Global and Regional Burden of Type 2 Diabetes Mellitus Attributable to Low Physical Activity From 1990 to 2021

ABSTRACT Aim Type 2 diabetes mellitus (T2DM) contributes to the heavy burden, but there lacks latest and comprehensive global research on the burden of T2DM attributable to low physical activity (LPA). This study aimed to quantify the global and regional burden of T2DM attributable to LPA from 1990...

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Main Authors: Lihang Yang, Diya Xie, Fengmin Liu, Jiaying Lin, Xin Lin, Yuquan Chen, Kun Zhang
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Journal of Diabetes
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Online Access:https://doi.org/10.1111/1753-0407.70043
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author Lihang Yang
Diya Xie
Fengmin Liu
Jiaying Lin
Xin Lin
Yuquan Chen
Kun Zhang
author_facet Lihang Yang
Diya Xie
Fengmin Liu
Jiaying Lin
Xin Lin
Yuquan Chen
Kun Zhang
author_sort Lihang Yang
collection DOAJ
description ABSTRACT Aim Type 2 diabetes mellitus (T2DM) contributes to the heavy burden, but there lacks latest and comprehensive global research on the burden of T2DM attributable to low physical activity (LPA). This study aimed to quantify the global and regional burden of T2DM attributable to LPA from 1990 to 2021. Methods We utilized data including disability‐adjusted life years (DALYs), mortality, age‐standardized disability‐adjusted life years (ASDR), and age‐standardized mortality rates (ASMR) from the Global Burden of Disease (GBD) 2021. We assessed the burden across different ages, genders, and sociodemographic index (SDI). Joinpoint regression analysis was applied to estimated average annual percent change (AAPC). Results Between 1990 and 2021, DALYs and mortality of T2DM attributable to LPA increased rapidly. There was an increase in the ASDR and ASMR, with AAPC of 1.09 (95% CI: 1.03–1.16) and 0.32 (95% CI: 0.2–0.43), which was increased faster in males. Low‐middle SDI countries have the highest ASDR and highest ASMR. The global PAF for ASDR and ASMR in 2021 is 7.38% and 9.45%. A U‐shaped drift pattern was observed in most SDI quintiles in APC model. Population growth is a major contributor to the burden of T2DM, especially in countries with low SDI. Epidemiological changes also play an important role in DALYs and mortality. A negative correlation existed between SDI and both ASMR and ASDR. Conclusion Between 1990 and 2021, there was a marked rise in the global burden of T2DM associated with LPA. The findings lay the groundwork for informed decision‐making a public health and healthcare delivery.
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spelling doaj-art-4d2ea209ec6545e29aed2cc08f46d1332025-01-28T04:44:58ZengWileyJournal of Diabetes1753-03931753-04072025-01-01171n/an/a10.1111/1753-0407.70043Global and Regional Burden of Type 2 Diabetes Mellitus Attributable to Low Physical Activity From 1990 to 2021Lihang Yang0Diya Xie1Fengmin Liu2Jiaying Lin3Xin Lin4Yuquan Chen5Kun Zhang6Department of Endocrinology Fuzhou First General Hospital Affiliated With Fujian Medical University Fuzhou Fujian ChinaDepartment of General Surgery Fuzhou First General Hospital Affiliated With Fujian Medical University Fuzhou Fujian ChinaDepartment of Endocrinology Fuzhou First General Hospital Affiliated With Fujian Medical University Fuzhou Fujian ChinaDepartment of Endocrinology Fujian Maternity and Child Health Hospital Affiliated Hospital of Fujian Medical University Fuzhou Fujian ChinaDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrinology Mengchao Hepatobiliary Hospital of Fujian Medical University Fuzhou Fujian ChinaDepartment of General Surgery Fuzhou First General Hospital Affiliated With Fujian Medical University Fuzhou Fujian ChinaABSTRACT Aim Type 2 diabetes mellitus (T2DM) contributes to the heavy burden, but there lacks latest and comprehensive global research on the burden of T2DM attributable to low physical activity (LPA). This study aimed to quantify the global and regional burden of T2DM attributable to LPA from 1990 to 2021. Methods We utilized data including disability‐adjusted life years (DALYs), mortality, age‐standardized disability‐adjusted life years (ASDR), and age‐standardized mortality rates (ASMR) from the Global Burden of Disease (GBD) 2021. We assessed the burden across different ages, genders, and sociodemographic index (SDI). Joinpoint regression analysis was applied to estimated average annual percent change (AAPC). Results Between 1990 and 2021, DALYs and mortality of T2DM attributable to LPA increased rapidly. There was an increase in the ASDR and ASMR, with AAPC of 1.09 (95% CI: 1.03–1.16) and 0.32 (95% CI: 0.2–0.43), which was increased faster in males. Low‐middle SDI countries have the highest ASDR and highest ASMR. The global PAF for ASDR and ASMR in 2021 is 7.38% and 9.45%. A U‐shaped drift pattern was observed in most SDI quintiles in APC model. Population growth is a major contributor to the burden of T2DM, especially in countries with low SDI. Epidemiological changes also play an important role in DALYs and mortality. A negative correlation existed between SDI and both ASMR and ASDR. Conclusion Between 1990 and 2021, there was a marked rise in the global burden of T2DM associated with LPA. The findings lay the groundwork for informed decision‐making a public health and healthcare delivery.https://doi.org/10.1111/1753-0407.70043disability‐adjusted life yearsglobal burdenlow physical activitymortalitysociodemographic indextype 2 diabetes mellitus
spellingShingle Lihang Yang
Diya Xie
Fengmin Liu
Jiaying Lin
Xin Lin
Yuquan Chen
Kun Zhang
Global and Regional Burden of Type 2 Diabetes Mellitus Attributable to Low Physical Activity From 1990 to 2021
Journal of Diabetes
disability‐adjusted life years
global burden
low physical activity
mortality
sociodemographic index
type 2 diabetes mellitus
title Global and Regional Burden of Type 2 Diabetes Mellitus Attributable to Low Physical Activity From 1990 to 2021
title_full Global and Regional Burden of Type 2 Diabetes Mellitus Attributable to Low Physical Activity From 1990 to 2021
title_fullStr Global and Regional Burden of Type 2 Diabetes Mellitus Attributable to Low Physical Activity From 1990 to 2021
title_full_unstemmed Global and Regional Burden of Type 2 Diabetes Mellitus Attributable to Low Physical Activity From 1990 to 2021
title_short Global and Regional Burden of Type 2 Diabetes Mellitus Attributable to Low Physical Activity From 1990 to 2021
title_sort global and regional burden of type 2 diabetes mellitus attributable to low physical activity from 1990 to 2021
topic disability‐adjusted life years
global burden
low physical activity
mortality
sociodemographic index
type 2 diabetes mellitus
url https://doi.org/10.1111/1753-0407.70043
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