Trends in Global Burden of Alzheimer’s Disease and Other Dementias Attributable to High Fasting Plasma Glucose, 1990–2021

<i>Background and Objectives</i>: Alzheimer’s disease and other dementias represent some of the leading public health concerns worldwide. This study aimed to assess the global burden of Alzheimer’s disease and other dementias attributable to high fasting plasma glucose in the last decade...

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Main Authors: Irena Ilic, Vladimir Jakovljevic, Ivana Zivanovic Macuzic, Ana Ravic-Nikolic, Milena Ilic, Marija Sorak, Vesna Milicic
Format: Article
Language:English
Published: MDPI AG 2024-10-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/60/11/1783
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author Irena Ilic
Vladimir Jakovljevic
Ivana Zivanovic Macuzic
Ana Ravic-Nikolic
Milena Ilic
Marija Sorak
Vesna Milicic
author_facet Irena Ilic
Vladimir Jakovljevic
Ivana Zivanovic Macuzic
Ana Ravic-Nikolic
Milena Ilic
Marija Sorak
Vesna Milicic
author_sort Irena Ilic
collection DOAJ
description <i>Background and Objectives</i>: Alzheimer’s disease and other dementias represent some of the leading public health concerns worldwide. This study aimed to assess the global burden of Alzheimer’s disease and other dementias attributable to high fasting plasma glucose in the last decades. <i>Materials and Methods</i>: A descriptive epidemiological study was conducted. The Global Burden of Disease (GBD) study data about deaths and Disability-Adjusted Life Years (DALYs) were used. All figures were presented as age-standardized rates (ASRs). The average annual percent change (AAPC) was computed using the Joinpoint regression analysis. Also, age-period-cohort analysis was performed. <i>Results</i>: A total of 2 million deaths from Alzheimer’s disease and other dementias were reported worldwide in 2021, whereby the total number deaths from Alzheimer’s disease and other dementias attributable to high fasting plasma glucose was 290,032 (98,900 males and 191,132 females) in 2021. The highest ASRs of burden of Alzheimer’s disease and other dementias attributable to high fasting plasma glucose were found in Afghanistan, Iraq, Morocco, Qatar, and the United States of America, while the lowest ASRs were in Belarus and Mongolia. From 1990 to 2021, a significant increase (<i>p</i> < 0.001) was noted in ASRs of deaths and DALYs for Alzheimer’s disease and other dementias attributable to high fasting plasma glucose. Looking at the GBD regions, the trends in ASRs for mortality and for DALYs of Alzheimer’s disease and other dementias attributable to high fasting plasma glucose between 1990 and 2021 showed a growth 10-fold faster in High-income North America (AAPC = 2.0%, for both equally) and Central Asia (AAPC = 2.4% and AAPC = 2.5%, respectively) than in the region of High-income Asia Pacific (AAPC = 0.1% and AAPC = 0.2%, respectively). The relative risk of mortality and DALYs for Alzheimer’s disease and other dementias attributable to high fasting plasma glucose demonstrated statistically significant (<i>p</i> < 0.0001) period and cohort effects, and net drift and local drifts. <i>Conclusions</i>: This study showed an increase in the global burden of Alzheimer’s disease and other dementias attributable to high fasting plasma glucose in the last decades. Future successful entire-population strategies targeting high fasting plasma glucose may reduce the burden of a wide range of these diseases.
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spelling doaj-art-6c169fd02f34410eac9c83b02ce67ef72025-08-20T02:48:06ZengMDPI AGMedicina1010-660X1648-91442024-10-016011178310.3390/medicina60111783Trends in Global Burden of Alzheimer’s Disease and Other Dementias Attributable to High Fasting Plasma Glucose, 1990–2021Irena Ilic0Vladimir Jakovljevic1Ivana Zivanovic Macuzic2Ana Ravic-Nikolic3Milena Ilic4Marija Sorak5Vesna Milicic6Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaDepartment of Physiology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, SerbiaDepartment of Anatomy, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, SerbiaDepartment of Dermatovenerology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, SerbiaDepartment of Epidemiology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, SerbiaDepartment of Gynecology and Obstetrics, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, SerbiaDepartment of Dermatovenerology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia<i>Background and Objectives</i>: Alzheimer’s disease and other dementias represent some of the leading public health concerns worldwide. This study aimed to assess the global burden of Alzheimer’s disease and other dementias attributable to high fasting plasma glucose in the last decades. <i>Materials and Methods</i>: A descriptive epidemiological study was conducted. The Global Burden of Disease (GBD) study data about deaths and Disability-Adjusted Life Years (DALYs) were used. All figures were presented as age-standardized rates (ASRs). The average annual percent change (AAPC) was computed using the Joinpoint regression analysis. Also, age-period-cohort analysis was performed. <i>Results</i>: A total of 2 million deaths from Alzheimer’s disease and other dementias were reported worldwide in 2021, whereby the total number deaths from Alzheimer’s disease and other dementias attributable to high fasting plasma glucose was 290,032 (98,900 males and 191,132 females) in 2021. The highest ASRs of burden of Alzheimer’s disease and other dementias attributable to high fasting plasma glucose were found in Afghanistan, Iraq, Morocco, Qatar, and the United States of America, while the lowest ASRs were in Belarus and Mongolia. From 1990 to 2021, a significant increase (<i>p</i> < 0.001) was noted in ASRs of deaths and DALYs for Alzheimer’s disease and other dementias attributable to high fasting plasma glucose. Looking at the GBD regions, the trends in ASRs for mortality and for DALYs of Alzheimer’s disease and other dementias attributable to high fasting plasma glucose between 1990 and 2021 showed a growth 10-fold faster in High-income North America (AAPC = 2.0%, for both equally) and Central Asia (AAPC = 2.4% and AAPC = 2.5%, respectively) than in the region of High-income Asia Pacific (AAPC = 0.1% and AAPC = 0.2%, respectively). The relative risk of mortality and DALYs for Alzheimer’s disease and other dementias attributable to high fasting plasma glucose demonstrated statistically significant (<i>p</i> < 0.0001) period and cohort effects, and net drift and local drifts. <i>Conclusions</i>: This study showed an increase in the global burden of Alzheimer’s disease and other dementias attributable to high fasting plasma glucose in the last decades. Future successful entire-population strategies targeting high fasting plasma glucose may reduce the burden of a wide range of these diseases.https://www.mdpi.com/1648-9144/60/11/1783Alzheimer’s diseasehigh fasting plasma glucoseburdentrends
spellingShingle Irena Ilic
Vladimir Jakovljevic
Ivana Zivanovic Macuzic
Ana Ravic-Nikolic
Milena Ilic
Marija Sorak
Vesna Milicic
Trends in Global Burden of Alzheimer’s Disease and Other Dementias Attributable to High Fasting Plasma Glucose, 1990–2021
Medicina
Alzheimer’s disease
high fasting plasma glucose
burden
trends
title Trends in Global Burden of Alzheimer’s Disease and Other Dementias Attributable to High Fasting Plasma Glucose, 1990–2021
title_full Trends in Global Burden of Alzheimer’s Disease and Other Dementias Attributable to High Fasting Plasma Glucose, 1990–2021
title_fullStr Trends in Global Burden of Alzheimer’s Disease and Other Dementias Attributable to High Fasting Plasma Glucose, 1990–2021
title_full_unstemmed Trends in Global Burden of Alzheimer’s Disease and Other Dementias Attributable to High Fasting Plasma Glucose, 1990–2021
title_short Trends in Global Burden of Alzheimer’s Disease and Other Dementias Attributable to High Fasting Plasma Glucose, 1990–2021
title_sort trends in global burden of alzheimer s disease and other dementias attributable to high fasting plasma glucose 1990 2021
topic Alzheimer’s disease
high fasting plasma glucose
burden
trends
url https://www.mdpi.com/1648-9144/60/11/1783
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