Browsing by Author "Mitra Abbasifard"

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Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018
(Nature Research, 2021) Damaris Kinyoki; Aaron E. Osgood-Zimmerman; Natalia V. Bhattacharjee; Lauren E. Schaeffer; Alice Lazzar-Atwood; Dan Lu; Samuel B. Ewald; Katie M. Donkers; Ian D. Letourneau; Michael Collison; Megan F. Schipp; Amanuel Abajobir; Sima Abbasi; Nooshin Abbasi; Mitra Abbasifard; Mohsen Abbasi-Kangevari; Hedayat Abbastabar; Foad Abd-Allah; Ahmed Abdelalim; Sherief M. Abd-Elsalam; Amir Abdoli; Ibrahim Abdollahpour; Aidin Abedi; Hassan Abolhassani; Biju Abraham; Lucas Guimarães Abreu; Michael R. M. Abrigo; Ahmed Abualhasan; Eman Abu-Gharbieh; Abdelrahman I. Abushouk; Manfred Mario Kokou Accrombessi; Maryam Adabi; Oladimeji M. Adebayo; Adeyinka Emmanuel Adegbosin; Victor Adekanmbi; Olatunji O. Adetokunboh; Daniel Adedayo Adeyinka; Davoud Adham; Shailesh M. Advani; Pradyumna Agasthi; Mohammad Aghaali; Sohail Ahmad; Tauseef Ahmad; Keivan Ahmadi; Sepideh Ahmadi; Muktar Beshir Ahmed; Miloud Taki Eddine Aichour; Budi Aji; Oluwaseun Oladapo Akinyemi; Addis Aklilu; Chisom Joyqueenet Akunna; Ziyad Al-Aly; Turki M. Alanzi; Jacqueline Elizabeth Alcalde-Rabanal; Biresaw Wassihun Alemu; Ayinalem Alemu; Robert Kaba Alhassan; Sheikh Mohammad Alif; Vahid Alipour; Hesam Alizade; Syed Mohamed Aljunid; Amir Almasi-Hashiani; Hesham M. Al-Mekhlafi; Rajaa M. Al-Raddadi; Nelson Alvis-Guzman; Saeed Amini; Fatemeh Amiri; Dickson A. Amugsi; Nahla Hamed Anber; Robert Ancuceanu; Tudorel Andrei; Masresha Tessema Anegago; Mina Anjomshoa; Fereshteh Ansari; Alireza Ansari-Moghaddam; Zelalem Alamrew Anteneh; Ernoiz Antriyandarti; Davood Anvari; Razique Anwer; Muhammad Aqeel; Jalal Arabloo; Morteza Arab-Zozani; Olatunde Aremu; Habtamu Abera Areri; Al Artaman; Afsaneh Arzani; Malke Asaad; Mehran Asadi-Aliabadi; Ali A. Asadi-Pooya; Mulusew A. Asemahagn; Mohammad Asghari Jafarabadi; Mengistu M. Ashebir; Zerihun Ataro; Seyyede Masoume Athari; Seyyed Shamsadin Athari; Maha Moh’d Wahbi Atout; Marcel Ausloos; Nefsu Awoke; Beatriz Paulina Ayala Quintanilla; Getinet Ayano; Martin Amogre Ayanore; Yared Asmare Aynalem; Muluken Altaye Ayza; Abbas Azadmehr; Darshan B; Tesleem Kayode Babalola; Alaa Badawi; Ashish D. Badiye; Mohammad Amin Bahrami; Mohan Bairwa; Shankar M. Bakkannavar; Palash Chandra Banik; Adhanom Gebreegziabher Baraki; Miguel A. Barboza; Huda Basaleem; Sanjay Basu; Mohsen Bayati; Bayisa Abdissa Baye; Gholamreza Bazmandegan; Neeraj Bedi; Tariku Tesfaye Tesfaye Bekuma; Michelle L. Bell; Isabela M. Bensenor; Kidanemaryam Berhe; Abadi Kidanemariam Berhe; Kidanemariam Alem Berhie; Dinesh Bhandari; Nikha Bhardwaj; Pankaj Bhardwaj; Krittika Bhattacharyya; Suraj Bhattarai; Zulfiqar A. Bhutta; Ali Bijani; Boris Bikbov; Antonio Biondi; Minyichil Birhanu; Raaj Kishore Biswas; Moses John Bockarie; Somayeh Bohlouli; Mahdi Bohluli; Archith Boloor; Shiva Borzouei; Nicola Luigi Bragazzi; Dejana Braithwaite; Andre R. Brunoni; Sharath Burugina Nagaraja; Zahid A. Butt; Florentino Luciano Caetano dos Santos; Luis Alberto Cámera; Josip Car; Rosario Cárdenas; Felix Carvalho; Joao Mauricio Castaldelli-Maia; Carlos A. Castañeda-Orjuela; Franz Castro; Muge Cevik; Wagaye Fentahun Chanie; Jaykaran Charan; Souranshu Chatterjee; Vijay Kumar Chattu; Sarika Chaturvedi; Simiao Chen; Ken Lee Chin; Mohiuddin Ahsanul Kabir Chowdhury; Aubrey J. Cook; Vera Marisa Costa; Elizabeth A. Cromwell; Berihun Assefa Dachew; Henok Dagne; Baye Dagnew; Tukur Dahiru; Saad M. A. Dahlawi; Haijiang Dai; Hancheng Dai; Lalit Dandona; Rakhi Dandona; Parnaz Daneshpajouhnejad; Farah Daoud; Jai K. Das; Rajat Das Gupta; Aditya Prasad Dash; Claudio Alberto Dávila-Cervantes; Kairat Davletov; Farah Deeba; Jan-Walter De Neve; Edgar Denova-Gutiérrez; Kebede Deribe; Assefa Desalew; Getenet Ayalew Dessie; Sagnik Dey; Meghnath Dhimal; Govinda Prasad Dhungana; Mostafa Dianatinasab; Daniel Diaz; Isaac Oluwafemi Dipeolu; Shirin Djalalinia; Hoa Thi Do; Fariba Dorostkar; Leila Doshmangir; Bereket Duko; Andre Rodrigues Duraes; Lucas Earl; Hisham Atan Edinur; Ferry Efendi; Rajesh Elayedath; Teshome Bekele Elema; Hala Rashad Elhabashy; Shaimaa I. El-Jaafary; Iman El Sayed; Maysaa El Sayed Zaki; Aisha Elsharkawy; Yasser Mohamed El-Sherbiny; Maha El Tantawi; Daniel Adane Endalew; Babak Eshrati; Khalil Eskandari; Sharareh Eskandarieh; Ibtihal Fadhil; Emerito Jose A. Faraon; Mohammad Fareed; Pawan Sirwan Faris; Medhat Farwati; Farshad Farzadfar; Abidemi Omolara Fasanmi; Nazir Fattahi; Nelsensius Klau Fauk; Valery L. Feigin; Berhanu Elfu Feleke; Seyed-Mohammad Fereshtehnejad; Eduarda Fernandes; Pietro Ferrara; Nataliya A. Foigt; Artem Alekseevich Fomenkov; Masoud Foroutan; Joel Msafiri Francis; Richard Charles Franklin; Marisa Freitas; Takeshi Fukumoto; Mohamed M. Gad; Abhay Motiramji Gaidhane; Reta Tsegaye Gayesa; Biniyam Sahiledengle Geberemariyam; Birhan Gebresillassie Gebregiorgis; Hadush Gebremariam; Tesfay B. B. Gebremariam; Leake Gebremeskel; Gebreamlak Gebremedhn Gebremeskel; Assefa Ayalew Gebreslassie; Yilma Chisha Dea Geramo; Hailay Abrha Gesesew; Bradford D. Gessner; Lemma Getacher; Keyghobad Ghadiri; Fatemeh Ghaffarifar; Mansour Ghafourifard; Mahsa Ghajarzadeh; Farhad Ghamari; Ahmad Ghashghaee; Nermin Ghith; Syed Amir Gilani; Tiffany K. Gill; Myron Anthony Godinho; Philimon N. Gona; Ayman Grada; Mohammed Ibrahim Mohialdeen Gubari; Nachiket Gudi; Davide Guido; Rashid Abdi Guled; Yuming Guo; Rachita Gupta; Rajeev Gupta; Arvin Haj-Mirzaian; Randah R. Hamadeh; Demelash Woldeyohannes Handiso; Asif Hanif; Arief Hargono; Ahmed I. Hasaballah; Md Mehedi Hasan; Syed Shahzad Hasan; Maryam Hashemian; Abdiwahab Hashi; Shoaib Hassan; Amr Hassan; Soheil Hassanipour; Hadi Hassankhani; Khezar Hayat; Mohamed I. Hegazy; Reza Heidari-Soureshjani; Nathaniel J. Henry; Claudiu Herteliu; Fatemeh Heydarpour; Sousan Heydarpour; Hagos Degefa de Hidru; Chi Linh Hoang; Ramesh Holla; Julia Hon; Sung Hwi Hong; Praveen Hoogar; Seyyed Nasrollah Hosseini; Mehdi Hosseinzadeh; Mihaela Hostiuc; Sorin Hostiuc; Peter J. Hotez; Mowafa Househ; Tanvir M. Huda; Dawit Hoyiso Huluko Huluko; Syed Ather Hussain; Bing-Fang Hwang; Olayinka Stephen Ilesanmi; Irena M. Ilic; Milena D. Ilic; Leeberk Raja Inbaraj; Usman Iqbal; M. Mofizul Islam; Sheikh Mohammed Shariful Islam; Chinwe Juliana Iwu; Chidozie C. D. Iwu; Farhad Jadidi-Niaragh; Mohammad Ali Jahani; Vardhmaan Jain; Mihajlo Jakovljevic; Amir Jalali; Farzad Jalilian; Manthan Dilipkumar Janodia; Tahereh Javaheri; Ravi Prakash Jha; Oommen John; Kimberly B. Johnson; Jost B. Jonas; Jitendra Jonnagaddala; Nitin Joseph; Ankur Joshi; Farahnaz Joukar; Jacek Jerzy Jozwiak; Ali Kabir; Zubair Kabir; Tanvir Kahlon; Leila R. Kalankesh; Rohollah Kalhor; Ashwin Kamath; Zahra Kamiab; Tanuj Kanchan; Umesh Kapil; Neeti Kapoor; Behzad Karami Matin; Salah Eddin Karimi; Ayele Semachew Kasa; Gebremicheal Gebreslassie Kasahun; Zemenu Yohannes Kassa; Gebrehiwot G. Kassa; Getinet Kassahun; Gbenga A. Kayode; Ali Kazemi Karyani; Tibebeselassie S. Keflie; Peter Njenga Keiyoro; Bayew Kelkay; Maryam Keramati; Daniel Bekele Ketema; Nauman Khalid; Mohammad Khammarnia; Md Nuruzzaman Khan; Maseer Khan; Junaid Khan; Khaled Khatab; Amir M. Khater; Mona M. Khater; Abdullah T. Khoja; Jagdish Khubchandani; Neda Kianipour; Young-Eun Kim; Yun Jin Kim; Ruth W. Kimokoti; Sezer Kisa; Adnan Kisa; Tufa Kolola; Ali Koolivand; Soewarta Kosen; Parvaiz A. Koul; Ai Koyanagi; Kewal Krishan; Vijay Krishnamoorthy; Barthelemy Kuate Defo; Nuworza Kugbey; Vaman Kulkarni; G. Anil Kumar; Nithin Kumar; Pushpendra Kumar; Manasi Kumar; Om P. Kurmi; Dian Kusuma; Ben Lacey; Deepesh P. Lad; Dharmesh Kumar Lal; Faris Hasan Lami; Iván Landires; Anders O. Larsson; Savita Lasrado; Matthew B. Laurens; Carlo La Vecchia; Avula Laxmaiah; Paul H. Lee; Shaun Wen Huey Lee; Kate E. LeGrand; Sonia Lewycka; Bingyu Li; Shanshan Li; Xuefeng Liu; Jaifred Christian F. Lopez; Daiane Borges Machado; Shilpashree Madhava Kunjathur; Hassan Magdy Abd El Razek; Muhammed Magdy Abd El Razek; D.R. Mahadeshwara Prasad; Phetole Walter Mahasha; Mina Maheri; Narayan B. Mahotra; Azeem Majeed; Venkatesh Maled; Shokofeh Maleki; Reza Malekzadeh; Deborah Carvalho Malta; Abdullah A. Mamun; Fariborz Mansour-Ghanaei; Borhan Mansouri; Mohammad Ali Mansournia; Md Dilshad Dilshad Manzar; Carlos Alberto Marrugo Arnedo; Francisco Rogerlândio Martins-Melo; Anthony Masaka; Pallab K. Maulik; Benjamin K. Mayala; Medhin Mehari; Man Mohan Mehndiratta; Entezar Mehrabi Nasab; Fereshteh Mehri; Kala M. Mehta; Wahengbam Bigyananda Meitei; Teferi Mekonnen; Gebrekiros Gebremichael Meles; Mulugeta Melku; Walter Mendoza; Ritesh G. Menezes; Meresa Berwo Mengesha; Endalkachew Worku Mengesha; Tuomo J. Meretoja; Abera M. Mersha; Workua Mekonnen Metekiya; Tomasz Miazgowski; Irmina Maria Michalek; G.K. Mini; Shabir Ahmad Mir; Andreea Mirica; Erkin M. Mirrakhimov; Hamed Mirzaei; Maryam Mirzaei; Mehdi Mirzaei-Alavijeh; Sanjeev Misra; Babak Moazen; Masoud Moghadaszadeh; Yousef Mohammad; Dara K. Mohammad; Naser Mohammad Gholi Mezerji; Seyyede Momeneh Mohammadi; Abdollah Mohammadian-Hafshejani; Reza Mohammadpourhodki; Hayat Maeruf Mohammed; Salahuddin Mohammed; Ammas Siraj Mohammed; Shafiu Mohammed; Jemal Abdu Mohammed; Mohammad A. Mohseni Bandpei; Ali H. Mokdad; Alex Molassiotis; Lorenzo Monasta; Masoud Moradi; Maziar Moradi-Lakeh; Rahmatollah Moradzadeh; Paula Moraga; Abbas Mosapour; Simin Mouodi; Seyyed Meysam Mousavi; Amin Mousavi Khaneghah; Getaneh Baye B. Mulu; Mehnaz Munir; Moses K. Muriithi; G.V.S. Murthy; Ghulam Mustafa; Ashraf F. Nabhan; Mehdi Naderi; Ahamarshan Jayaraman Nagarajan; Shankar Prasad Nagaraju; Mohsen Naghavi; Gurudatta Naik; Mukhammad David Naimzada; Vinay Nangia; Jobert Richie Nansseu; Atta Abbas Naqvi; Bruno Ramos Nascimento; Smitha Nayak; Vinod C. Nayak; Javad Nazari; Rawlance Ndejjo; Ionut Negoi; Ruxandra Irina Negoi; Henok Biresaw Netsere; Georges Nguefack-Tsague; Josephine W. Ngunjiri; Cuong Tat Nguyen; Diep Ngoc Nguyen; Huong Lan Thi Nguyen; Yeshambel T. Nigatu; Rajan Nikbakhsh; Amin Reza Nikpoor; Chukwudi A. Nnaji; Vuong Minh Nong; Jean Jacques Noubiap; Virginia Nunez-Samudio; Vincent Ebuka Nwatah; Tafadzwa Nyanhanda; Bogdan Oancea; Felix Akpojene Ogbo; Onome Bright Oghenetega; In-Hwan Oh; Daniel Micheal Okello; Morteza Oladnabi; Andrew T. Olagunju; Jacob Olusegun Olusanya; Bolajoko Olubukunola Olusanya; Ahmed Omar Bali; Muktar Omer Omer; Abidemi E. Emmanuel Omonisi; Obinna E. Onwujekwe; Alberto Ortiz; Eduardo Ortiz-Panozo; Nikita Otstavnov; Stanislav S. Otstavnov; Mayowa O. Owolabi; P.A. Mahesh; Jagadish Rao Padubidri; Abhijit P. Pakhare; Keyvan Pakshir; Adrian Pana; Songhomitra Panda-Jonas; Anamika Pandey; Seithikurippu R. Pandi-Perumal; Helena Ullyartha Pangaribuan; Deepak Kumar Pasupula; Sangram Kishor Patel; Urvish K. Patel; Ashish Pathak; George C. Patton; Hamidreza Pazoki Toroudi; Jeevan Pereira; Julia Moreira Pescarini; Hai Quang Pham; Brandon V. Pickering; Saeed Pirouzpanah; Meghdad Pirsaheb; Khem Narayan Pokhrel; Maarten J. Postma; Faheem Hyder Pottoo; Hadis Pourchamani; Hadi Pourjafar; Hossein Poustchi; Sergio I. Prada; Dimas Ria Angga Pribadi; Zahiruddin Quazi Syed; Navid Rabiee; Ata Rafiee; Fakher Rahim; Mohammad Hifz Ur Rahman; Muhammad Aziz Rahman; Amir Masoud Rahmani; Rajesh Kumar Rai; Aashish Rajesh; Pradhum Ram; Kiana Ramezanzadeh; Chhabi Lal Ranabhat; Sowmya J. Rao; Satish Rao; Prateek Rastogi; Priya Rathi; Lal Rawal; Wasiq Faraz Rawasia; Reza Rawassizadeh; Lemma Demissie Regassa; Robert C. Reiner; Bhageerathy Reshmi; Nima Rezaei; Omid Rezahosseini; Aziz Rezapour; Seyed Mohammad Riahi; Daniela Ribeiro; Ana Isabel Ribeiro; Jennifer Rickard; Hirbo Shore Roba; Leonardo Roever; Luca Ronfani; Morteza Rostamian; Susan Fred Rumisha; Godfrey M. Rwegerera; Siamak Sabour; Ehsan Sadeghi; Sahar Saeedi Moghaddam; Rajesh Sagar; Amirhossein Sahebkar; Mohammad Ali Sahraian; S. Mohammad Sajadi; Nasir Salam; Marwa Rashad Salem; Hossein Samadi Kafil; Itamar S. Santos; Milena M. Santric-Milicevic; Sivan Yegnanarayana Iyer Saraswathy; Nizal Sarrafzadegan; Benn Sartorius; Arash Sarveazad; Brijesh Sathian; Thirunavukkarasu Sathish; Deepak Saxena; Alyssa N. Sbarra; David C. Schwebel; Anbissa Muleta Senbeta; Debarka Sengupta; Subramanian Senthilkumaran; Sadaf G. Sepanlou; Allen Seylani; Feng Sha; Omid Shafaat; Saeed Shahabi; Mohammad Shahbaz; Izza Shahid; Masood Ali Shaikh; Mohammed Feyisso Shaka; Ali S. Shalash; Mahdi Shamali; Mehran Shams-Beyranvand; MohammadBagher Shamsi; Morteza Shamsizadeh; Mohammed Shannawaz; Kiomars Sharafi; Amrollah Sharifi; Aziz Sheikh; Abbas Sheikhtaheri; Ranjitha S. Shetty; B. Suresh Kumar Shetty; Adithi Shetty; Wondimeneh Shibabaw Shiferaw; Mika Shigematsu; Jae Il Shin; Rahman Shiri; Reza Shirkoohi; Velizar Shivarov; Soraya Siabani; Sudeep K. Siddappa Malleshappa; Tariq Jamal Siddiqi; Negussie Boti Sidemo; Balbir Bagicha Singh; Surya Singh; Yitagesu Sintayehu; Valentin Yurievich Skryabin; Anna Aleksandrovna Skryabina; Mohammad Reza Sobhiyeh; Amin Soheili; Shahin Soltani; Muluken Bekele Sorrie; Emma Elizabeth Spurlock; Chandrashekhar T. Sreeramareddy; Agus Sudaryanto; Mu’awiyyah Babale Sufiyan; Iyad Sultan; Rafael Tabarés-Seisdedos; Takahiro Tabuchi; Biruk Wogayehu Taddele; Eyayou Girma Tadesse; Amir Taherkhani; Zemenu Tamir; Animut Tagele Tamiru; Md Ismail Tareque; Abdelghani Tbakhi; Hirut Teame; Yonas Getaye Tefera; Arash Tehrani-Banihashemi; Yohannes Tekalegn; Merhawi Gebremedhin Tekle; Berhane Fseha Teklehaimanot; Mohamad-Hani Temsah; Getayeneh Antehunegn Tesema; Kavumpurathu Raman Thankappan; Nihal Thomas; Takele Tiki; Asres Bedaso Tilahune; Mariya Vladimirovna Titova; Marcos Roberto Tovani-Palone; Khanh Bao Tran; Bach Xuan Tran; Rajnish Tripathi; Jaya Prasad Tripathy; Phuong N. Truong; Riaz Uddin; Anayat Ullah; Chukwuma David Umeokonkwo; Chigozie Jesse Uneke; Bhaskaran Unnikrishnan; Era Upadhyay; Muhammad Shariq Usman; Marco Vacante; Alireza Vakilian; Sahel Valadan Tahbaz; Pascual R. Valdez; Yasser Vasseghian; Madhur Verma; Francesco S. Violante; Bay Vo; Yohannes Dibaba Wado; Yasir Waheed; Yafeng Wang; Yuan-Pang Wang; Kinley Wangdi; Girmay Teklay Weldesamuel; Andrea Werdecker; Taweewat Wiangkham; Nuwan Darshana Wickramasinghe; Charles Shey Wiysonge; Tewodros Eshete Wonde; Ai-Min Wu; Chenkai Wu; Yang Xie; Ali Yadollahpour; Seyed Hossein Yahyazadeh Jabbari; Tomohide Yamada; Mingyou Yang; Sanni Yaya; Vahid Yazdi-Feyzabadi; Tomas Y. Yeheyis; Alex Yeshaneh; Yigizie Yeshaw; Yordanos Gizachew Yeshitila; Mekdes Tigistu Yilma; Paul Yip; Melissa F. Young; Zabihollah Yousefi; Taraneh Yousefinezhadi; Hebat-Allah Salah A. Yousof; Abdilahi Yousuf Yousuf; Chuanhua Yu; Yong Yu; Shamsa Zafar; Syed Saoud Zaidi; Zoubida Zaidi; Josefina Zakzuk; Sojib Bin Zaman; Mohammad Zamani; Maryam Zamanian; Alireza Zandifar; Alireza Zangeneh; Mikhail Sergeevich Zastrozhin; Anasthasia Zastrozhina; Dejene Tesfaye Zewdie; Kaleab Alemayehu Zewdie; Yunquan Zhang; Cong Zhu; Arash Ziapour; Nicholas J. Kassebaum; Simon I. Hay
Anemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000–2018 geospatial estimates of anemia prevalence in women of reproductive age (15–49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate results to policy-relevant administrative and national levels. Additionally, we provide subnational disparity analyses to provide a comprehensive overview of anemia prevalence inequalities within these countries and predict progress toward the World Health Organization’s Global Nutrition Target (WHO GNT) to reduce anemia by half by 2030. Our results demonstrate widespread moderate improvements in overall anemia prevalence but identify only three LMICs with a high probability of achieving the WHO GNT by 2030 at a national scale, and no LMIC is expected to achieve the target in all their subnational administrative units. Our maps show where large within-country disparities occur, as well as areas likely to fall short of the WHO GNT, offering precision public health tools so that adequate resource allocation and subsequent interventions can be targeted to the most vulnerable populations. © 2021, The Author(s).
Burden of 375 diseases and injuries, risk-attributable burden of 88 risk factors, and healthy life expectancy in 204 countries and territories, including 660 subnational locations, 1990–2023: a systematic analysis for the Global Burden of Disease Study 2023
(Elsevier B.V., 2025) Simon I. Hay; Kanyin Liane Ong; Damian Francesco Santomauro; A. Bhoomadevi; Mohammad Amin Aalipour; Hasan Abualruz; Hazim S. Ababneh; Ukachukwu Okoroafor Abaraogu; Biruk Beletew Abate; Cristiana Abbafati; Nasir Abbas; Mitra Abbasifard; Mohsen Abbasi-Kangevari; Samar Abd ElHafeez; Ashraf N. Abdalla; Mohammed Altigani Abdalla; Emad M. Abdallah; Barkhad Aden Abdeeq; Nadin M. Abdel Razeq; Ahmed Abdelrahman Abdelgalil; Reda S. Abdel-Hameed; Michael Abdelmasseh; Mahmoud Hassan Abdelnabi; Wael M. Abdel-Rahman; Sherief M. Abd-Elsalam; Sepideh Abdi; Mohammad Abdollahi; Meriem Abdoun; Arman Abdous; Jeza Muhamad Abdul Aziz; Deldar Morad Abdulah; Rizwan Suliankatchi Abdulkader; Adam Ibrahim Abdullahi; Auwal S. Abdullahi; Toufik Abdul-Rahman; Kulmira Abdykerimova; Habtamu Abebe Getahun; Aidin Abedi; Armita Abedi; Asrat Agalu Abejew; Roberto Ariel Abeldaño Zuñiga; E. S. Abhilash; Shehab Uddin Al Abid; Syed Hani Abidi; Alemwork Abie; Olugbenga Olusola Abiodun; Olumide A. Abiodun; Richard Gyan Aboagye; Shady M. Abohashem; Hassan Abolhassani; Ulric Sena Abonie; Nagah M. Abourashed; Mohamed Riad Abouzid; Dmitry Abramov; Lucas Guimarães Abreu; Dariush Abtahi; Rana K. Abu Farha; Fuad Hamdi Abuadas; Aminu Kende Abubakar; Bilyaminu Abubakar; Eman F. Abu-Gharbieh; Sawsan Hammad Abuhammad; Ahmad Yousef Abuhelwa; Hana J. Abukhadijah; Niveen M.E. Abu-Rmeileh; Salahdein Aburuz; Dina Hamdi Abushanab; Raghu Ram Achar; Anirudh B. Acharya; Apurba Acharya; Ilana N. Ackerman; Juan Manuel Acuna; Ousman Adal; Lisa Christine Adams; Lawan H. Adamu; Mesafint Molla Adane; Zenaw Debasu Addisu; Isaac Yeboah Addo; Oluwafemi Atanda Adeagbo; Tajudeen Adesanmi Adebisi; Isaac Akinkunmi Adedeji; David Adedia; Kamoru A. Adedokun; Rufus A. Adedoyin; Oluwatobi E. Adegbile; Oyelola Abdulwasiu Adegboye; Nurudeen A. Adegoke; Olumide Thomas Adeleke; Isaac A. Adesina; Miracle Ayomikun Adesina; Habeeb Omoponle Adewuyi; Temitayo Esther Adeyeoluwa; Olorunsola I. Adeyomoye; Kishor Adhikari; Ripon Kumar Adhikary; Usha Sachidananda Adiga; Mohd Adnan; Qorinah Estiningtyas Sakilah Adnani; Prince Owusu Adoma; Leticia Akua Adzigbli
Background For more than three decades, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) has provided a framework to quantify health loss due to diseases, injuries, and associated risk factors. This paper presents GBD 2023 findings on disease and injury burden and risk-attributable health loss, offering a global audit of the state of world health to inform public health priorities. This work captures the evolving landscape of health metrics across age groups, sexes, and locations, while reflecting on the remaining post-COVID-19 challenges to achieving our collective global health ambitions. Methods The GBD 2023 combined analysis estimated years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs) for 375 diseases and injuries, and risk-attributable burden associated with 88 modifiable risk factors. Of the more than 310 000 total data sources used for all GBD 2023 (about 30% of which were new to this estimation round), more than 120 000 sources were used for estimation of disease and injury burden and 59 000 for risk factor estimation, and included vital registration systems, surveys, disease registries, and published scientific literature. Data were analysed using previously established modelling approaches, such as disease modelling meta-regression version 2.1 (DisMod-MR 2.1) and comparative risk assessment methods. Diseases and injuries were categorised into four levels on the basis of the established GBD cause hierarchy, as were risk factors using the GBD risk hierarchy. Estimates stratified by age, sex, location, and year from 1990 to 2023 were focused on disease-specific time trends over the 2010–23 period and presented as counts (to three significant figures) and age-standardised rates per 100 000 person-years (to one decimal place). For each measure, 95% uncertainty intervals [UIs] were calculated with the 2·5th and 97·5th percentile ordered values from a 250-draw distribution. Findings Total numbers of global DALYs grew 6·1% (95% UI 4·0–8·1), from 2·64 billion (2·46–2·86) in 2010 to 2·80 billion (2·57–3·08) in 2023, but age-standardised DALY rates, which account for population growth and ageing, decreased by 12·6% (11·0–14·1), revealing large long-term health improvements. Non-communicable diseases (NCDs) contributed 1·45 billion (1·31–1·61) global DALYs in 2010, increasing to 1·80 billion (1·63–2·03) in 2023, alongside a concurrent 4·1% (1·9–6·3) reduction in age-standardised rates. Based on DALY counts, the leading level 3 NCDs in 2023 were ischaemic heart disease (193 million [176–209] DALYs), stroke (157 million [141–172]), and diabetes (90·2 million [75·2–107]), with the largest increases in age-standardised rates since 2010 occurring for anxiety disorders (62·8% [34·0–107·5]), depressive disorders (26·3% [11·6–42·9]), and diabetes (14·9% [7·5–25·6]). Remarkable health gains were made for communicable, maternal, neonatal, and nutritional (CMNN) diseases, with DALYs falling from 874 million (837–917) in 2010 to 681 million (642–736) in 2023, and a 25·8% (22·6–28·7) reduction in age-standardised DALY rates. During the COVID-19 pandemic, DALYs due to CMNN diseases rose but returned to pre-pandemic levels by 2023. From 2010 to 2023, decreases in age-standardised rates for CMNN diseases were led by rate decreases of 49·1% (32·7–61·0) for diarrhoeal diseases, 42·9% (38·0–48·0) for HIV/AIDS, and 42·2% (23·6–56·6) for tuberculosis. Neonatal disorders and lower respiratory infections remained the leading level 3 CMNN causes globally in 2023, although both showed notable rate decreases from 2010, declining by 16·5% (10·6–22·0) and 24·8% (7·4–36·7), respectively. Injury-related age-standardised DALY rates decreased by 15·6% (10·7–19·8) over the same period. Differences in burden due to NCDs, CMNN diseases, and injuries persisted across age, sex, time, and location. Based on our risk analysis, nearly 50% (1·27 billion [1·18–1·38]) of the roughly 2·80 billion total global DALYs in 2023 were attributable to the 88 risk factors analysed in GBD. Globally, the five level 3 risk factors contributing the highest proportion of risk-attributable DALYs were high systolic blood pressure (SBP), particulate matter pollution, high fasting plasma glucose (FPG), smoking, and low birthweight and short gestation—with high SBP accounting for 8·4% (6·9–10·0) of total DALYs. Of the three overarching level 1 GBD risk factor categories—behavioural, metabolic, and environmental and occupational—risk-attributable DALYs rose between 2010 and 2023 only for metabolic risks, increasing by 30·7% (24·8–37·3); however, age-standardised DALY rates attributable to metabolic risks decreased by 6·7% (2·0–11·0) over the same period. For all but three of the 25 leading level 3 risk factors, age-standardised rates dropped between 2010 and 2023—eg, declining by 54·4% (38·7–65·3) for unsafe sanitation, 50·5% (33·3–63·1) for unsafe water source, and 45·2% (25·6–72·0) for no access to handwashing facility, and by 44·9% (37·3–53·5) for child growth failure. The three leading level 3 risk factors for which age-standardised attributable DALY rates rose were high BMI (10·5% [0·1 to 20·9]), drug use (8·4% [2·6 to 15·3]), and high FPG (6·2% [–2·7 to 15·6]; non-significant). Interpretation Our findings underscore the complex and dynamic nature of global health challenges. Since 2010, there have been large decreases in burden due to CMNN diseases and many environmental and behavioural risk factors, juxtaposed with sizeable increases in DALYs attributable to metabolic risk factors and NCDs in growing and ageing populations. This long-observed consequence of the global epidemiological transition was only temporarily interrupted by the COVID-19 pandemic. The substantially decreasing CMNN disease burden, despite the 2008 global financial crisis and pandemic-related disruptions, is one of the greatest collective public health successes known. However, these achievements are at risk of being reversed due to major cuts to development assistance for health globally, the effects of which will hit low-income countries with high burden the hardest. Without sustained investment in evidence-based interventions and policies, progress could stall or reverse, leading to widespread human costs and geopolitical instability. Moreover, the rising NCD burden necessitates intensified efforts to mitigate exposure to leading risk factors—eg, air pollution, smoking, and metabolic risks, such as high SBP, BMI, and FPG—including policies that promote food security, healthier diets, physical activity, and equitable and expanded access to potential treatments, such as GLP-1 receptor agonists. Decisive, coordinated action is needed to address long-standing yet growing health challenges, including depressive and anxiety disorders. Yet this can be only part of the solution. Our response to the NCD syndemic—the complex interaction of multiple health risks, social determinants, and systemic challenges—will define the future landscape of global health. To ensure human wellbeing, economic stability, and social equity, global action to sustain and advance health gains must prioritise reducing disparities by addressing socioeconomic and demographic determinants, ensuring equitable health-care access, tackling malnutrition, strengthening health systems, and improving vaccination coverage. We live in times of great opportunity. Funding Gates Foundation and Bloomberg Philanthropies. © 2025 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.
Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
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Kurmi; Dian Kusuma; Hmwe Hmwe Kyu; Carlo La Vecchia; Ben Lacey; Dharmesh Kumar Lal; Ratilal Lalloo; Tea Lallukka; Jennifer O. Lam; Faris Hasan Lami; Qing Lan; Iván Landires; Justin J. Lang; Sinéad M. Langan; Van Charles Lansingh; Sonia Lansky; Heidi Jane Larson; Samantha Leigh Larson; Anders O. Larsson; Savita Lasrado; Zohra S. Lassi; Kathryn Mei-Ming Lau; Paolo Lauriola; Pablo M. Lavados; Jeffrey V. Lazarus; Lisiane F. Leal; Janet L. Leasher; Jorge R. Ledesma; Paul H. Lee; Shaun Wen Huey Lee; Andrew T. Leever; Kate E. LeGrand; James Leigh; Matilde Leonardi; Haley Lescinsky; Janni Leung; Miriam Levi; Sarah Lewington; Bingyu Li; Shanshan Li; Lee-Ling Lim; Christine Lin; Ro-Ting Lin; Christine Linehan; Shai Linn; Stefan Listl; Hung-Chun Liu; Shiwei Liu; Simin Liu; Xuefeng Liu; Yang Liu; Zichen Liu; Justin Lo; Rakesh Lodha; Giancarlo Logroscino; Katharine J. Looker; Alan D. Lopez; Jaifred Christian F. Lopez; Platon D. Lopukhov; Stefan Lorkowski; Paulo A. Lotufo; Rafael Lozano; Alton Lu; Tim C.D. Lucas; Alessandra Lugo; Raimundas Lunevicius; Ronan A. Lyons; Jianing Ma; Daiane Borges Machado; Jennifer H. MacLachlan; Mohammed Madadin; Emilie R. Maddison; Ralph Maddison; Fabiana Madotto; Hassan Magdy Abd El Razek; Muhammed Magdy Abd El Razek; Phetole Walter Mahasha; Mokhtar Mahdavi Mahdavi; Morteza Mahmoudi; Hue Thi Mai; Azeem Majeed; Jeadran N. Malagón-Rojas; Venkatesh Maled; Afshin Maleki; Shokofeh Maleki; Reza Malekzadeh; Deborah Carvalho Malta; Abdullah A. Mamun; Amir Manafi; Navid Manafi; Ana Laura Manda; Helena Manguerra; Fariborz Mansour-Ghanaei; Borhan Mansouri; Mohammad Ali Mansournia; Ana M. Mantilla Herrera; Chabila Christopher Mapoma; Joemer C. Maravilla; Ashley Marks; Randall V. Martin; Santi Martini; Francisco Rogerlândio Martins-Melo; Ira Martopullo; Anthony Masaka; Seyedeh Zahra Masoumi; João Massano; Benjamin Ballard Massenburg; Claudia I. Mastrogiacomo; Manu Raj Mathur; Kunihiro Matsushita; Pallab K. Maulik; Erin A. May; Mohsen Mazidi; Colm McAlinden; John J. McGrath; Martin McKee; Carlo Eduardo Medina-Solís; Birhanu Geta Meharie; Man Mohan Mehndiratta; Entezar Mehrabi Nasab; Fereshteh Mehri; Ravi Mehrotra; Kala M. Mehta; Wahengbam Bigyananda Meitei; Teferi Mekonnen; Addisu Melese; Peter T.N. Memiah; Ziad A. Memish; Walter Mendoza; Ritesh G. Menezes; Endalkachew Worku Mengesha; Meresa Berwo Mengesha; George A. Mensah; Alibek Mereke; Seid Tiku Mereta; Atte Meretoja; Tuomo J. Meretoja; Tomislav Mestrovic; Bartosz Miazgowski; Tomasz Miazgowski; Irmina Maria Michalek; Kebadnew Mulatu Mihretie; Ted R. Miller; Edward J. Mills; George J. Milne; G.K. Mini; Mohammad Miri; Andreea Mirica; Erkin M. Mirrakhimov; Hamed Mirzaei; Maryam Mirzaei; Roya Mirzaei; Mehdi Mirzaei-Alavijeh; Awoke Temesgen Misganaw; Philip B. Mitchell; Prasanna Mithra; Babak Moazen; Masoud Moghadaszadeh; Bahram Mohajer; Osama Mohamad; Efat Mohamadi; Dara K. Mohammad; Yousef Mohammad
Background: In an era of shifting global agendas and expanded emphasis on non-communicable diseases and injuries along with communicable diseases, sound evidence on trends by cause at the national level is essential. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic scientific assessment of published, publicly available, and contributed data on incidence, prevalence, and mortality for a mutually exclusive and collectively exhaustive list of diseases and injuries. Methods: GBD estimates incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) due to 369 diseases and injuries, for two sexes, and for 204 countries and territories. Input data were extracted from censuses, household surveys, civil registration and vital statistics, disease registries, health service use, air pollution monitors, satellite imaging, disease notifications, and other sources. Cause-specific death rates and cause fractions were calculated using the Cause of Death Ensemble model and spatiotemporal Gaussian process regression. Cause-specific deaths were adjusted to match the total all-cause deaths calculated as part of the GBD population, fertility, and mortality estimates. Deaths were multiplied by standard life expectancy at each age to calculate YLLs. A Bayesian meta-regression modelling tool, DisMod-MR 2.1, was used to ensure consistency between incidence, prevalence, remission, excess mortality, and cause-specific mortality for most causes. Prevalence estimates were multiplied by disability weights for mutually exclusive sequelae of diseases and injuries to calculate YLDs. We considered results in the context of the Socio-demographic Index (SDI), a composite indicator of income per capita, years of schooling, and fertility rate in females younger than 25 years. Uncertainty intervals (UIs) were generated for every metric using the 25th and 975th ordered 1000 draw values of the posterior distribution. Findings: Global health has steadily improved over the past 30 years as measured by age-standardised DALY rates. After taking into account population growth and ageing, the absolute number of DALYs has remained stable. Since 2010, the pace of decline in global age-standardised DALY rates has accelerated in age groups younger than 50 years compared with the 1990–2010 time period, with the greatest annualised rate of decline occurring in the 0–9-year age group. Six infectious diseases were among the top ten causes of DALYs in children younger than 10 years in 2019: lower respiratory infections (ranked second), diarrhoeal diseases (third), malaria (fifth), meningitis (sixth), whooping cough (ninth), and sexually transmitted infections (which, in this age group, is fully accounted for by congenital syphilis; ranked tenth). In adolescents aged 10–24 years, three injury causes were among the top causes of DALYs: road injuries (ranked first), self-harm (third), and interpersonal violence (fifth). Five of the causes that were in the top ten for ages 10–24 years were also in the top ten in the 25–49-year age group: road injuries (ranked first), HIV/AIDS (second), low back pain (fourth), headache disorders (fifth), and depressive disorders (sixth). In 2019, ischaemic heart disease and stroke were the top-ranked causes of DALYs in both the 50–74-year and 75-years-and-older age groups. Since 1990, there has been a marked shift towards a greater proportion of burden due to YLDs from non-communicable diseases and injuries. In 2019, there were 11 countries where non-communicable disease and injury YLDs constituted more than half of all disease burden. Decreases in age-standardised DALY rates have accelerated over the past decade in countries at the lower end of the SDI range, while improvements have started to stagnate or even reverse in countries with higher SDI. Interpretation: As disability becomes an increasingly large component of disease burden and a larger component of health expenditure, greater research and development investment is needed to identify new, more effective intervention strategies. With a rapidly ageing global population, the demands on health services to deal with disabling outcomes, which increase with age, will require policy makers to anticipate these changes. The mix of universal and more geographically specific influences on health reinforces the need for regular reporting on population health in detail and by underlying cause to help decision makers to identify success stories of disease control to emulate, as well as opportunities to improve. Funding: Bill & Melinda Gates Foundation. © 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
Global, regional, and national burden of low back pain, 1990–2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021
(Elsevier Ltd, 2023) Manuela L Ferreira; Katie De Luca; Lydia M Haile; Jaimie D Steinmetz; Garland T Culbreth; Marita Cross; Jacek A Kopec; Paulo H Ferreira; Fiona M Blyth; Rachelle Buchbinder; Jan Hartvigsen; Ai-Min Wu; Saeid Safiri; Anthony D Woolf; Gary S Collins; Kanyin Liane Ong; Stein Emil Vollset; Amanda E Smith; Jessica A Cruz; Kai Glenn Fukutaki; Semagn Mekonnen Abate; Mitra Abbasifard; Mohsen Abbasi-Kangevari; Zeinab Abbasi-Kangevari; Ahmed Abdelalim; Aidin Abedi; Hassan Abidi; Qorinah Estiningtyas Sakilah Adnani; Ali Ahmadi; Rufus Olusola Akinyemi; Abayneh Tadesse Alamer; Adugnaw Zeleke Alem; Yousef Alimohamadi; Mansour Abdullah Alshehri; Mohammed Mansour Alshehri; Hosam Alzahrani; Saeed Amini; Sohrab Amiri; Hubert Amu; Catalina Liliana Andrei; Tudorel Andrei; Benny Antony; Jalal Arabloo; Judie Arulappan; Ashokan Arumugam; Tahira Ashraf; Seyyed Shamsadin Athari; Nefsu Awoke; Sina Azadnajafabad; Till Winfried Bärnighausen; Lope H Barrero; Amadou Barrow; Akbar Barzegar; Lindsay M Bearne; Isabela M Bensenor; Alemshet Yirga Berhie; Bharti Bhandari Bhandari; Vijayalakshmi S Bhojaraja; Ali Bijani; Belay Boda Abule Bodicha; Srinivasa Rao Bolla; Javier Brazo-Sayavera; Andrew M Briggs; Chao Cao; Periklis Charalampous; Vijay Kumar Chattu; Flavia M Cicuttini; Benjamin Clarsen; Sarah Cuschieri; Omid Dadras; Xiaochen Dai; Lalit Dandona; Rakhi Dandona; Azizallah Dehghan; Takele Gezahegn G Demie; Edgar Denova-Gutiérrez; Syed Masudur Rahman Dewan; Samath Dhamminda Dharmaratne; Mandira Lamichhane Dhimal; Meghnath Dhimal; Daniel Diaz; Mojtaba Didehdar; Lankamo Ena Digesa; Mengistie Diress; Hoa Thi Do; Linh Phuong Doan; Michael Ekholuenetale; Muhammed Elhadi; Sharareh Eskandarieh; Shahriar Faghani; Jawad Fares; Ali Fatehizadeh; Getahun Fetensa; Irina Filip; Florian Fischer; Richard Charles Franklin; Balasankar Ganesan; Belete Negese Belete Gemeda; Motuma Erena Getachew; Ahmad Ghashghaee; Tiffany K Gill; Mahaveer Golechha; Pouya Goleij; Bhawna Gupta; Nima Hafezi-Nejad; Arvin Haj-Mirzaian; Pawan Kumar Hamal; Asif Hanif; Netanja I Harlianto; Hamidreza Hasani; Simon I Hay; Jeffrey J Hebert; Golnaz Heidari; Mohammad Heidari; Reza Heidari-Soureshjani; Mbuzeleni Mbuzeleni Hlongwa; Mohammad-Salar Hosseini; Alexander Kevin Hsiao; Ivo Iavicoli; Segun Emmanuel Ibitoye; Irena M Ilic; Milena D Ilic; Sheikh Mohammed Shariful Islam; Manthan Dilipkumar Janodia; Ravi Prakash Jha; Har Ashish Jindal; Jost B Jonas; Gebisa Guyasa Kabito; Himal Kandel; Rimple Jeet Kaur; Vikash Ranjan Keshri; Yousef Saleh Khader; Ejaz Ahmad Khan; Md Jobair Khan; Moien A B Khan; Hamid Reza Khayat Kashani; Jagdish Khubchandani; Yun Jin Kim; Adnan Kisa; Jitka Klugarová; Ali-Asghar Kolahi; Hamid Reza Koohestani; Ai Koyanagi; G Anil Kumar; Narinder Kumar; Tea Lallukka; Savita Lasrado; Wei-Chen Lee; Yo Han Lee; Ata Mahmoodpoor; Jeadran N Malagón-Rojas; Mohammad-Reza Malekpour; Reza Malekzadeh; Narges Malih; Man Mohan Mehndiratta; Entezar Mehrabi Nasab; Ritesh G Menezes; Alexios-Fotios A Mentis; Mohamed Kamal Mesregah; Ted R Miller; Mohammad Mirza-Aghazadeh-Attari; Maryam Mobarakabadi; Yousef Mohammad; Esmaeil Mohammadi; Shafiu Mohammed; Ali H Mokdad; Sara Momtazmanesh; Lorenzo Monasta; Mohammad Ali Moni; Ebrahim Mostafavi; Christopher J L Murray; Tapas Sadasivan Nair; Javad Nazari; Seyed Aria Nejadghaderi; Subas Neupane; Sandhya Neupane Kandel; Cuong Tat Nguyen; Ali Nowroozi; Hassan Okati-Aliabad; Emad Omer; Abderrahim Oulhaj; Mayowa O Owolabi; Songhomitra Panda-Jonas; Anamika Pandey; Eun-Kee Park; Shrikant Pawar; Paolo Pedersini; Jeevan Pereira; Mario F P Peres; Ionela-Roxana Petcu; Mohammadreza Pourahmadi; Amir Radfar; Shahram Rahimi-Dehgolan; Vafa Rahimi-Movaghar; Mosiur Rahman; Amir Masoud Rahmani; Nazanin Rajai; Chythra R Rao; Vahid Rashedi; Mohammad-Mahdi Rashidi; Zubair Ahmed Ratan; David Laith Rawaf; Salman Rawaf; Andre M N Renzaho; Negar Rezaei; Zahed Rezaei; Leonardo Roever; Guilherme De Andrade Ruela; Basema Saddik; Amirhossein Sahebkar; Sana Salehi; Francesco Sanmarchi; Sadaf G Sepanlou; Saeed Shahabi; Shayan Shahrokhi; Elaheh Shaker; Mohammad Bagher Shamsi; Mohammed Shannawaz; Saurab Sharma; Maryam Shaygan; Rahim Ali Sheikhi; Jeevan K Shetty; Rahman Shiri; Siddharudha Shivalli; Parnian Shobeiri; Migbar Mekonnen Sibhat; Ambrish Singh; Jasvinder A Singh; Helen Slater; Marco Solmi; Ranjani Somayaji; Ker-Kan Tan; Rekha Thapar; Seyed Abolfazl Tohidast; Sahel Valadan Tahbaz; Rohollah Valizadeh; Tommi Juhani Vasankari; Narayanaswamy Venketasubramanian; Vasily Vlassov; Bay Vo; Yuan-Pang Wang; Taweewat Wiangkham; Lalit Yadav; Ali Yadollahpour; Seyed Hossein Yahyazadeh Jabbari; Lin Yang; Fereshteh Yazdanpanah; Naohiro Yonemoto; Mustafa Z Younis; Iman Zare; Armin Zarrintan; Mohammad Zoladl; Theo Vos; Lyn M March
Background: Low back pain is highly prevalent and the main cause of years lived with disability (YLDs). We present the most up-to-date global, regional, and national data on prevalence and YLDs for low back pain from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021. Methods: Population-based studies from 1980 to 2019 identified in a systematic review, international surveys, US medical claims data, and dataset contributions by collaborators were used to estimate the prevalence and YLDs for low back pain from 1990 to 2020, for 204 countries and territories. Low back pain was defined as pain between the 12th ribs and the gluteal folds that lasted a day or more; input data using alternative definitions were adjusted in a network meta-regression analysis. Nested Bayesian meta-regression models were used to estimate prevalence and YLDs by age, sex, year, and location. Prevalence was projected to 2050 by running a regression on prevalence rates using Socio-demographic Index as a predictor, then multiplying them by projected population estimates. Findings: In 2020, low back pain affected 619 million (95% uncertainty interval 554–694) people globally, with a projection of 843 million (759–933) prevalent cases by 2050. In 2020, the global age-standardised rate of YLDs was 832 per 100 000 (578–1070). Between 1990 and 2020, age-standardised rates of prevalence and YLDs decreased by 10·4% (10·9–10·0) and 10·5% (11·1–10·0), respectively. A total of 38·8% (28·7–47·0) of YLDs were attributed to occupational factors, smoking, and high BMI. Interpretation: Low back pain remains the leading cause of YLDs globally, and in 2020, there were more than half a billion prevalent cases of low back pain worldwide. While age-standardised rates have decreased modestly over the past three decades, it is projected that globally in 2050, more than 800 million people will have low back pain. Challenges persist in obtaining primary country-level data on low back pain, and there is an urgent need for more high-quality, primary, country-level data on both prevalence and severity distributions to improve accuracy and monitor change. Funding: Bill and Melinda Gates Foundation. © 2023 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
Global, regional, and national burden of stroke and its risk factors, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019
(Elsevier Ltd, 2021) Valery L. Feigin; Benjamin A. Stark; Catherine Owens Johnson; Gregory A. Roth; Catherine Bisignano; Gdiom Gebreheat Abady; Mitra Abbasifard; Mohsen Abbasi-Kangevari; Foad Abd-Allah; Vida Abedi; Ahmed Abualhasan; Niveen M.E. Abu-Rmeileh; Abdelrahman I. Abushouk; Oladimeji M. Adebayo; Gina Agarwal; Pradyumna Agasthi; Bright Opoku Ahinkorah; Sohail Ahmad; Sepideh Ahmadi; Yusra Ahmed Salih; Budi Aji; Samaneh Akbarpour; Rufus Olusola Akinyemi; Hanadi Al Hamad; Fares Alahdab; Sheikh Mohammad Alif; Vahid Alipour; Syed Mohamed Aljunid; Sami Almustanyir; Rajaa M Al-Raddadi; Rustam Al-Shahi Salman; Nelson Alvis-Guzman; Robert Ancuceanu; Deanna Anderlini; Jason A. Anderson; Adnan Ansar; Ippazio Cosimo Antonazzo; Jalal Arabloo; Johan Ärnlöv; Kurnia Dwi Artanti; Zahra Aryan; Samaneh Asgari; Tahira Ashraf; Mohammad Athar; Alok Atreya; Marcel Ausloos; Atif Amin Baig; Ovidiu Constantin Baltatu; MacIej Banach; Miguel A. Barboza; Suzanne Lyn Barker-Collo; Till Winfried Bärnighausen; Mark Thomaz Ugliara Barone; Sanjay Basu; Gholamreza Bazmandegan; Ettore Beghi; Mahya Beheshti; Yannick Béjot; Arielle Wilder Bell; Derrick A. Bennett; Isabela M. Bensenor; Woldesellassie Mequanint Bezabhe; Yihienew Mequanint Bezabih; Akshaya Srikanth Bhagavathula; Pankaj Bhardwaj; Krittika Bhattacharyya; Ali Bijani; Boris Bikbov; Mulugeta M. Birhanu; Archith Boloor; Aime Bonny; Michael Brauer; Hermann Brenner; Dana Bryazka; Zahid A. Butt; Florentino Luciano Caetano Dos Santos; Ismael R. Campos-Nonato; Carlos Cantu-Brito; Juan J. Carrero; Carlos A. Castañeda-Orjuela; Alberico L. Catapano; Promit Ananyo Chakraborty; Jaykaran Charan; Sonali Gajanan Choudhari; Enayet Karim Chowdhury; Dinh-Toi Chu; Sheng-Chia Chung; David Colozza; Vera Marisa Costa; Simona Costanzo; Michael H. Criqui; Omid Dadras; Baye Dagnew; Xiaochen Dai; Koustuv Dalal; Albertino Antonio Moura Damasceno; Emanuele D'Amico; Lalit Dandona; Rakhi Dandona; Jiregna Darega Gela; Kairat Davletov; Vanessa De La Cruz-Góngora; Rupak Desai; Deepak Dhamnetiya; Samath Dhamminda Dharmaratne; Mandira Lamichhane Dhimal; Meghnath Dhimal; Daniel Diaz; Martin Dichgans; Klara Dokova; Rajkumar Doshi; Abdel Douiri; Bruce B. Duncan; Sahar Eftekharzadeh; Michael Ekholuenetale; Nevine El Nahas; Islam Y. Elgendy; Muhammed Elhadi; Shaimaa I El-Jaafary; Matthias Endres; Aman Yesuf Endries; Daniel Asfaw Erku; Emerito Jose A. Faraon; Umar Farooque; Farshad Farzadfar; Abdullah Hamid Feroze; Irina Filip; Florian Fischer; David Flood; Mohamed M. Gad; Shilpa Gaidhane; Reza Ghanei Gheshlagh; Ahmad Ghashghaee; Nermin Ghith; Ghozali Ghozali; Sherief Ghozy; Alessandro Gialluisi; Simona Giampaoli; Syed Amir Gilani; Paramjit Singh Gill; Elena V. Gnedovskaya; Mahaveer Golechha; Alessandra C. Goulart; Yuming Guo; Rajeev Gupta; Veer Bala Gupta; Vivek Kumar Gupta; Pradip Gyanwali; Nima Hafezi-Nejad; Samer Hamidi; Asif Hanif; Graeme J. Hankey; Arief Hargono; Abdiwahab Hashi; Treska S. Hassan; Hamid Yimam Hassen; Rasmus J. Havmoeller; Simon I. Hay; Khezar Hayat; Mohamed I. Hegazy; Claudiu Herteliu; Ramesh Holla; Sorin Hostiuc; Mowafa Househ; Junjie Huang; Ayesha Humayun; Bing-Fang Hwang; Licia Iacoviello; Ivo Iavicoli; Segun Emmanuel Ibitoye; Olayinka Stephen Ilesanmi; Irena M. Ilic; Milena D. Ilic; Usman Iqbal; Seyed Sina Naghibi Irvani; Sheikh Mohammed Shariful Islam; Nahlah Elkudssiah Ismail; Hiroyasu Iso; Gaetano Isola; Masao Iwagami; Louis Jacob; Vardhmaan Jain; Sung-In Jang; Sathish Kumar Jayapal; Shubha Jayaram; Ranil Jayawardena; Panniyammakal Jeemon; Ravi Prakash Jha; Walter D. Johnson; Jost B. Jonas; Nitin Joseph; Jacek Jerzy Jozwiak; Mikk Jürisson; Rizwan Kalani; Rohollah Kalhor; Yogeshwar Kalkonde; Ashwin Kamath; Zahra Kamiab; Tanuj Kanchan; Himal Kandel; André Karch; Patrick D.M.C. Katoto; Gbenga A. Kayode; Pedram Keshavarz; Yousef Saleh Khader; Ejaz Ahmad Khan; Imteyaz A. Khan; Maseer Khan; Moien A.B. Khan; Mahalaqua Nazli Khatib; Jagdish Khubchandani; Gyu Ri Kim; Min Seo Kim; Yun Jin Kim; Adnan Kisa; Sezer Kisa; Mika Kivimäki; Dhaval Kolte; Ali Koolivand; Sindhura Lakshmi Koulmane Laxminarayana; Ai Koyanagi; Kewal Krishan; Vijay Krishnamoorthy; Rita V. Krishnamurthi; G. Anil Kumar; Dian Kusuma; Carlo La Vecchia; Ben Lacey; Hassan Mehmood Lak; Tea Lallukka; Savita Lasrado; Pablo M. Lavados; Matilde Leonardi; Bingyu Li; Shanshan Li; Hualiang Lin; Ro-Ting Lin; Xuefeng Liu; Warren David Lo; Stefan Lorkowski; Giancarlo Lucchetti; Ricardo Lutzky Saute; Hassan Magdy Abd El Razek; Francesca Giulia Magnani; Preetam Bhalchandra Mahajan; Azeem Majeed; Alaa Makki; Reza Malekzadeh; Ahmad Azam Malik; Navid Manafi; Mohammad Ali Mansournia; Lorenzo Giovanni Mantovani; Santi Martini; Giampiero Mazzaglia; Man Mohan Mehndiratta; Ritesh G. Menezes; Atte Meretoja; Amanual Getnet Mersha; Junmei Miao Jonasson; Bartosz Miazgowski; Tomasz Miazgowski; Irmina Maria Michalek; Erkin M. Mirrakhimov; Yousef Mohammad; Abdollah Mohammadian-Hafshejani; Shafiu Mohammed; Ali H. Mokdad; Yaser Mokhayeri; Mariam Molokhia; Mohammad Ali Moni; Ahmed Al Montasir; Rahmatollah Moradzadeh; Lidia Morawska; Jakub Morze; Walter Muruet; Kamarul Imran Musa; Ahamarshan Jayaraman Nagarajan; Mohsen Naghavi; Sreenivas Narasimha Swamy; Bruno Ramos Nascimento; Ruxandra Irina Negoi; Sandhya Neupane Kandel; Trang Huyen Nguyen; Bo Norrving; Jean Jacques Noubiap; Vincent Ebuka Nwatah; Bogdan Oancea; Oluwakemi Ololade Odukoya; Andrew T. Olagunju; Hans Orru; Mayowa O. Owolabi; Jagadish Rao Padubidri; Adrian Pana; Tarang Parekh; Eun-Cheol Park; Fatemeh Pashazadeh Kan; Mona Pathak; Mario F.P. Peres; Arokiasamy Perianayagam; Truong-Minh Pham; Michael A. Piradov; Vivek Podder; Suzanne Polinder; Maarten J. Postma; Akram Pourshams; Amir Radfar; Alireza Rafiei; Alberto Raggi; Fakher Rahim; Vafa Rahimi-Movaghar; Mosiur Rahman; Muhammad Aziz Rahman; Amir Masoud Rahmani; Nazanin Rajai; Priyanga Ranasinghe; Chythra R. Rao; Sowmya J. Rao; Priya Rathi; David Laith Rawaf; Salman Rawaf; Marissa B. Reitsma; Vishnu Renjith; Andre M.N. Renzaho; Aziz Rezapour; Jefferson Antonio Buendia Rodriguez; Leonardo Roever; Michele Romoli; Andrzej Rynkiewicz; Simona Sacco; Masoumeh Sadeghi; Sahar Saeedi Moghaddam; Amirhossein Sahebkar; K.M. Saif-Ur-Rahman; Rehab Salah; Mehrnoosh Samaei; Abdallah M. Samy; Itamar S. Santos; Milena M. Santric-Milicevic; Nizal Sarrafzadegan; Brijesh Sathian; Davide Sattin; Silvia Schiavolin; Markus P. Schlaich; Maria Inês Schmidt; Aletta Elisabeth Schutte; Sadaf G. Sepanlou; Allen Seylani; Feng Sha; Saeed Shahabi; Masood Ali Shaikh; Mohammed Shannawaz; Md. Shajedur Rahman Shawon; Aziz Sheikh; Sara Sheikhbahaei; Kenji Shibuya; Soraya Siabani; Diego Augusto Santos Silva; Jasvinder A. Singh; Jitendra Kumar Singh; Valentin Yurievich Skryabin; Anna Aleksandrovna Skryabina; Badr Hasan Sobaih; Stefan Stortecky; Saverio Stranges; Eyayou Girma Tadesse; Ingan Ukur Tarigan; Mohamad-Hani Temsah; Yvonne Teuschl; Amanda G. Thrift; Marcello Tonelli; Marcos Roberto Tovani-Palone; Bach Xuan Tran; Manjari Tripathi; Gebiyaw Wudie Tsegaye; Anayat Ullah; Brigid Unim; Bhaskaran Unnikrishnan; Alireza Vakilian; Sahel Valadan Tahbaz; Tommi Juhani Vasankari; Narayanaswamy Venketasubramanian; Dominique Vervoort; Bay Vo; Victor Volovici; Kia Vosoughi; Giang Thu Vu; Linh Gia Vu; Hatem A. Wafa; Yasir Waheed; Yanzhong Wang; Tissa Wijeratne; Andrea Sylvia Winkler; Charles D.A. Wolfe; Mark Woodward; Jason H. Wu; Sarah Wulf Hanson; Xiaoyue Xu; Lalit Yadav; Ali Yadollahpour; Seyed Hossein Yahyazadeh Jabbari; Kazumasa Yamagishi; Hiroshi Yatsuya; Naohiro Yonemoto; Chuanhua Yu; Ismaeel Yunusa; Muhammed Shahriar Zaman; Sojib Bin Zaman; Maryam Zamanian; Ramin Zand; Alireza Zandifar; Mikhail Sergeevich Zastrozhin; Anasthasia Zastrozhina; Yunquan Zhang; Zhi-Jiang Zhang; Chenwen Zhong; Yves Miel H. Zuniga; Christopher J.L. Murray
Background Regularly updated data on stroke and its pathological types, including data on their incidence, prevalence, mortality, disability, risk factors, and epidemiological trends, are important for evidence-based stroke care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) aims to provide a standardised and comprehensive measurement of these metrics at global, regional, and national levels. Methods We applied GBD 2019 analytical tools to calculate stroke incidence, prevalence, mortality, disability-adjusted life-years (DALYs), and the population attributable fraction (PAF) of DALYs (with corresponding 95% uncertainty intervals [UIs]) associated with 19 risk factors, for 204 countries and territories from 1990 to 2019. These estimates were provided for ischaemic stroke, intracerebral haemorrhage, subarachnoid haemorrhage, and all strokes combined, and stratified by sex, age group, and World Bank country income level. Findings In 2019, there were 12·2 million (95% UI 11·0–13·6) incident cases of stroke, 101 million (93·2–111) prevalent cases of stroke, 143 million (133–153) DALYs due to stroke, and 6·55 million (6·00–7·02) deaths from stroke. Globally, stroke remained the second-leading cause of death (11·6% [10·8–12·2] of total deaths) and the third-leading cause of death and disability combined (5·7% [5·1–6·2] of total DALYs) in 2019. From 1990 to 2019, the absolute number of incident strokes increased by 70·0% (67·0–73·0), prevalent strokes increased by 85·0% (83·0–88·0), deaths from stroke increased by 43·0% (31·0–55·0), and DALYs due to stroke increased by 32·0% (22·0–42·0). During the same period, age-standardised rates of stroke incidence decreased by 17·0% (15·0–18·0), mortality decreased by 36·0% (31·0–42·0), prevalence decreased by 6·0% (5·0–7·0), and DALYs decreased by 36·0% (31·0–42·0). However, among people younger than 70 years, prevalence rates increased by 22·0% (21·0–24·0) and incidence rates increased by 15·0% (12·0–18·0). In 2019, the age-standardised stroke-related mortality rate was 3·6 (3·5–3·8) times higher in the World Bank low-income group than in the World Bank high-income group, and the age-standardised stroke-related DALY rate was 3·7 (3·5–3·9) times higher in the low-income group than the high-income group. Ischaemic stroke constituted 62·4% of all incident strokes in 2019 (7·63 million [6·57–8·96]), while intracerebral haemorrhage constituted 27·9% (3·41 million [2·97–3·91]) and subarachnoid haemorrhage constituted 9·7% (1·18 million [1·01–1·39]). In 2019, the five leading risk factors for stroke were high systolic blood pressure (contributing to 79·6 million [67·7–90·8] DALYs or 55·5% [48·2–62·0] of total stroke DALYs), high body-mass index (34·9 million [22·3–48·6] DALYs or 24·3% [15·7–33·2]), high fasting plasma glucose (28·9 million [19·8–41·5] DALYs or 20·2% [13·8–29·1]), ambient particulate matter pollution (28·7 million [23·4–33·4] DALYs or 20·1% [16·6–23·0]), and smoking (25·3 million [22·6–28·2] DALYs or 17·6% [16·4–19·0]). Interpretation The annual number of strokes and deaths due to stroke increased substantially from 1990 to 2019, despite substantial reductions in age-standardised rates, particularly among people older than 70 years. The highest age-standardised stroke-related mortality and DALY rates were in the World Bank low-income group. The fastest-growing risk factor for stroke between 1990 and 2019 was high body-mass index. Without urgent implementation of effective primary prevention strategies, the stroke burden will probably continue to grow across the world, particularly in low-income countries. © 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.