Global, regional, and national burdens of common micronutrient deficiencies from 1990 to 2019: A secondary trend analysis based on the Global Burden of Disease 2019 study

Han, Xu; Ding, Shuangning; Lü, Jinxin; Li, Yongze

doi:10.1016/j.eclinm.2022.101299

Cited by 64 publications

(64 citation statements)

References 39 publications

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“…The continual decline in the incidence rates of vitamin A deficiency observed among the Chinese elderly is consistent with the trends presented in the younger Chinese population [ 20 ] and in their older counterparts in other developing regions [ 7 ]. The primary reason for the improvement in preventing vitamin A deficiency is the economic development of China.…”

Section: Discussionsupporting

confidence: 85%

“…Nutritional deficiency in the elderly has a major impact on disease and disability, including anemia, frailty, blindness, osteoporosis, cardiovascular disease, and diabetes [ 6 ]. During the past three decades, from 1990 to 2019, there was an overall decreasing trend in the prevalence of vitamin A deficiency and iodine deficiency but an increasing trend in the prevalence of protein-energy malnutrition worldwide although great differences existed across different regions and populations [ 7 , 8 , 9 ]. With rapid economic growth and urbanization, Chinese dietary patterns have changed considerably from a predominantly plant-based diet to one that includes large amounts of animal products, a lower intake of cereals and vegetables, and higher consumption of red meat, processed meat, and sugar-sweetened beverages.…”

Section: Introductionmentioning

confidence: 99%

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Temporal Trends in Incidence of Nutritional Deficiency among Older Adults in China: A Secondary Analysis of the Global Burden of Disease Study 1990–2019

Lei

Lin

et al. 2022

Nutrients

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Nutritional deficiency is prevalent among the elderly, and it is associated with many adverse health consequences. China is rapidly moving toward an aging society with a large population; however, evidence on the epidemiological trends in nutritional deficiency among the Chinese elderly is limited. Data on the incidence of nutritional deficiency among Chinese adults aged 65 years or above from 1990 to 2019 were extracted from the Global Burden of Disease 2019 database. We used the joinpoint regression method to estimate the average annual percentage change (AAPC) and to describe trend patterns. Age, period, and cohort effects were determined using age–period–cohort models. From 1990 to 2019, the incidence of vitamin A deficiency and iodine deficiency among Chinese older adults decreased from 1784.12 and 8.20 to 304.27 and 7.26 per 100,000, with AAPCs of −0.41 (−0.44, −0.38)% and −5.86 (−6.29, −5.43)%, respectively. A continually increasing trend was seen for incidence rates of protein-energy malnutrition, from 1342.02 to 2275.87 per 100,000 person-years, with an AAPC of 1.70 (1.40, 2.01)%. These trends were more pronounced among men than women. A strong age effect and birth cohort effect were present. Specifically, the population that was older or born later had a lower incidence of deficiencies in vitamin A and iodine but a higher incidence of protein-energy malnutrition. The results show a substantial reduction in vitamin A and iodine deficiencies among the Chinese elderly, and health policies and public awareness are needed to address the burden of protein-energy malnutrition in this population.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Temporal Trends in Incidence of Nutritional Deficiency among Older Adults in China: A Secondary Analysis of the Global Burden of Disease Study 1990–2019

Lei

Lin

et al. 2022

Nutrients

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“…Spatiotemporal Gaussian process regression (ST-GPR) is a collection of regression techniques that uses relationship analysis between different locations and periods to obtain specific metrics of interest, such as death rates or risk factor exposures. Based on GBD 2019 data, SDI represents a composite average of per capita income, education level, and fertility rate ( 15 ). The SDI scales from 0 to 1, with 1 denoting the region with the highest per capita income, the highest number of years of schooling, and the lowest fertility rate ( 15 ).…”

Section: Methodsmentioning

confidence: 99%

“…Based on GBD 2019 data, SDI represents a composite average of per capita income, education level, and fertility rate ( 15 ). The SDI scales from 0 to 1, with 1 denoting the region with the highest per capita income, the highest number of years of schooling, and the lowest fertility rate ( 15 ). Based on these SDI scores, countries were categorized into five groups: high, high-middle, middle, low-middle and low levels of development.…”

Section: Methodsmentioning

confidence: 99%

Changes in the global, regional, and national burdens of NAFLD from 1990 to 2019: A systematic analysis of the global burden of disease study 2019

Wang

Zhu

et al. 2022

Front. Nutr.

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BackgroundUnderstanding the burdens and trends of non-alcoholic fatty liver disease (NAFLD) is necessary for developing effective intervention strategies. In this study, Global Burden of Disease (GBD) 2019 study data were extracted and analyzed to elucidate trends of NAFLD.MethodsThe prevalence, incidence, disability-adjusted life year (DALY), and death rates of NAFLD in geographic populations worldwide from 1990 to 2019 were extracted from the GBD 2019 study data. The global temporal trend of NAFLD from 1990 to 2019 was evaluated using estimated annual percentage changes (EAPCs) and age-standardized rates.ResultsGlobally, between 1999 and 2019, the age-standardized prevalence rate of NAFLD increased, with EAPCs of 0.77 [95% CI (0.69, 0.85)], whereas the DALY and Death rates decreased, with EAPCs of –0.82 [95% CI (–0.92, –0.71)], and –0.67 [95% CI (–0.76, –0.58)], respectively. Geographically, the age-standardized prevalence rate showed the most serious upward trend in high-income North America with an EAPC of 0.98 [95% CI (0.95, 1.02)], and the age-standardized incidence rate showed an upward trend in Central Asia with an EAPC of 3.17 [95% CI (2.2, 2.49)]. The most significant upward trend of DALY and death rates appeared in Eastern Europe, with EAPCs of 4.06 [95% CI (3.31, 4.82)], and 3.36 [95% CI (2.77, 3.96)], respectively. At the country level, the age-standardized rates showed an upward trend in Armenia, Belarus, and Republic of Korea. Regarding age groups, the percentage change of prevalence was the highest in the 40 to 44 group [0.29 (0.26, 0.34)] from 1990 to 2019; the percentage change of incidence was the highest in the 85 to 89 group [0.46 (0.12, 0.71)] from 1990 to 2019; the percentage change of DALY was the highest in the 80 to 84 group [0.25 (0.11, 0.39)] from 1990 to 2019; and the percentage change of death rate was the highest in the 15 to 19 group [0.36 (0.17, 0.60)] from 1990 to 2019. The percentage change of prevalence of liver cancer due to NASH was the highest in the group of 85 to 89, whereas those of incidence, DALY, and death were the highest in the group above 95 from 1990 to 2019. Regarding the sociodemographic index (SDI), the highest age-standardized prevalence, incidence, and Death rates of NAFLD occurred in middle-SDI countries, and the highest DALY rates of NAFLD occurred in low-SDI countries.ConclusionGlobal NAFLD burdens have increased since 1990. Our findings provide a reference for policymakers to reduce the burden of NAFLD, especially in middle and low-SDI countries.

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“…Besides, the prevalence of micronutrient deficiencies (mainly vitamin A, vitamin B12, iron, iodine, and folic acid) is widespread in different Asian countries (105).…”

Section: Asiamentioning

confidence: 99%

“Planeterranea”: An attempt to broaden the beneficial effects of the Mediterranean diet worldwide

et al. 2022

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Non-communicable diseases (NCDs) lead to a dramatic burden on morbidity and mortality worldwide. Diet is a modifiable risk factor for NCDs, with Mediterranean Diet (MD) being one of the most effective dietary strategies to reduce diabetes, cardiovascular diseases, and cancer. Nevertheless, MD transferability to non-Mediterranean is challenging and requires a shared path between the scientific community and stakeholders. Therefore, the UNESCO Chair on Health Education and Sustainable Development is fostering a research project—“Planeterranea”—aiming to identify a healthy dietary pattern based on food products available in the different areas of the world with the nutritional properties of MD. This review aimed to collect information about eating habits and native crops in 5 macro-areas (North America, Latin America, Africa, Asia, and Australia). The information was used to develop specific “nutritional pyramids” based on the foods available in the macro-areas presenting the same nutritional properties and health benefits of MD.

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Global, regional, and national burdens of common micronutrient deficiencies from 1990 to 2019: A secondary trend analysis based on the Global Burden of Disease 2019 study

Cited by 64 publications

References 39 publications

Temporal Trends in Incidence of Nutritional Deficiency among Older Adults in China: A Secondary Analysis of the Global Burden of Disease Study 1990–2019

Temporal Trends in Incidence of Nutritional Deficiency among Older Adults in China: A Secondary Analysis of the Global Burden of Disease Study 1990–2019

Changes in the global, regional, and national burdens of NAFLD from 1990 to 2019: A systematic analysis of the global burden of disease study 2019

“Planeterranea”: An attempt to broaden the beneficial effects of the Mediterranean diet worldwide

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