The health burden of disease attributable to low calcium intake: a comprehensive analysis of trends and socioeconomic impacts from 1990 to 2021

BackgroundCalcium, a vital nutrient for the human body, is indispensable for keeping our bones strong and managing cell function. A diet low in calcium (DLC) is a key player in the formation of numerous health issues. This research delved into the most recent datasets acquired via the 2021 Global Bu...

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Main Authors: Yanping Wang, Meihui Tao, Li Wang, Siyu Zhou, Weifeng Yang, Xi Zhao, Qinyu Feng, Mengfan Tang, Wei Yan, Yu Fu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1594656/full
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author Yanping Wang
Meihui Tao
Li Wang
Siyu Zhou
Weifeng Yang
Xi Zhao
Qinyu Feng
Mengfan Tang
Wei Yan
Yu Fu
author_facet Yanping Wang
Meihui Tao
Li Wang
Siyu Zhou
Weifeng Yang
Xi Zhao
Qinyu Feng
Mengfan Tang
Wei Yan
Yu Fu
author_sort Yanping Wang
collection DOAJ
description BackgroundCalcium, a vital nutrient for the human body, is indispensable for keeping our bones strong and managing cell function. A diet low in calcium (DLC) is a key player in the formation of numerous health issues. This research delved into the most recent datasets acquired via the 2021 Global Burden of Disease (GBD) report to uncover the worldwide impact of DLC.MethodsUtilizing the GBD 2021 database, this research examined the association of DLC with disease burden, covering colorectal and prostate cancers. To quantify disease burden and track its temporal variations, key indicators were employed. These included deaths, disability-adjusted life years (DALYs), age-standardized mortality rate (ASMR), age-standardized DALY rate (ASDR), and the estimated annual percentage change (EAPC). The analysis broke down results by sex, age brackets, Socio-demographic Index (SDI) categories, and geographic regions. To examine potential links between disease burden and socioeconomic factors, Pearson's correlation method was applied. Furthermore, Bayesian age-period-cohort (BAPC) modeling was applied to forecast trends spanning 2022–2050.ResultsFrom 1990 to 2021, global colon and rectum cancer (CRC)-related deaths tied to DLC rose from 57,363 to 89,089, while the ASMR decreased from 1.54 to 1.06 per 100,000 [EAPC = −1.33 (95% CI: −1.37 to −1.29)]. DALYs increased from 1,512,762 to 2,128,939, and the ASDR declined from 37.04 to 24.7 per 100,000 [EAPC = −1.45 (95% CI: −1.50 to −1.40)]. The burden of CRC tended to escalate with age, and it disproportionately affected women more than men. However, the impact on women diminished more rapidly over time. Prostate cancer and DLC showed a negative directional trend but lacked statistical significance. CRC burden showed a negative correlation with SDI, while prostate cancer burden had a positive association.ConclusionDLC significantly increases the incidence of CRC, while its impact on prostate cancer incidence is relatively minor and shows a negative correlation. Both phenomena are closely associated with socioeconomic development. The research yields essential data to develop focused dietary interventions and cancer-prevention policies.
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spelling doaj-art-bc734fd502bd4bb3a16c2e0f9868fadc2025-08-20T03:50:02ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-07-011210.3389/fnut.2025.15946561594656The health burden of disease attributable to low calcium intake: a comprehensive analysis of trends and socioeconomic impacts from 1990 to 2021Yanping Wang0Meihui Tao1Li Wang2Siyu Zhou3Weifeng Yang4Xi Zhao5Qinyu Feng6Mengfan Tang7Wei Yan8Yu Fu9Department of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Emergency Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Gastrointestinal Surgery, The Affiliated Hospital, Southwest Medical University, Luzhou, ChinaDepartment of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaBackgroundCalcium, a vital nutrient for the human body, is indispensable for keeping our bones strong and managing cell function. A diet low in calcium (DLC) is a key player in the formation of numerous health issues. This research delved into the most recent datasets acquired via the 2021 Global Burden of Disease (GBD) report to uncover the worldwide impact of DLC.MethodsUtilizing the GBD 2021 database, this research examined the association of DLC with disease burden, covering colorectal and prostate cancers. To quantify disease burden and track its temporal variations, key indicators were employed. These included deaths, disability-adjusted life years (DALYs), age-standardized mortality rate (ASMR), age-standardized DALY rate (ASDR), and the estimated annual percentage change (EAPC). The analysis broke down results by sex, age brackets, Socio-demographic Index (SDI) categories, and geographic regions. To examine potential links between disease burden and socioeconomic factors, Pearson's correlation method was applied. Furthermore, Bayesian age-period-cohort (BAPC) modeling was applied to forecast trends spanning 2022–2050.ResultsFrom 1990 to 2021, global colon and rectum cancer (CRC)-related deaths tied to DLC rose from 57,363 to 89,089, while the ASMR decreased from 1.54 to 1.06 per 100,000 [EAPC = −1.33 (95% CI: −1.37 to −1.29)]. DALYs increased from 1,512,762 to 2,128,939, and the ASDR declined from 37.04 to 24.7 per 100,000 [EAPC = −1.45 (95% CI: −1.50 to −1.40)]. The burden of CRC tended to escalate with age, and it disproportionately affected women more than men. However, the impact on women diminished more rapidly over time. Prostate cancer and DLC showed a negative directional trend but lacked statistical significance. CRC burden showed a negative correlation with SDI, while prostate cancer burden had a positive association.ConclusionDLC significantly increases the incidence of CRC, while its impact on prostate cancer incidence is relatively minor and shows a negative correlation. Both phenomena are closely associated with socioeconomic development. The research yields essential data to develop focused dietary interventions and cancer-prevention policies.https://www.frontiersin.org/articles/10.3389/fnut.2025.1594656/fullglobal burden of diseasehuman development indexsocio-demographic indexdiet low in calciumcolon and rectum cancerprostate cancer
spellingShingle Yanping Wang
Meihui Tao
Li Wang
Siyu Zhou
Weifeng Yang
Xi Zhao
Qinyu Feng
Mengfan Tang
Wei Yan
Yu Fu
The health burden of disease attributable to low calcium intake: a comprehensive analysis of trends and socioeconomic impacts from 1990 to 2021
Frontiers in Nutrition
global burden of disease
human development index
socio-demographic index
diet low in calcium
colon and rectum cancer
prostate cancer
title The health burden of disease attributable to low calcium intake: a comprehensive analysis of trends and socioeconomic impacts from 1990 to 2021
title_full The health burden of disease attributable to low calcium intake: a comprehensive analysis of trends and socioeconomic impacts from 1990 to 2021
title_fullStr The health burden of disease attributable to low calcium intake: a comprehensive analysis of trends and socioeconomic impacts from 1990 to 2021
title_full_unstemmed The health burden of disease attributable to low calcium intake: a comprehensive analysis of trends and socioeconomic impacts from 1990 to 2021
title_short The health burden of disease attributable to low calcium intake: a comprehensive analysis of trends and socioeconomic impacts from 1990 to 2021
title_sort health burden of disease attributable to low calcium intake a comprehensive analysis of trends and socioeconomic impacts from 1990 to 2021
topic global burden of disease
human development index
socio-demographic index
diet low in calcium
colon and rectum cancer
prostate cancer
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1594656/full
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