Global, regional, and national burden of diseases and injuries for adults 70 years and older: systematic analysis for the Global Burden of Disease 2019 Study

AbstractObjectivesTo use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends for the population aged ≥70 and evaluate patterns in causes of death, disability, and risk factors.DesignSystematic analysis.SettingParticipa...

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Published inBMJ (Online) Vol. 376; p. e068208
Main Authors Chang, Angela Y, Chatterji, Somnath, Abedi, Aidin, Afarideh, Mohsen, Ahmadi, Mehdi, Almadi, Majid Abdulrahman Hamad, Amit, Arianna Maever L, Andrei, Tudorel, Asadi-Pooya, Ali A, Balachandran, Arun, Banach, Maciej, Bedi, Neeraj, Bell, Michelle L, Bhattarai, Suraj, Bhutta, Zulfiqar A, Bibi, Sadia, Bolla, Srinivasa Rao, Briggs, Andrew M, Cámera, Luis Alberto, Car, Josip, Carrero, Juan J, Charan, Jaykaran, Chavan, Prachi P, Chu, Dinh-Toi, Cousin, Ewerton, Dandona, Rakhi, Davletov, Kairat, Dias da Silva, Diana, Ebrahimi Kalan, Mohammad, El Sayed Zaki, Maysaa, Eskandari, Khalil, Etisso, Atkilt Esaiyas, Filip, Irina, Freitas, Marisa, Ghaffarifar, Fatemeh, Gorini, Giuseppe, Guo, Yuming, Haj-Mirzaian, Arvin, Haro, Josep Maria, Hayat, Khezar, Hu, Guoqing, Humayun, Ayesha, Hwang, Bing-Fang, Iavicoli, Ivo, Ilic, Irena M, Khalid, Nauman, Kisa, Sezer, Kochhar, Sonali, Kumar, Nithin, Landires, Iván, La Vecchia, Carlo, Lee, Paul H, Levi, Miriam, Lozano, Rafael, Maleki, Shokofeh, Mansournia, Mohammad Ali, Mereke, Alibek, Moghadaszadeh, Masoud, Mohamadi, Efat, Mohammadian-Hafshejani, Abdollah, Mohammed, Shafiu, Mokdad, Ali H, Mondello, Stefania, Naimzada, Mukhammad David, Negoi, Ionut, Neupane, Subas, Ostojic, Sergej M, Padubidri, Jagadish Rao, Pereira, Jeevan, Pinheiro, Marina, Pourjafar, Hadi, Pourshams, Akram, Quazi Syed, Zahiruddin, Rahim, Fakher, Rahman, Mohammad Hifz Ur, Rahman, Muhammad Aziz, Rao, Sowmya J, Rezapour, Aziz, Ribeiro, Ana Isabel, Saadatagah, Seyedmohammad, Sadeghi, Masoumeh, Salem, Marwa Rashad, Salman, Omar Mukhtar, Sanabria, Juan, Shahabi, Saeed, Shamsi, MohammadBagher, Shibuya, Kenji, Singh, Jasvinder A, Skryabin, Valentin Yurievich, Smith, Emma U R, Stein, Dan J, Stubbs, Jacob L, Sudaryanto, Agus, Tajdini, Masih, Wolfe, Charles D A, Yamagishi, Kazumasa, Yazdi-Feyzabadi, Vahid, Younis, Mustafa Z, Yousefi, Zabihollah, Zhu, Cong
Format Journal Article
LanguageEnglish
Published England British Medical Journal Publishing Group 10.03.2022
BMJ Publishing Group Ltd
Subjects
Aged
Aged, 80 and over
Cost of Illness
Disability Evaluation
Female
Global Burden of Disease
Humans
Life Expectancy
Male
Medicin och hälsovetenskap
Mortality - trends
Risk Factors
Wounds and Injuries - epidemiology
Online AccessGet full text

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Abstract AbstractObjectivesTo use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends for the population aged ≥70 and evaluate patterns in causes of death, disability, and risk factors.DesignSystematic analysis.SettingParticipants were aged ≥70 from 204 countries and territories, 1990-2019.Main outcomes measuresYears of life lost, years lived with disability, disability adjusted life years, life expectancy at age 70 (LE-70), healthy life expectancy at age 70 (HALE-70), proportion of years in ill health at age 70 (PYIH-70), risk factors, and data coverage index were estimated based on standardised GBD methods.ResultsGlobally the population of older adults has increased since 1990 and all cause death rates have decreased for men and women. However, mortality rates due to falls increased between 1990 and 2019. The probability of death among people aged 70-90 decreased, mainly because of reductions in non-communicable diseases. Globally disability burden was largely driven by functional decline, vision and hearing loss, and symptoms of pain. LE-70 and HALE-70 showed continuous increases since 1990 globally, with certain regional disparities. Globally higher LE-70 resulted in higher HALE-70 and slightly increased PYIH-70. Sociodemographic and healthcare access and quality indices were positively correlated with HALE-70 and LE-70. For high exposure risk factors, data coverage was moderate, while limited data were available for various dietary, environmental or occupational, and metabolic risks.ConclusionsLife expectancy at age 70 has continued to rise globally, mostly because of decreases in chronic diseases. Adults aged ≥70 living in high income countries and regions with better healthcare access and quality were found to experience the highest life expectancy and healthy life expectancy. Disability burden, however, remained constant, suggesting the need to enhance public health and intervention programmes to improve wellbeing among older adults.
AbstractList OBJECTIVES: To use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends for the population aged ≥70 and evaluate patterns in causes of death, disability, and risk factors. DESIGN: Systematic analysis. SETTING: Participants were aged ≥70 from 204 countries and territories, 1990-2019. MAIN OUTCOMES MEASURES: Years of life lost, years lived with disability, disability adjusted life years, life expectancy at age 70 (LE-70), healthy life expectancy at age 70 (HALE-70), proportion of years in ill health at age 70 (PYIH-70), risk factors, and data coverage index were estimated based on standardised GBD methods. RESULTS: Globally the population of older adults has increased since 1990 and all cause death rates have decreased for men and women. However, mortality rates due to falls increased between 1990 and 2019. The probability of death among people aged 70-90 decreased, mainly because of reductions in non-communicable diseases. Globally disability burden was largely driven by functional decline, vision and hearing loss, and symptoms of pain. LE-70 and HALE-70 showed continuous increases since 1990 globally, with certain regional disparities. Globally higher LE-70 resulted in higher HALE-70 and slightly increased PYIH-70. Sociodemographic and healthcare access and quality indices were positively correlated with HALE-70 and LE-70. For high exposure risk factors, data coverage was moderate, while limited data were available for various dietary, environmental or occupational, and metabolic risks. CONCLUSIONS: Life expectancy at age 70 has continued to rise globally, mostly because of decreases in chronic diseases. Adults aged ≥70 living in high income countries and regions with better healthcare access and quality were found to experience the highest life expectancy and healthy life expectancy. Disability burden, however, remained constant, suggesting the need to enhance public health and intervention programmes to improve wellbeing among older adults.
To use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends for the population aged ≥70 and evaluate patterns in causes of death, disability, and risk factors.OBJECTIVESTo use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends for the population aged ≥70 and evaluate patterns in causes of death, disability, and risk factors.Systematic analysis.DESIGNSystematic analysis.Participants were aged ≥70 from 204 countries and territories, 1990-2019.SETTINGParticipants were aged ≥70 from 204 countries and territories, 1990-2019.Years of life lost, years lived with disability, disability adjusted life years, life expectancy at age 70 (LE-70), healthy life expectancy at age 70 (HALE-70), proportion of years in ill health at age 70 (PYIH-70), risk factors, and data coverage index were estimated based on standardised GBD methods.MAIN OUTCOMES MEASURESYears of life lost, years lived with disability, disability adjusted life years, life expectancy at age 70 (LE-70), healthy life expectancy at age 70 (HALE-70), proportion of years in ill health at age 70 (PYIH-70), risk factors, and data coverage index were estimated based on standardised GBD methods.Globally the population of older adults has increased since 1990 and all cause death rates have decreased for men and women. However, mortality rates due to falls increased between 1990 and 2019. The probability of death among people aged 70-90 decreased, mainly because of reductions in non-communicable diseases. Globally disability burden was largely driven by functional decline, vision and hearing loss, and symptoms of pain. LE-70 and HALE-70 showed continuous increases since 1990 globally, with certain regional disparities. Globally higher LE-70 resulted in higher HALE-70 and slightly increased PYIH-70. Sociodemographic and healthcare access and quality indices were positively correlated with HALE-70 and LE-70. For high exposure risk factors, data coverage was moderate, while limited data were available for various dietary, environmental or occupational, and metabolic risks.RESULTSGlobally the population of older adults has increased since 1990 and all cause death rates have decreased for men and women. However, mortality rates due to falls increased between 1990 and 2019. The probability of death among people aged 70-90 decreased, mainly because of reductions in non-communicable diseases. Globally disability burden was largely driven by functional decline, vision and hearing loss, and symptoms of pain. LE-70 and HALE-70 showed continuous increases since 1990 globally, with certain regional disparities. Globally higher LE-70 resulted in higher HALE-70 and slightly increased PYIH-70. Sociodemographic and healthcare access and quality indices were positively correlated with HALE-70 and LE-70. For high exposure risk factors, data coverage was moderate, while limited data were available for various dietary, environmental or occupational, and metabolic risks.Life expectancy at age 70 has continued to rise globally, mostly because of decreases in chronic diseases. Adults aged ≥70 living in high income countries and regions with better healthcare access and quality were found to experience the highest life expectancy and healthy life expectancy. Disability burden, however, remained constant, suggesting the need to enhance public health and intervention programmes to improve wellbeing among older adults.CONCLUSIONSLife expectancy at age 70 has continued to rise globally, mostly because of decreases in chronic diseases. Adults aged ≥70 living in high income countries and regions with better healthcare access and quality were found to experience the highest life expectancy and healthy life expectancy. Disability burden, however, remained constant, suggesting the need to enhance public health and intervention programmes to improve wellbeing among older adults.
AbstractObjectivesTo use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends for the population aged ≥70 and evaluate patterns in causes of death, disability, and risk factors.DesignSystematic analysis.SettingParticipants were aged ≥70 from 204 countries and territories, 1990-2019.Main outcomes measuresYears of life lost, years lived with disability, disability adjusted life years, life expectancy at age 70 (LE-70), healthy life expectancy at age 70 (HALE-70), proportion of years in ill health at age 70 (PYIH-70), risk factors, and data coverage index were estimated based on standardised GBD methods.ResultsGlobally the population of older adults has increased since 1990 and all cause death rates have decreased for men and women. However, mortality rates due to falls increased between 1990 and 2019. The probability of death among people aged 70-90 decreased, mainly because of reductions in non-communicable diseases. Globally disability burden was largely driven by functional decline, vision and hearing loss, and symptoms of pain. LE-70 and HALE-70 showed continuous increases since 1990 globally, with certain regional disparities. Globally higher LE-70 resulted in higher HALE-70 and slightly increased PYIH-70. Sociodemographic and healthcare access and quality indices were positively correlated with HALE-70 and LE-70. For high exposure risk factors, data coverage was moderate, while limited data were available for various dietary, environmental or occupational, and metabolic risks.ConclusionsLife expectancy at age 70 has continued to rise globally, mostly because of decreases in chronic diseases. Adults aged ≥70 living in high income countries and regions with better healthcare access and quality were found to experience the highest life expectancy and healthy life expectancy. Disability burden, however, remained constant, suggesting the need to enhance public health and intervention programmes to improve wellbeing among older adults.
Abstract Objectives To use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends for the population aged ≥70 and evaluate patterns in causes of death, disability, and risk factors. Design Systematic analysis. Setting Participants were aged ≥70 from 204 countries and territories, 1990-2019. Main outcomes measures Years of life lost, years lived with disability, disability adjusted life years, life expectancy at age 70 (LE-70), healthy life expectancy at age 70 (HALE-70), proportion of years in ill health at age 70 (PYIH-70), risk factors, and data coverage index were estimated based on standardised GBD methods. Results Globally the population of older adults has increased since 1990 and all cause death rates have decreased for men and women. However, mortality rates due to falls increased between 1990 and 2019. The probability of death among people aged 70-90 decreased, mainly because of reductions in non-communicable diseases. Globally disability burden was largely driven by functional decline, vision and hearing loss, and symptoms of pain. LE-70 and HALE-70 showed continuous increases since 1990 globally, with certain regional disparities. Globally higher LE-70 resulted in higher HALE-70 and slightly increased PYIH-70. Sociodemographic and healthcare access and quality indices were positively correlated with HALE-70 and LE-70. For high exposure risk factors, data coverage was moderate, while limited data were available for various dietary, environmental or occupational, and metabolic risks. Conclusions Life expectancy at age 70 has continued to rise globally, mostly because of decreases in chronic diseases. Adults aged ≥70 living in high income countries and regions with better healthcare access and quality were found to experience the highest life expectancy and healthy life expectancy. Disability burden, however, remained constant, suggesting the need to enhance public health and intervention programmes to improve wellbeing among older adults.
To use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends for the population aged ≥70 and evaluate patterns in causes of death, disability, and risk factors. Systematic analysis. Participants were aged ≥70 from 204 countries and territories, 1990-2019. Years of life lost, years lived with disability, disability adjusted life years, life expectancy at age 70 (LE-70), healthy life expectancy at age 70 (HALE-70), proportion of years in ill health at age 70 (PYIH-70), risk factors, and data coverage index were estimated based on standardised GBD methods. Globally the population of older adults has increased since 1990 and all cause death rates have decreased for men and women. However, mortality rates due to falls increased between 1990 and 2019. The probability of death among people aged 70-90 decreased, mainly because of reductions in non-communicable diseases. Globally disability burden was largely driven by functional decline, vision and hearing loss, and symptoms of pain. LE-70 and HALE-70 showed continuous increases since 1990 globally, with certain regional disparities. Globally higher LE-70 resulted in higher HALE-70 and slightly increased PYIH-70. Sociodemographic and healthcare access and quality indices were positively correlated with HALE-70 and LE-70. For high exposure risk factors, data coverage was moderate, while limited data were available for various dietary, environmental or occupational, and metabolic risks. Life expectancy at age 70 has continued to rise globally, mostly because of decreases in chronic diseases. Adults aged ≥70 living in high income countries and regions with better healthcare access and quality were found to experience the highest life expectancy and healthy life expectancy. Disability burden, however, remained constant, suggesting the need to enhance public health and intervention programmes to improve wellbeing among older adults.
Author Iso, Hiroyasu
Sanchez Riera, Lidia
Herteliu, Claudiu
Stein, Dan J
Ebrahimi Kalan, Mohammad
Mohammed, Shafiu
Anwer, Razique
Onwujekwe, Obinna E
Lozano, Rafael
Mazidi, Mohsen
Thankappan, Kavumpurathu Raman
Mohammadian-Hafshejani, Abdollah
Rawal, Lal
Daneshpajouhnejad, Parnaz
Padubidri, Jagadish Rao
Otstavnov, Stanislav S
Lal, Dharmesh Kumar
Irvani, Seyed Sina Naghibi
Ogbo, Felix Akpojene
Dervenis, Nikolaos
Butt, Zahid A
Caetano dos Santos, Florentino Luciano
Santos, Itamar S
Castaldelli-Maia, Joao Mauricio
Gebre, Abadi Kahsu
Jahani, Mohammad Ali
Alanezi, Fahad Mashhour
Rawaf, Salman
Shaikh, Masood Ali
Shiri, Rahman
Zhao, Xiu-Ju George
Hassan, Shoaib
Boloor, Archith
Tareque, Md Ismail
Ilic, Irena M
Ho, Hung Chak
Zastrozhin, Mikhail Sergeevich
Hosseini, Mostafa
Sha, Feng
Abdollahi, Mohammad
Maleki, Afshin
Pirsaheb, Meghdad
Shuval, Kerem
Mansournia, Mohammad Ali
Damiani, Giovanni
Lotufo, Paulo A
Shiferaw, Wondimeneh Shibabaw
Mohammadi, Shadieh
Bikbov, Boris
Rao, Sowmya J
Lopukhov, Platon D
Shams-Beyranvand, Mehran
Gill, Tiffany K
Alcalde-Raba
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/35273014$$D View this record in MEDLINE/PubMed
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Anwer, Razique
Ausloos, Floriane
Chang, Angela Y
Almadi, Majid Abdulrahman Hamad
Azene, Zelalem Nigussie
Ali, Saqib
Ahmadi, Keivan
Alanezi, Fahad Mashhour
Antony, Benny
Ansari-Moghaddam, Alireza
Anderlini, Deanna
Andrei, Catalina Liliana
Anvari, Davood
Akinyemi, Rufus Olusola
Ahmadi, Mehdi
Abdollahi, Mohammad
Baye, Bayisa Abdissa
Bensenor, Isabela M
Azari, Samad
Abreu, Lucas Guimarães
Alcalde-Rabanal, Jacqueline Elizabeth
Tyrovolas, Stefanos
Abolhassani, Hassan
Ahmad, Tauseef
Androudi, Sofia
Alicandro, Gianfranco
Amiri, Fatemeh
Ärnlöv, Johan
Abrigo, Michael R M
Bell, Michelle L
Adekanmbi, Victor
Alam, Khurshid
Balachandran, Arun
Advani, Shailesh M
Abu Haimed, Abdulaziz Khalid
Alanzi, Turki M
Barker-Collo, Suzanne Lyn
Anjomshoa, Mina
Aminorroaya, Arya
Asadi-Pooya, Ali A
Bayati, Mohsen
Adedeji, Isaac Akinkunmi
Al-Aly, Ziyad
Ayala Quintanilla, Beatriz Paulina
Banach, Maciej
Baune, Bernhard T
Skirbekk, Vegard
Ansari, Fereshteh
Asaad, Malke
Ausloos, Marcel
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Copyright Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. No commercial re-use. See rights and permissions. Published by BMJ.
Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. No commercial re-use. See rights and permissions. Published by BMJ. 2022 BMJ
Copyright_xml – notice: Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. No commercial re-use. See rights and permissions. Published by BMJ.
– notice: Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. No commercial re-use. See rights and permissions. Published by BMJ. 2022 BMJ
CorporateAuthor GBD 2019 Ageing Collaborators
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Snippet AbstractObjectivesTo use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends...
To use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends for the population...
Abstract Objectives To use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability...
OBJECTIVES: To use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends for...
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SubjectTerms Aged
Aged, 80 and over
Cost of Illness
Disability Evaluation
Female
Global Burden of Disease
Humans
Life Expectancy
Male
Medicin och hälsovetenskap
Mortality - trends
Risk Factors
Wounds and Injuries - epidemiology
Title Global, regional, and national burden of diseases and injuries for adults 70 years and older: systematic analysis for the Global Burden of Disease 2019 Study
URI http://dx.doi.org/10.1136/bmj-2021-068208
https://www.ncbi.nlm.nih.gov/pubmed/35273014
https://www.proquest.com/docview/2638727271/abstract/
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