scholarly journals Non-communicable diseases are key to further narrow gender gap in life expectancy in Shanghai, China

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hanyi Chen ◽  
Yi Zhou ◽  
Lianghong Sun ◽  
Yichen Chen ◽  
Xiaobin Qu ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Gender Gap ◽  
Communicable Diseases ◽  
Non Communicable Diseases

scholarly journals Non-communicable diseases are key to further narrow gender gap in life expectancy in Shanghai, China

2020 ◽  
Author(s):  
Hanyi Chen ◽  
Yi Zhou ◽  
Lianghong Sun ◽  
Yichen Chen ◽  
Xiaobin Qu ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
Life Expectancy ◽  
Gender Gap ◽  
Causes Of Death ◽  
Age Groups ◽  
International Classification Of Diseases ◽  
Communicable Diseases ◽  
Plateau Phase ◽  
Non Communicable Diseases ◽  
Chronic Respiratory Diseases

Abstract Background To address change in gender gap of life expectancy (GGLE) in Shanghai from 1973 to 2018, and to identify the major causes of death and age groups associated with the change overtime.Methods Retrospective demographic analysis with application of Joinpoint regression to evaluate the temporal trend in GGLE. Causes of death were coded in accordance with International Classification of Diseases and mapped with the Global Burden of Disease (GBD) cause list. Life table technique and decomposition method was used to express changes in GGLE.Results Trend of GGLE in Shanghai experienced two phases ie., a decrease from 8.4 to 4.2 years in the descent phase (1973-1999) and a fluctuation between 4.0 and 4.9 years in the plateau phase (1999-2018). The reduced age-specific mortality rates tended to concentrate to a narrower age range, from age 0-9 and above 30 years in the descent phase to age above 55 years in the plateau phase. Gastroesophageal and liver cancer, communicable, chronic respiratory and digestive diseases were once the major contributors to narrow GGLE in the descent phase. While importance should be attached to a widening effect on GGLE by lung cancer, cardiovascular diseases, other neoplasms like colorectal and pancreatic cancer and diabetes in recent plateau phase.Conclusions Non-communicable diseases (NCDs) have made GGLE enter a plateau phase from a descent phase in Shanghai China. Public efforts to reduce excess mortalities for male NCDs, cancers, cardiovascular diseases, chronic respiratory diseases and diabetes in particular and health policies focused on the middle-aged and elderly population might further narrow GGLE and ensure improvement in health and health equity in Shanghai China.

scholarly journals Non-communicable diseases are key to further narrow gender gap in life expectancy in Shanghai, China

2020 ◽  
Author(s):  
Hanyi Chen ◽  
Yi Zhou ◽  
Lianghong Sun ◽  
Yichen Chen ◽  
Xiaobin Qu ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
Life Expectancy ◽  
Gender Gap ◽  
Age Groups ◽  
Communicable Diseases ◽  
Plateau Phase ◽  
Non Communicable Diseases ◽  
Chronic Respiratory Diseases ◽  
Two Phases ◽  
Age Range

Abstract Background To address change in gender gap of life expectancy (GGLE) in Shanghai from 1973 to 2018, and to identify the major causes of death and age groups associated with the change overtime. Methods Retrospective demographic analysis with application of Joinpoint regression to evaluate the temporal trend in GGLE and using life table technique and decomposition method to express changes in GGLE. Results Trend of GGLE in Shanghai experienced two phases ie., a decrease from 8.4 to 4.2 years in the descent phase (1973-1999) and a fluctuation between 4.0 and 4.9 years in the plateau phase (1999-2018). The reduced age-specific mortality rates tended to concentrate to a narrower age range, from age 0-9 and above 30 years in the descent phase to age above 55 years in the plateau phase. Gastroesophageal and liver cancer, communicable, chronic respiratory and digestive diseases were once the major contributors to narrow GGLE in the descent phase. While importance should be attached to a widening effect on GGLE by lung cancer, cardiovascular diseases, other neoplasms like colorectal and pancreatic cancer and diabetes in recent plateau phase. Conclusions Non-communicable diseases (NCDs) have made GGLE enter a plateau phase from a descent phase in Shanghai China. Public efforts to reduce excess mortalities for male NCDs, cancers, cardiovascular diseases, chronic respiratory diseases and diabetes in particular and health policies focused on the middle-aged and elderly population might further narrow GGLE and ensure improvement in health and health equity in Shanghai China.

scholarly journals Non-communicable diseases are key to further narrow gender gap in life expectancy in Shanghai, China

2020 ◽  
Author(s):  
Hanyi Chen ◽  
Yi Zhou ◽  
Lianghong Sun ◽  
Yichen Chen ◽  
Xiaobin Qu ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
Life Expectancy ◽  
Gender Gap ◽  
Causes Of Death ◽  
Age Groups ◽  
International Classification Of Diseases ◽  
Communicable Diseases ◽  
Plateau Phase ◽  
Non Communicable Diseases ◽  
Chronic Respiratory Diseases

Abstract Background: To address change in gender gap of life expectancy (GGLE) in Shanghai from 1973 to 2018, and to identify the major causes of death and age groups associated with the change overtime.Methods: Retrospective demographic analysis with application of Joinpoint regression to evaluate the temporal trend in GGLE. Causes of death were coded in accordance with International Classification of Diseases and mapped with the Global Burden of Disease (GBD) cause list. Life table technique and decomposition method was used to express changes in GGLE.Results: Trend of GGLE in Shanghai experienced two phases ie., a decrease from 8.4 to 4.2 years in the descent phase (1973-1999) and a fluctuation between 4.0 and 4.9 years in the plateau phase (1999-2018). The reduced age-specific mortality rates tended to concentrate to a narrower age range, from age 0-9 and above 30 years in the descent phase to age above 55 years in the plateau phase. Gastroesophageal and liver cancer, communicable, chronic respiratory and digestive diseases were once the major contributors to narrow GGLE in the descent phase. While importance should be attached to a widening effect on GGLE by lung cancer, cardiovascular diseases, other neoplasms like colorectal and pancreatic cancer and diabetes in recent plateau phase.Conclusions: Non-communicable diseases (NCDs) have made GGLE enter a plateau phase from a descent phase in Shanghai China. Public efforts to reduce excess mortalities for male NCDs, cancers, cardiovascular diseases, chronic respiratory diseases and diabetes in particular and health policies focused on the middle-aged and elderly population might further narrow GGLE and ensure improvement in health and health equity in Shanghai China.

scholarly journals Non-communicable diseases are key to further narrow gender gap in life expectancy in Shanghai, China

2020 ◽  
Author(s):  
Hanyi Chen ◽  
Yi Zhou ◽  
Lianghong Sun ◽  
Yichen Chen ◽  
Xiaobin Qu ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
Life Expectancy ◽  
Gender Gap ◽  
Causes Of Death ◽  
Age Groups ◽  
International Classification Of Diseases ◽  
Communicable Diseases ◽  
Plateau Phase ◽  
Non Communicable Diseases ◽  
Chronic Respiratory Diseases

Abstract Background: To address change in gender gap of life expectancy (GGLE) in Shanghai from 1973 to 2018, and to identify the major causes of death and age groups associated with the change overtime.Methods: Retrospective demographic analysis with application of Joinpoint regression to evaluate the temporal trend in GGLE. Causes of death were coded in accordance with International Classification of Diseases and mapped with the Global Burden of Disease (GBD) cause list. Life table technique and decomposition method was used to express changes in GGLE.Results: Trend of GGLE in Shanghai experienced two phases ie., a decrease from 8.4 to 4.2 years in the descent phase (1973-1999) and a fluctuation between 4.0 and 4.9 years in the plateau phase (1999-2018). The reduced age-specific mortality rates tended to concentrate to a narrower age range, from age 0-9 and above 30 years in the descent phase to age above 55 years in the plateau phase. Gastroesophageal and liver cancer, communicable, chronic respiratory and digestive diseases were once the major contributors to narrow GGLE in the descent phase. While importance should be attached to a widening effect on GGLE by lung cancer, cardiovascular diseases, other neoplasms like colorectal and pancreatic cancer and diabetes in recent plateau phase.Conclusions: Non-communicable diseases (NCDs) have made GGLE enter a plateau phase from a descent phase in Shanghai China. Public efforts to reduce excess mortalities for male NCDs, cancers, cardiovascular diseases, chronic respiratory diseases and diabetes in particular and health policies focused on the middle-aged and elderly population might further narrow GGLE and ensure improvement in health and health equity in Shanghai China.

P3414Differences in total life expectancy and life expectancy with and without non-communicable diseases within the reference range of thyroid function

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A Bano ◽  
L Chaker ◽  
F U S Mattace-Raso ◽  
R P Peeters ◽  
O H Franco
Keyword(s):  
Life Expectancy ◽  
Thyroid Function ◽  
Communicable Diseases ◽  
Reference Ranges ◽  
Men And Women ◽  
Non Communicable Diseases ◽  
Normal Thyroid ◽  
Normal Thyroid Function ◽  
Total Life Expectancy ◽  
The Impact

Abstract Background Variations in thyroid function within the reference ranges are associated with an increased risk of diseases and death. However, the impact of thyroid function on life expectancy (LE) and the number of years lived with and without non-communicable diseases (NCD) remains unknown. Purpose We aimed to investigate the association of thyroid function with total LE and LE with and without NCD among euthyroid subjects. Methods Participants of the Rotterdam Study without known thyroid disease and with thyroid-stimulating hormone (TSH) and free thyroxine (FT4) levels within the reference ranges were eligible. NCD were defined as the presence of cardiovascular disease, diabetes mellitus type 2, or cancer. We used multistate life tables to calculate the total LE and LE with and without NCD among TSH and FT4 tertiles, in men and women. LE estimates were obtained using prevalence, incidence rates and hazard ratios for three transitions (healthy to NCD, healthy to death and NCD to death). Analyses were adjusted for sociodemographic and cardiovascular risk factors. Results The mean (standard deviation) age of 7644 participants was 64.5 (9.7) years and 52.2% were women. Over a median follow-up of 8 years, we observed 1396 incident NCD events and 1422 deaths. Compared with those in the lowest tertile, men and women in the highest TSH tertile lived 1.5 (95% confidence interval [CI], 0.8; 2.3) and 1.5 (95% CI, 0.8; 2.2) years longer, respectively; of which 1.4 (95% CI, 0.5; 2.3) and 1.3 (95% CI, 0.3; 2.1) years with NCD. Compared with those in the lowest tertile, the difference in LE for men and women in the highest FT4 tertile was −3.7 (95% CI, −5.1 to −2.2) and −3.3 (95% CI, −4.7; −1.9), respectively; of which −1.8 (95% CI, −3.1 to −0.7) and −2.0 (95% CI, −3.4 to −0.7) years without NCD. Life expectancy in TSH and FT4 tertiles Conclusions There are meaningful differences in total LE, LE with and without NCD within the reference ranges of thyroid function. People with low-normal thyroid function live more years with and without NCD than those with high-normal thyroid function. These findings support a reevaluation of the current reference ranges of thyroid function.

scholarly journals Potential gains in health-adjusted life expectancy from reducing four main non-communicable diseases among Chinese elderly

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Xiaoqian Hu ◽  
Xueshan Sun ◽  
Yuanyuan Li ◽  
Yuxuan Gu ◽  
Minzhuo Huang ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Communicable Diseases ◽  
Chinese Elderly ◽  
Non Communicable Diseases

scholarly journals Lifetime risk and multimorbidity of non-communicable diseases and disease-free life expectancy in the general population: A population-based cohort study

PLoS Medicine ◽  
2019 ◽  
Vol 16 (2) ◽  
pp. e1002741 ◽  
Author(s):  
Silvan Licher ◽  
Alis Heshmatollah ◽  
Kimberly D. van der Willik ◽  
Bruno H. Ch. Stricker ◽  
Rikje Ruiter ◽  
...  
Keyword(s):  
Cohort Study ◽  
General Population ◽  
Life Expectancy ◽  
Population Based ◽  
Communicable Diseases ◽  
Lifetime Risk ◽  
Non Communicable Diseases ◽  
Disease Free

PP69 Potential Gains In Health-Adjusted Life Expectancy From Reducing Four Non-Communicable Diseases Among Chinese Elderly

2019 ◽  
Vol 35 (S1) ◽  
pp. 50-51
Author(s):  
Shuyan Gu ◽  
Xuemei Zhen ◽  
Xueshan Sun ◽  
Yuxuan Gu ◽  
Hengjin Dong ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Health Planning ◽  
Communicable Diseases ◽  
Control Measures ◽  
Targeted Prevention ◽  
Chinese Elderly ◽  
Non Communicable Diseases ◽  
Mortality And Morbidity ◽  
Potential Gain ◽  
The Impact

IntroductionWith the fast speed of aging, burden from non-communicable diseases (NCDs) is increasing in China, and will continue to increase to 2020 and beyond. This study aims to estimate the potential gains in health-adjusted life expectancy (HALE) after hypothetical elimination of four NCDs among Chinese elderly from 1990 to 2016, including cardiovascular diseases (CVD), cancers, chronic respiratory diseases (CRD) and diabetes mellitus (DM).MethodsBased on data from Global Burden of Disease 2016, we generated life table by gender using Sullivan method to calculate HALE. Disease-deleted method was used to calculate cause-elimination HALE, after hypothetical elimination of specific diseases. This method could combine the impact of mortality and morbidity, which are particularly useful for estimating the impact of the disease and setting priorities for health planning to get ready for the new challenges in upcoming decade.ResultsFrom 1990 to 2016, HALE increased for all age groups. After hypothetically eliminating the four main NCDs, potential gain in HALE by CVD, DM and cancers increased, while CRD decreased from 1990 to 2016 for both genders. Among four main NCDs, potential gain in HALE after eliminating CVD was largest and increased most for both genders. Although elimination of DM led to the smallest gain in HALE, the increasing speed of gain in HALE by DM was faster than that by CVD and cancers from 1990 to 2016.ConclusionsThis study highlights the potential gains in HALE of NCDs among Chinese elderly from 1990 to 2016. HALE of Chinese elderly could further increase from the reduction of NCDs. Control measures and targeted prevention should be carried out to get ready for the new decade.

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