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The Chinese diet twice named by The Lancet has led the world in death and increased the risk of diabetes

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Title | Pixabay

Writing | Song Wenfa

Food is the most important thing for people, and diet has a direct impact on human health. According to the study on the global burden of disease, 11 million people die each year due to poor diet.

Good and reasonable healthy eating habits are an important aspect of health care, which can make the body grow and develop healthily. Unbalanced diet is an important preventable risk factor for non communicable diseases. Unreasonable diet can lead to hypertension, obesity, heart disease, diabetes, cancer and other diseases.

As early as April 2019, The Lancet The journal published a research paper entitled "Health effects of binary risks in 195 countries, 1990 – 2017: a systematic analysis for the Global Burden of Disease Study 2017".

This study analyzed the impact of dietary structure on mortality and morbidity of non communicable diseases in 195 countries and regions, including the intake of each dietary factor, the impact of diet on disease endpoints, and the intake level related to the lowest risk of death.

Then, the number of diet induced deaths and DALY for each disease outcome were calculated by using population attributable scores, mortality, and disability adjusted life years (DALY) for specific diseases.


The results showed that in 2017, 11 million deaths and 255 million DALY could be attributed to dietary risk factors. Cardiovascular disease was the main cause of diet related deaths and DALY, followed by cancer and type 2 diabetes.

According to the analysis of different countries, among the top 20 countries with the largest population in the world, China has the highest mortality rate of diet related cardiovascular diseases, cancer mortality rate and DALY rate, and the cardiovascular death and cancer death caused by diet rank first in the world.

The analysis of dietary composition found that high sodium intake, low whole grain intake and low fruit intake were the main dietary risk factors for global mortality and DALY.

In China, high sodium intake is the main dietary risk factor leading to death and DALY.


The study pointed out that poor eating habits caused more deaths than smoking and other risks, highlighting the urgent need for countries to improve human diet.

The results show that poor diet habits are related to a series of chronic diseases and may be the main cause of mortality in various countries. Improving diet habits can prevent one fifth of global deaths. High sodium intake, low whole grain intake and low fruit intake are the main dietary risk factors for global deaths and DALY.

Coincidentally, in April 2024, The Lancet Once again, Chinese food was named, The Lancet Subjournal“ The Lancet Diabetes and Endocrinology A research paper entitled "Associations of the glycomic index and the glycomic load with risk of type 2 diamonds in 127594 people from 20 countries (PURE): a prospective court study" was published.

In this study, the researchers analyzed 127594 participants in 20 countries, aged 35-70 years old, and analyzed the relationship between the sugar index and glucose load of diet in different countries and the incidence of diabetes.

Research shows that China's diet has the highest glycemic index, and high glycemic index diet may increase the risk of diabetes. Compared with the lowest glycemic index, high glycemic index diet was associated with a 15% increased risk of diabetes; Compared with the lowest glucose load, hyperglycemia load was associated with a 21% higher risk of diabetes.


In all the countries analyzed, the average sugar index of the participants' diet was 85.9. Among them, the sugar index of the Chinese diet was the highest, 88.9, followed by 88.2 in Southeast Asia and 88 in Africa.

In addition, this association was stronger among participants with higher BMI and waist hip ratio.

The results showed that high glycemic index and glycemic load diet were associated with increased risk of diabetes. Eating glycemic index and glycemic load diet may prevent the occurrence of type 2 diabetes, especially for people with high BMI and high waist hip ratio.

Thesis link:

https://doi.org/10.1016/S0140-6736 (19)30041-8

https://doi.org/10.1016/S2213-8587 (24)00069-X

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