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Global burden of diarrhea disease in the older adult and its attributable risk factors from 1990 to 2021

A comprehensive analysis from the global burden of disease study 2021

Bibliographic Data

ID22089435
AuthorsWenzhuo Zhao (Xuzhou Medical College), Wen-Zhuo Zhao, Jingyi Wang (0000-0002-3036-5006, Xuzhou Medical College), Jing-Yi Wang, Min-Na Zhang, Minna Zhang (0000-0003-1567-3788, Xuzhou Medical College), Shang-Nong Wu (0000-0001-8843-8215, Xuzhou Medical College), Weijie Dai (0000-0003-2793-1588, Xuzhou Medical College), Wei-Jie Dai, Xiaozhong Yang (0000-0002-4887-5602, Xuzhou Medical College, corresponding author), Xiao-Zhong Yang, Hong-Gang Wang, Hong‐Gang Wang (0000-0003-0551-0571, Xuzhou Medical College, corresponding author)
Year2025
Volume13
Pages1541492-1541492
Publication date2025-04-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1541492
PMID40255369
OpenAlexW4409166692
LanguageEN
References cited31

Introduction: Diarrhea disease among the older adult is an underappreciated global health issue despite its substantial burden. This study provides a comprehensive analysis of the epidemiological trends of diarrhea in individuals over 65 years, examining incidence, prevalence, mortality, and disability-adjusted life-years (DALYs) from 1990 to 2021. Methods: Utilizing data from the Global Burden of Diseases (GBD) 2021, this cross-sectional study assesses the older adult population across 204 countries and territories. The analysis includes metrics such as incidence, prevalence, mortality, DALYs, and estimated annual percentage changes (EAPCs), stratified by region, country, age, sex, and Sociodemographic Index (SDI). Results: A nearly 200% increase in incidence and prevalence was observed worldwide, with the highest rise in those over 95 years. Mortality and DALYs have declined, especially in the 65-69 age group. High SDI regions showed the largest increase in incidence rates and are the only areas with increasing mortality and DALYs trends. Unsafe water sources emerged as the primary risk factor for diarrhea-related deaths among the older adult. Discussion: The burden of diarrhea in the older adult has significantly increased, particularly in high-income regions, warranting targeted interventions. The positive correlation between EAPC and the Human Development Index underscores the need for improved water safety to mitigate the disease burden. This study's findings are crucial for shaping public health strategies and informing policy decisions regarding the older adult population

Burden of disease · Diarrhea · Disease · Disease burden · Environmental health · Global health · Pathology · Population · Psychological intervention · Public health · Child Nutrition and Water Access · Demography · Global Health and Epidemiology · Medicine · Viral gastroenteritis research and epidemiology · Epidemiology · Gerontology

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