Magnitude, temporal trends, and inequalities in the DALYs and YLDs of nutritional deficiency among older adults in the western pacific region: Findings from the global burden of disease study 1990–2019

Doris Y.P. Leung; Hui Lin Cheng; Stefanos Tyrovolas; Angel S.K. Tang; Justina Y.W. Liu; Mimi M.Y. Tse; Claudia K.Y. Lai; Alex Molassiotis

doi:10.3390/nu13124421

Magnitude, temporal trends, and inequalities in the DALYs and YLDs of nutritional deficiency among older adults in the western pacific region: Findings from the global burden of disease study 1990–2019

Doris Y.P. Leung, Hui Lin Cheng, Stefanos Tyrovolas, Angel S.K. Tang, Justina Y.W. Liu, Mimi M.Y. Tse, Claudia K.Y. Lai, Alex Molassiotis

Research output: Journal article publication › Journal article › Academic research › peer-review

2 Citations (Scopus)

Abstract

The population in the Western Pacific region is aging rapidly. Nutritional deficiency is prevalent in older adults; however, information regarding nutritional deficiency in this population is scarce. Using the 2019 Global Burden of Disease (GBD) results, the age-standardized disability-adjusted life years (DALYs) and years of healthy life lost due to disability (YLDs) from nutritional deficiency were estimated between 1990 and 2019 for this population. Average annual percentage change (AAPC) was used to assess temporal trends, and linear mixed-effects models were used to examine socioeconomic and sex inequalities. From 1990 to 2019, the age-standardized DALYs of nutritional deficiency in this population decreased from 697.95 to 290.95 per 100,000, and their age-standardized YLDs decreased from 459.03 to 195.65 per 100,000, with the greatest declines seen in South Korea (AAPCs < −5.0). Tonga had the least decline in DALYs (AAPC = −0.8), whereas Fiji experienced an increase in YLDs (AAPC = 0.1). Being female and having a lower sociodemographic index score was significantly associated with higher age-standardized DALYs and YLDs. The magnitude and temporal trends of the nutritional deficiency burden among older adults varied across countries and sex in the region, indicating that health policies on nutritional deficiency among older adults must be crafted to local conditions.

Original language	English
Article number	4421
Journal	Nutrients
Volume	13
Issue number	12
DOIs	https://doi.org/10.3390/nu13124421
Publication status	Published - Dec 2021

Keywords

Malnutrition
Nutritional deficiency
Older adults
The global burden of disease
Western pacific

ASJC Scopus subject areas

Food Science
Nutrition and Dietetics

More information

10.3390/nu13124421

http://hdl.handle.net/10397/94968

Cite this

Leung, D. Y. P., Cheng, H. L., Tyrovolas, S., Tang, A. S. K., Liu, J. Y. W., Tse, M. M. Y., Lai, C. K. Y., & Molassiotis, A. (2021). Magnitude, temporal trends, and inequalities in the DALYs and YLDs of nutritional deficiency among older adults in the western pacific region: Findings from the global burden of disease study 1990–2019. Nutrients, 13(12), Article 4421. https://doi.org/10.3390/nu13124421

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title = "Magnitude, temporal trends, and inequalities in the DALYs and YLDs of nutritional deficiency among older adults in the western pacific region: Findings from the global burden of disease study 1990–2019",

abstract = "The population in the Western Pacific region is aging rapidly. Nutritional deficiency is prevalent in older adults; however, information regarding nutritional deficiency in this population is scarce. Using the 2019 Global Burden of Disease (GBD) results, the age-standardized disability-adjusted life years (DALYs) and years of healthy life lost due to disability (YLDs) from nutritional deficiency were estimated between 1990 and 2019 for this population. Average annual percentage change (AAPC) was used to assess temporal trends, and linear mixed-effects models were used to examine socioeconomic and sex inequalities. From 1990 to 2019, the age-standardized DALYs of nutritional deficiency in this population decreased from 697.95 to 290.95 per 100,000, and their age-standardized YLDs decreased from 459.03 to 195.65 per 100,000, with the greatest declines seen in South Korea (AAPCs < −5.0). Tonga had the least decline in DALYs (AAPC = −0.8), whereas Fiji experienced an increase in YLDs (AAPC = 0.1). Being female and having a lower sociodemographic index score was significantly associated with higher age-standardized DALYs and YLDs. The magnitude and temporal trends of the nutritional deficiency burden among older adults varied across countries and sex in the region, indicating that health policies on nutritional deficiency among older adults must be crafted to local conditions.",

keywords = "Malnutrition, Nutritional deficiency, Older adults, The global burden of disease, Western pacific",

author = "Leung, {Doris Y.P.} and Cheng, {Hui Lin} and Stefanos Tyrovolas and Tang, {Angel S.K.} and Liu, {Justina Y.W.} and Tse, {Mimi M.Y.} and Lai, {Claudia K.Y.} and Alex Molassiotis",

note = "Funding Information: Funding: GBD is supported by the Bill & Melinda Gates Foundation. This work is partly supported by the Angel S.P. Chan Lau endowment. Publisher Copyright: {\textcopyright} 2021 by the authors. Licensee MDPI, Basel, Switzerland.",

year = "2021",

month = dec,

doi = "10.3390/nu13124421",

language = "English",

volume = "13",

journal = "Nutrients",

issn = "2072-6643",

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Leung, DYP , Cheng, HL , Tyrovolas, S, Tang, ASK, Liu, JYW, Tse, MMY, Lai, CKY & Molassiotis, A 2021, 'Magnitude, temporal trends, and inequalities in the DALYs and YLDs of nutritional deficiency among older adults in the western pacific region: Findings from the global burden of disease study 1990–2019', Nutrients, vol. 13, no. 12, 4421. https://doi.org/10.3390/nu13124421

Magnitude, temporal trends, and inequalities in the DALYs and YLDs of nutritional deficiency among older adults in the western pacific region: Findings from the global burden of disease study 1990–2019. / Leung, Doris Y.P.; Cheng, Hui Lin ; Tyrovolas, Stefanos et al.
In: Nutrients, Vol. 13, No. 12, 4421, 12.2021.

Research output: Journal article publication › Journal article › Academic research › peer-review

TY - JOUR

T1 - Magnitude, temporal trends, and inequalities in the DALYs and YLDs of nutritional deficiency among older adults in the western pacific region

T2 - Findings from the global burden of disease study 1990–2019

AU - Leung, Doris Y.P.

AU - Cheng, Hui Lin

AU - Tyrovolas, Stefanos

AU - Tang, Angel S.K.

AU - Liu, Justina Y.W.

AU - Tse, Mimi M.Y.

AU - Lai, Claudia K.Y.

AU - Molassiotis, Alex

N1 - Funding Information: Funding: GBD is supported by the Bill & Melinda Gates Foundation. This work is partly supported by the Angel S.P. Chan Lau endowment. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.

PY - 2021/12

Y1 - 2021/12

N2 - The population in the Western Pacific region is aging rapidly. Nutritional deficiency is prevalent in older adults; however, information regarding nutritional deficiency in this population is scarce. Using the 2019 Global Burden of Disease (GBD) results, the age-standardized disability-adjusted life years (DALYs) and years of healthy life lost due to disability (YLDs) from nutritional deficiency were estimated between 1990 and 2019 for this population. Average annual percentage change (AAPC) was used to assess temporal trends, and linear mixed-effects models were used to examine socioeconomic and sex inequalities. From 1990 to 2019, the age-standardized DALYs of nutritional deficiency in this population decreased from 697.95 to 290.95 per 100,000, and their age-standardized YLDs decreased from 459.03 to 195.65 per 100,000, with the greatest declines seen in South Korea (AAPCs < −5.0). Tonga had the least decline in DALYs (AAPC = −0.8), whereas Fiji experienced an increase in YLDs (AAPC = 0.1). Being female and having a lower sociodemographic index score was significantly associated with higher age-standardized DALYs and YLDs. The magnitude and temporal trends of the nutritional deficiency burden among older adults varied across countries and sex in the region, indicating that health policies on nutritional deficiency among older adults must be crafted to local conditions.

AB - The population in the Western Pacific region is aging rapidly. Nutritional deficiency is prevalent in older adults; however, information regarding nutritional deficiency in this population is scarce. Using the 2019 Global Burden of Disease (GBD) results, the age-standardized disability-adjusted life years (DALYs) and years of healthy life lost due to disability (YLDs) from nutritional deficiency were estimated between 1990 and 2019 for this population. Average annual percentage change (AAPC) was used to assess temporal trends, and linear mixed-effects models were used to examine socioeconomic and sex inequalities. From 1990 to 2019, the age-standardized DALYs of nutritional deficiency in this population decreased from 697.95 to 290.95 per 100,000, and their age-standardized YLDs decreased from 459.03 to 195.65 per 100,000, with the greatest declines seen in South Korea (AAPCs < −5.0). Tonga had the least decline in DALYs (AAPC = −0.8), whereas Fiji experienced an increase in YLDs (AAPC = 0.1). Being female and having a lower sociodemographic index score was significantly associated with higher age-standardized DALYs and YLDs. The magnitude and temporal trends of the nutritional deficiency burden among older adults varied across countries and sex in the region, indicating that health policies on nutritional deficiency among older adults must be crafted to local conditions.

KW - Malnutrition

KW - Nutritional deficiency

KW - Older adults

KW - The global burden of disease

KW - Western pacific

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U2 - 10.3390/nu13124421

DO - 10.3390/nu13124421

M3 - Journal article

C2 - 34959973

AN - SCOPUS:85120784830

SN - 2072-6643

VL - 13

JO - Nutrients

JF - Nutrients

IS - 12

M1 - 4421

ER -

Magnitude, temporal trends, and inequalities in the DALYs and YLDs of nutritional deficiency among older adults in the western pacific region: Findings from the global burden of disease study 1990–2019

Abstract

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ASJC Scopus subject areas

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