TY - JOUR
T1 - Global, regional, and national burden of diseases and injuries for adults 70 years and older
T2 - Systematic analysis for the Global Burden of Disease 2019 Study
AU - GBD 2019 Ageing Collaborators, including
AU - Tyrovolas, Stefanos
AU - Stergachis, Andy
AU - Krish, Varsha Sarah
AU - Chang, Angela Y.
AU - Skirbekk, Vegard
AU - Dieleman, Joseph L.
AU - Chatterji, Somnath
AU - Abd-Allah, Foad
AU - Abdollahi, Mohammad
AU - Abedi, Aidin
AU - Abolhassani, Hassan
AU - Abosetugn, Akine Eshete
AU - Abreu, Lucas Guimarães
AU - Abrigo, Michael R M.
AU - Abu Haimed, Abdulaziz Khalid
AU - Adabi, Maryam
AU - Adebayo, Oladimeji M.
AU - Adedeji, Isaac Akinkunmi
AU - Adekanmbi, Victor
AU - Adetokunboh, Olatunji O.
AU - Adham, Davoud
AU - Advani, Shailesh M.
AU - Afarideh, Mohsen
AU - Agarwal, Gina
AU - Aghaali, Mohammad
AU - Aghamir, Seyed Mohammad Kazem
AU - Agrawal, Anurag
AU - Ahmad, Sohail
AU - Ahmad, Tauseef
AU - Ahmadi, Keivan
AU - Ahmadi, Mehdi
AU - Ahmed, Muktar Beshir
AU - Akinyemi, Rufus Olusola
AU - Al-Aly, Ziyad
AU - Alam, Khurshid
AU - Alanezi, Fahad Mashhour
AU - Alanzi, Turki M.
AU - Alcalde-Rabanal, Jacqueline Elizabeth
AU - Alemu, Biresaw Wassihun
AU - Al-Hajj, Samar
AU - Alhassan, Robert Kaba
AU - Ali, Saqib
AU - Alicandro, Gianfranco
AU - Alijanzadeh, Mehran
AU - Alipour, Vahid
AU - Aljunid, Syed Mohamed
AU - Alla, François
AU - Almadi, Majid Abdulrahman Hamad
AU - Almasi-Hashiani, Amir
AU - Ho, Hung Chak
AU - Kassebaum, Nicholas J.
PY - 2022
Y1 - 2022
N2 - 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. © Author(s) (or their employer(s)) 2019.
AB - 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. © Author(s) (or their employer(s)) 2019.
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UR - https://www.scopus.com/record/pubmetrics.uri?eid=2-s2.0-85127409980&origin=recordpage
U2 - 10.1136/bmj-2021-068208
DO - 10.1136/bmj-2021-068208
M3 - RGC 21 - Publication in refereed journal
C2 - 35273014
SN - 0959-8146
VL - 376
JO - BMJ
JF - BMJ
M1 - e068208
ER -
