Global burden of Type 2 Diabetes Mellitus attributable to dietary risks in elderly adults: insights from the Global Burden of Disease study 2021
BackgroundType 2 Diabetes Mellitus (T2DM) poses a significant global health challenge, particularly among elderly adults. Dietary risk factors, such as high consumption of processed meats and sugar-sweetened beverages and low intake of whole grains and fruits, play a critical role in the burden of T...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-04-01
|
| Series: | Frontiers in Nutrition |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2025.1557923/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850155717708742656 |
|---|---|
| author | Yiting Tang Yupeng Chen Yang Zhou Bingrong Wu Shan Zhang Yanbing Gong Qing Ni |
| author_facet | Yiting Tang Yupeng Chen Yang Zhou Bingrong Wu Shan Zhang Yanbing Gong Qing Ni |
| author_sort | Yiting Tang |
| collection | DOAJ |
| description | BackgroundType 2 Diabetes Mellitus (T2DM) poses a significant global health challenge, particularly among elderly adults. Dietary risk factors, such as high consumption of processed meats and sugar-sweetened beverages and low intake of whole grains and fruits, play a critical role in the burden of T2DM. This study aims to comprehensively quantify the global burden of T2DM attributable to dietary risks among elderly adults, identify significant dietary risk factors driving disease burden, and evaluate temporal, regional, and demographic variations to inform targeted public health strategies and interventions for reducing the impact of T2DM.MethodsThis study utilized data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 to assess T2DM burden attributable to dietary risks among adults aged 65 years and older across 204 countries and territories. Metrics included age-standardized mortality rates (ASMR) and disability-adjusted life-year rates (ASDR). Dietary risk factors analyzed included low intake of whole grains, fruits, vegetables, and fiber, as well as high intake of processed meat, red meat, and sugar-sweetened beverages. Joinpoint regression and decomposition analyses were performed to examine temporal trends and drivers of changes by region, SDI level, sex, and age.ResultsIn 2021, dietary risks accounted for 23.61% of T2DM-related deaths and 24.85% of DALYs among elderly adults. ASMR showed a slight decline globally (AAPC: −0.08), while ASDR exhibited a significant upward trend (AAPC: +0.7) from 1990 to 2021. High SDI regions demonstrated decreasing ASMR but persistent DALYs due to prolonged survival with complications. Conversely, low and middle SDI regions exhibited rapid increases in ASMR and ASDR, driven by dietary transitions and limited healthcare resources. Males consistently bore a higher burden than females, with pronounced disparities in low and middle SDI regions. Aging and population growth were the primary drivers of the increasing burden globally.ConclusionThis study underscores the substantial burden of T2DM attributable to dietary risks among elderly adults and highlights significant regional and demographic disparities. Targeted public health interventions, personalized nutritional strategies, and improved healthcare access are essential to mitigate this burden. Future research should explore the impact of emerging dietary trends and precision nutrition on T2DM prevention and management. |
| format | Article |
| id | doaj-art-7ea913e413cb4516818a7094bb1f8c3a |
| institution | OA Journals |
| issn | 2296-861X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj-art-7ea913e413cb4516818a7094bb1f8c3a2025-08-20T02:24:49ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-04-011210.3389/fnut.2025.15579231557923Global burden of Type 2 Diabetes Mellitus attributable to dietary risks in elderly adults: insights from the Global Burden of Disease study 2021Yiting Tang0Yupeng Chen1Yang Zhou2Bingrong Wu3Shan Zhang4Yanbing Gong5Qing Ni6Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Endocrinology, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Beijing, ChinaBeijing University of Chinese Medicine, Beijing, ChinaDepartment of Endocrinology, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Beijing, ChinaDepartment of Endocrinology, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Beijing, ChinaBeijing University of Chinese Medicine, Beijing, ChinaDepartment of Endocrinology, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Beijing, ChinaBackgroundType 2 Diabetes Mellitus (T2DM) poses a significant global health challenge, particularly among elderly adults. Dietary risk factors, such as high consumption of processed meats and sugar-sweetened beverages and low intake of whole grains and fruits, play a critical role in the burden of T2DM. This study aims to comprehensively quantify the global burden of T2DM attributable to dietary risks among elderly adults, identify significant dietary risk factors driving disease burden, and evaluate temporal, regional, and demographic variations to inform targeted public health strategies and interventions for reducing the impact of T2DM.MethodsThis study utilized data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 to assess T2DM burden attributable to dietary risks among adults aged 65 years and older across 204 countries and territories. Metrics included age-standardized mortality rates (ASMR) and disability-adjusted life-year rates (ASDR). Dietary risk factors analyzed included low intake of whole grains, fruits, vegetables, and fiber, as well as high intake of processed meat, red meat, and sugar-sweetened beverages. Joinpoint regression and decomposition analyses were performed to examine temporal trends and drivers of changes by region, SDI level, sex, and age.ResultsIn 2021, dietary risks accounted for 23.61% of T2DM-related deaths and 24.85% of DALYs among elderly adults. ASMR showed a slight decline globally (AAPC: −0.08), while ASDR exhibited a significant upward trend (AAPC: +0.7) from 1990 to 2021. High SDI regions demonstrated decreasing ASMR but persistent DALYs due to prolonged survival with complications. Conversely, low and middle SDI regions exhibited rapid increases in ASMR and ASDR, driven by dietary transitions and limited healthcare resources. Males consistently bore a higher burden than females, with pronounced disparities in low and middle SDI regions. Aging and population growth were the primary drivers of the increasing burden globally.ConclusionThis study underscores the substantial burden of T2DM attributable to dietary risks among elderly adults and highlights significant regional and demographic disparities. Targeted public health interventions, personalized nutritional strategies, and improved healthcare access are essential to mitigate this burden. Future research should explore the impact of emerging dietary trends and precision nutrition on T2DM prevention and management.https://www.frontiersin.org/articles/10.3389/fnut.2025.1557923/fullType 2 Diabetes Mellitusdietary riskselderly adultsGlobal Burden 2021public health interventionsprecision nutrition |
| spellingShingle | Yiting Tang Yupeng Chen Yang Zhou Bingrong Wu Shan Zhang Yanbing Gong Qing Ni Global burden of Type 2 Diabetes Mellitus attributable to dietary risks in elderly adults: insights from the Global Burden of Disease study 2021 Frontiers in Nutrition Type 2 Diabetes Mellitus dietary risks elderly adults Global Burden 2021 public health interventions precision nutrition |
| title | Global burden of Type 2 Diabetes Mellitus attributable to dietary risks in elderly adults: insights from the Global Burden of Disease study 2021 |
| title_full | Global burden of Type 2 Diabetes Mellitus attributable to dietary risks in elderly adults: insights from the Global Burden of Disease study 2021 |
| title_fullStr | Global burden of Type 2 Diabetes Mellitus attributable to dietary risks in elderly adults: insights from the Global Burden of Disease study 2021 |
| title_full_unstemmed | Global burden of Type 2 Diabetes Mellitus attributable to dietary risks in elderly adults: insights from the Global Burden of Disease study 2021 |
| title_short | Global burden of Type 2 Diabetes Mellitus attributable to dietary risks in elderly adults: insights from the Global Burden of Disease study 2021 |
| title_sort | global burden of type 2 diabetes mellitus attributable to dietary risks in elderly adults insights from the global burden of disease study 2021 |
| topic | Type 2 Diabetes Mellitus dietary risks elderly adults Global Burden 2021 public health interventions precision nutrition |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2025.1557923/full |
| work_keys_str_mv | AT yitingtang globalburdenoftype2diabetesmellitusattributabletodietaryrisksinelderlyadultsinsightsfromtheglobalburdenofdiseasestudy2021 AT yupengchen globalburdenoftype2diabetesmellitusattributabletodietaryrisksinelderlyadultsinsightsfromtheglobalburdenofdiseasestudy2021 AT yangzhou globalburdenoftype2diabetesmellitusattributabletodietaryrisksinelderlyadultsinsightsfromtheglobalburdenofdiseasestudy2021 AT bingrongwu globalburdenoftype2diabetesmellitusattributabletodietaryrisksinelderlyadultsinsightsfromtheglobalburdenofdiseasestudy2021 AT shanzhang globalburdenoftype2diabetesmellitusattributabletodietaryrisksinelderlyadultsinsightsfromtheglobalburdenofdiseasestudy2021 AT yanbinggong globalburdenoftype2diabetesmellitusattributabletodietaryrisksinelderlyadultsinsightsfromtheglobalburdenofdiseasestudy2021 AT qingni globalburdenoftype2diabetesmellitusattributabletodietaryrisksinelderlyadultsinsightsfromtheglobalburdenofdiseasestudy2021 |