortality.

“For the past 30 years, the interaction of COVID-19 with the continued global increase in chronic diseases and related risk factors (obesity, hyperglycemia, outdoor air pollution, etc.) has contributed to COVID-19 mortality. The worst has happened, “the author wrote.

Studies have documented the harmful effects of air pollution on health during the decades prior to the pandemic, and recently Investigation We conclude that exposure to air pollutants alters the composition of the gut flora and increases the risk of obesity, diabetes, gastrointestinal disorders, and other chronic diseases.

The authors of the Global Burden of Disease Study argued that the findings justify urgent action to address social factors associated with chronic illness. “The syndemic nature of the threats we face not only treats each suffering, but also the underlying social inequality that shapes them: poverty, housing, education, all of which are powerful determinants of health. We demand that race be dealt with urgently, “Richard said. Horton, FRCP, Editor-in-Chief Lancet..

The results show that healthy life expectancy in the United States is increasing more slowly than life expectancy, indicating that Americans spend more years in poorer health than in 1990. .. Profit.

Diabetes has increased by 148% over the last 30 years and is one of the top 10 companies in the world contributing to increased health loss, especially in the elderly. In the United Arab Emirates, the number of diabetic DALYs increased by more than 1000% between 1990 and 2019. The increase in these health problems “may put a strain on the health care system, which is not equipped to deal with chronic diseases associated with population growth and aging.”

However, the risks of obesity, hyperglycemia, alcohol use and substance use that cause the burden of non-communicable diseases are highly preventable, emphasizing the need for stronger public health efforts.

“It’s not enough to provide information about the harms of these risks,” said study co-author Dr. Emmanuela Gakidu. “Given that individual choices are influenced by financial considerations, education and the availability of alternatives, the government will work globally on initiatives to enable healthier behavior for all. is needed.”

Around the world, researchers found that the greatest risks associated with the highest number of deaths for men and women of all ages were high systolic blood pressure (10.8 million deaths) and tobacco (871 million deaths). ), Dietary risk (eg, low fruit, high salt content). ) (7.94 million deaths), air pollution (6.67 million deaths), and high fasting plasma glucose (6.5 million deaths).

“The message of global disease burden addresses structural inequality deeply rooted in society, and unless a more generous approach to immigration policy is adopted, communities will not be protected from future outbreaks of infectious diseases and population health will be affected. It does not achieve that benefit, which is what global health advocates want, “concludes the author of the accompanying editorial. “It’s time for the global health community to change direction.”

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