6533b7d4fe1ef96bd12634b4
RESEARCH PRODUCT
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
Aletta SchutteIrmina Maria MichalekMathilde TouvierAshish BadiyeFlorentino Luciano Caetano Dos SantosJalal ArablooSegun Emmanuel IbitoyeKewal KrishanRizwan S ABolajoko OlusanyaDejen TsegayeTomasz MiazgowskiYasir WaheedGeorges Nguefack-tsagueSuraj BhattaraiIrena IlicTuomo J. MeretojaTurki AlanziMartin DichgansGraeme J. HankeyArya AminorroayaSimon HayPalash BanikRupak DesaiSergio Ivan Prada RiosSøren T SkouYordanos GizachewErkin M. MirrakhimovMohammad AghaaliMarcello TonelliHassan AbolhassaniParnaz DaneshpajouhnejadTea LallukkaGiuseppe GoriniThomas PilgrimPallab Kumar MaulikJoão MassanoYousef KhaderDavood AnvariYuan-pang WangGetinet AyanoJacob OlusanyaVeincent Christian PepitoAtte MeretojaAndrew T OlagunjuShanshan LiYuming GuoMasoud ForoutanArtem FomenkovRazique AnwerChukwuma David UmeokonkwoAli BijaniZubair KabirLidia Sanchez RieraJoht ChandanYanzhong WangDan J. SteinMaciej BanachAndré FaroNazli KhatibRavi Prakash JhaYannick BéjotStefania MondelloAbdallah M. SamyIago Giné-vázquezShafiu MohammedYunquan ZhangAndem EffiongCarlos Castañeda-orjuelaAhmed I. Hasaballahsubject
RiskMale610 Medicine & healthCare1117 Public Health and Health ServicesGlobal Burden of DiseaseDisability EvaluationLife ExpectancyCost of IllnessDeclineRisk FactorsGeneral & Internal MedicineHumansObesityMortality610 Medicine & healthAgedAged 80 and overPublic Health Global Health Social Medicine and Epidemiology1103 Clinical SciencesGeneral MedicineMortality/trends3142 Public health care science environmental and occupational healthWounds and Injuries/epidemiologyFolkhälsovetenskap global hälsa socialmedicin och epidemiologiHealthWounds and InjuriesFemaleMorbiditydescription
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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2022-03-10 |