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

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aut.relation.journalBMJ
aut.relation.startpagee068208
aut.relation.volume376
dc.contributor.authorTyrovolas, S
dc.contributor.authorStergachis, A
dc.contributor.authorKrish, VS
dc.contributor.authorChang, AY
dc.contributor.authorSkirbekk, V
dc.contributor.authorDieleman, JL
dc.contributor.authorChatterji, S
dc.contributor.authorAbd-Allah, F
dc.contributor.authorAbdollahi, M
dc.contributor.authorAbedi, A
dc.contributor.authorAbolhassani, H
dc.contributor.authorAbosetugn, AE
dc.contributor.authorAbreu, LG
dc.contributor.authorAbrigo, MRM
dc.contributor.authorAbu Haimed, AK
dc.contributor.authorAdabi, M
dc.contributor.authorAdebayo, OM
dc.contributor.authorAdedeji, IA
dc.contributor.authorAdekanmbi, V
dc.contributor.authorAdetokunboh, OO
dc.contributor.authorAdham, D
dc.contributor.authorAdvani, SM
dc.contributor.authorAfarideh, M
dc.contributor.authorAgarwal, G
dc.contributor.authorAghaali, M
dc.contributor.authorAghamir, SMK
dc.contributor.authorAgrawal, A
dc.contributor.authorAhmad, S
dc.contributor.authorAhmad, T
dc.contributor.authorAhmadi, K
dc.contributor.authorAhmadi, M
dc.contributor.authorAhmed, MB
dc.contributor.authorAkinyemi, RO
dc.contributor.authorAl-Aly, Z
dc.contributor.authorAlam, K
dc.contributor.authorAlanezi, FM
dc.contributor.authorAlanzi, TM
dc.contributor.authorAlcalde-Rabanal, JE
dc.contributor.authorAlemu, BW
dc.contributor.authorAl-Hajj, S
dc.contributor.authorAlhassan, RK
dc.contributor.authorAli, S
dc.contributor.authorAlicandro, G
dc.contributor.authorAlijanzadeh, M
dc.contributor.authorAlipour, V
dc.contributor.authorAljunid, SM
dc.contributor.authorAlla, F
dc.contributor.authorAlmadi, MAH
dc.contributor.authorAlmasi-Hashiani, A
dc.contributor.authorAlmulhim, AM
dc.contributor.authorAl-Raddadi, RM
dc.contributor.authorAminorroaya, A
dc.contributor.authorAmiri, F
dc.contributor.authorAmit, AML
dc.contributor.authorAmugsi, DA
dc.contributor.authorAnbesu, EW
dc.contributor.authorAncuceanu, R
dc.contributor.authorAnderlini, D
dc.contributor.authorAndrei, T
dc.contributor.authorAndrei, CL
dc.contributor.authorAndroudi, S
dc.contributor.authorAnjomshoa, M
dc.contributor.authorAnsari, F
dc.contributor.authorAnsari-Moghaddam, A
dc.contributor.authorAntonio, CAT
dc.contributor.authorAntony, B
dc.contributor.authorAnvari, D
dc.contributor.authorAnwer, R
dc.contributor.authorArabloo, J
dc.contributor.authorArab-Zozani, M
dc.contributor.authorÄrnlöv, J
dc.contributor.authorAsaad, M
dc.contributor.authorAsadi-Aliabadi, M
dc.contributor.authorAsadi-Pooya, AA
dc.contributor.authorAtout, MMDW
dc.contributor.authorAusloos, M
dc.contributor.authorAusloos, F
dc.contributor.authorAyala Quintanilla, BP
dc.contributor.authorAyano, G
dc.contributor.authorAyanore, MA
dc.contributor.authorAynalem, YA
dc.contributor.authorAzari, S
dc.contributor.authorAzene, ZN
dc.contributor.authorBabaee, E
dc.contributor.authorBadiye, AD
dc.contributor.authorBalachandran, A
dc.contributor.authorBanach, M
dc.contributor.authorBanerjee, SK
dc.contributor.authorBanik, PC
dc.contributor.authorBarker-Collo, SL
dc.contributor.authorBasu, S
dc.contributor.authorBaune, BT
dc.contributor.authorBayati, M
dc.contributor.authorBaye, BA
dc.contributor.authorBedi, N
dc.contributor.authorBeghi, E
dc.contributor.authorBéjot, Y
dc.contributor.authorBell, ML
dc.contributor.authorBensenor, IM
dc.contributor.authorBhagavathula, AS
dc.date.accessioned2023-03-21T23:42:25Z
dc.date.available2023-03-21T23:42:25Z
dc.date.copyright2022
dc.description.abstractObjectives 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.
dc.identifier.citationBMJ, ISSN: 0959-8146 (Print); 1756-1833 (Online), BMJ, 376, e068208-. doi: 10.1136/bmj-2021-068208
dc.identifier.doi10.1136/bmj-2021-068208
dc.identifier.issn0959-8146
dc.identifier.issn1756-1833
dc.identifier.urihttps://hdl.handle.net/10292/16003
dc.languageeng
dc.publisherBMJ
dc.relation.urihttps://www.bmj.com/content/376/bmj-2021-068208
dc.rights.accessrightsOpenAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectGBD 2019 Ageing Collaborators
dc.subject32 Biomedical and Clinical Sciences
dc.subject4202 Epidemiology
dc.subject4206 Public Health
dc.subject42 Health Sciences
dc.subject3202 Clinical Sciences
dc.subjectClinical Research
dc.subjectAging
dc.subjectPrevention
dc.subject2.4 Surveillance and distribution
dc.subject2 Aetiology
dc.subjectGeneric health relevance
dc.subject3 Good Health and Well Being
dc.subject1103 Clinical Sciences
dc.subject1117 Public Health and Health Services
dc.subjectGeneral & Internal Medicine
dc.subject32 Biomedical and clinical sciences
dc.subject42 Health sciences
dc.subject52 Psychology
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshCost of Illness
dc.subject.meshDisability Evaluation
dc.subject.meshFemale
dc.subject.meshGlobal Burden of Disease
dc.subject.meshHumans
dc.subject.meshLife Expectancy
dc.subject.meshMale
dc.subject.meshMortality
dc.subject.meshRisk Factors
dc.subject.meshWounds and Injuries
dc.subject.meshHumans
dc.subject.meshWounds and Injuries
dc.subject.meshDisability Evaluation
dc.subject.meshLife Expectancy
dc.subject.meshMortality
dc.subject.meshRisk Factors
dc.subject.meshCost of Illness
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshFemale
dc.subject.meshMale
dc.subject.meshGlobal Burden of Disease
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshCost of Illness
dc.subject.meshDisability Evaluation
dc.subject.meshFemale
dc.subject.meshGlobal Burden of Disease
dc.subject.meshHumans
dc.subject.meshLife Expectancy
dc.subject.meshMale
dc.subject.meshMortality
dc.subject.meshRisk Factors
dc.subject.meshWounds and Injuries
dc.titleGlobal, Regional, and National Burden of Diseases and Injuries for Adults 70 Years and Older: Systematic Analysis for the Global Burden of Disease 2019 Study
dc.typeJournal Article
pubs.elements-id496631
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