Systematic analysis and prediction of the burden of Alzheimer’s disease and other dementias caused by hyperglycemia

BackgroundAlzheimer’s disease and other dementias (ADOD) pose a significant and escalating global public health challenge, particularly among the aging populations. Emerging evidence has identified high fasting plasma glucose (HFPG) as a major modifiable risk factor for ADOD, linking impaired glucos...

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Main Authors: Dongying He, Manting Liu, Yujin Tang, Xiaona Tian, Lisi Zhou, Yizhen Chen, Xiaoxia Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1516267/full
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author Dongying He
Dongying He
Manting Liu
Yujin Tang
Xiaona Tian
Lisi Zhou
Yizhen Chen
Xiaoxia Liu
Xiaoxia Liu
author_facet Dongying He
Dongying He
Manting Liu
Yujin Tang
Xiaona Tian
Lisi Zhou
Yizhen Chen
Xiaoxia Liu
Xiaoxia Liu
author_sort Dongying He
collection DOAJ
description BackgroundAlzheimer’s disease and other dementias (ADOD) pose a significant and escalating global public health challenge, particularly among the aging populations. Emerging evidence has identified high fasting plasma glucose (HFPG) as a major modifiable risk factor for ADOD, linking impaired glucose metabolism to cognitive decline and neurodegeneration. Despite this association, the comprehensive impact of HFPG on the global burden of ADOD has not been fully elucidated. Understanding the extent to which HFPG contributes to ADOD is crucial for developing targeted interventions and optimizing healthcare resource allocation to address this growing concern.MethodsUsing Global Burden of Disease data (GBD 2021), we analyzed the global HFPG-related ADOD burden from 1990 to 2021 using an age-period-cohort framework and predicted trends for 2050. A Shiny platform was developed to visualize the disease burden and trends across 204 countries and regions.ResultsIn 2021, approximately 15% of ADOD deaths and disability-adjusted life years (DALYs) were attributed to HFPG, a 271.05% increase from 1990. The incidence rate rose from 47.07 to 66.42, indicating poor control. The mortality rate from HFPG-ADOD increased by 305.81%. The primary burden was among the 80–84 age group. Trends in ASDR and ASMR showed an increase across most SDI regions, except Low SDI. Decomposition analysis and the APC model indicated poor control in high SDI regions due to aging populations over the past 5 years. By 2050, the global prevalence is projected to reach 1,003,018.047 (26124.40377, 12114480.49), with 345,342.5738 (1431.57781, 6022119.213) males and 657,675.4731 (24692.82596, 6092361.28) females. The Shiny platform predicts a yearly increase in ASDR and ASMR for HFPG-ADOD in China, which is consistent with GBD platform trends. The platform is accessible at http://116.196.73.86:3838/GBD/HFPG-ADOD/.ConclusionThe global burden of HFPG-related ADOD has been increasing, even in high SDI regions, over the past 5 years and is expected to continue rising until 2050. Implementing appropriate health policies to mitigate this trend could significantly reduce the substantial burden caused by HFPG-induced ADOD. Promoting the use of the Shiny prediction platform will contribute significantly to global healthy aging.
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spelling doaj-art-57dada3e4f4745a8b154edb2b10afed02025-02-05T05:17:42ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011210.3389/fpubh.2024.15162671516267Systematic analysis and prediction of the burden of Alzheimer’s disease and other dementias caused by hyperglycemiaDongying He0Dongying He1Manting Liu2Yujin Tang3Xiaona Tian4Lisi Zhou5Yizhen Chen6Xiaoxia Liu7Xiaoxia Liu8The Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan, ChinaFoshan Hospital of Traditional Chinese Medicine, Foshan, ChinaGraduate School, Guangzhou University of Chinese Medicine, Guangzhou, ChinaFoshan Hospital of Traditional Chinese Medicine, Foshan, ChinaDepartment of Endocrinology, Zhongshan People’s Hospital (ZSPH), Zhongshan, ChinaGraduate School, Guangzhou University of Chinese Medicine, Guangzhou, ChinaClinical Medical College, Jiangmen Wuyi Traditional Chinese Medicine Hospital, Jiangmen, ChinaThe Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan, ChinaFoshan Hospital of Traditional Chinese Medicine, Foshan, ChinaBackgroundAlzheimer’s disease and other dementias (ADOD) pose a significant and escalating global public health challenge, particularly among the aging populations. Emerging evidence has identified high fasting plasma glucose (HFPG) as a major modifiable risk factor for ADOD, linking impaired glucose metabolism to cognitive decline and neurodegeneration. Despite this association, the comprehensive impact of HFPG on the global burden of ADOD has not been fully elucidated. Understanding the extent to which HFPG contributes to ADOD is crucial for developing targeted interventions and optimizing healthcare resource allocation to address this growing concern.MethodsUsing Global Burden of Disease data (GBD 2021), we analyzed the global HFPG-related ADOD burden from 1990 to 2021 using an age-period-cohort framework and predicted trends for 2050. A Shiny platform was developed to visualize the disease burden and trends across 204 countries and regions.ResultsIn 2021, approximately 15% of ADOD deaths and disability-adjusted life years (DALYs) were attributed to HFPG, a 271.05% increase from 1990. The incidence rate rose from 47.07 to 66.42, indicating poor control. The mortality rate from HFPG-ADOD increased by 305.81%. The primary burden was among the 80–84 age group. Trends in ASDR and ASMR showed an increase across most SDI regions, except Low SDI. Decomposition analysis and the APC model indicated poor control in high SDI regions due to aging populations over the past 5 years. By 2050, the global prevalence is projected to reach 1,003,018.047 (26124.40377, 12114480.49), with 345,342.5738 (1431.57781, 6022119.213) males and 657,675.4731 (24692.82596, 6092361.28) females. The Shiny platform predicts a yearly increase in ASDR and ASMR for HFPG-ADOD in China, which is consistent with GBD platform trends. The platform is accessible at http://116.196.73.86:3838/GBD/HFPG-ADOD/.ConclusionThe global burden of HFPG-related ADOD has been increasing, even in high SDI regions, over the past 5 years and is expected to continue rising until 2050. Implementing appropriate health policies to mitigate this trend could significantly reduce the substantial burden caused by HFPG-induced ADOD. Promoting the use of the Shiny prediction platform will contribute significantly to global healthy aging.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1516267/fulldisease burdendementiafrontier analysispredictive analysisAlzheimer’s disease
spellingShingle Dongying He
Dongying He
Manting Liu
Yujin Tang
Xiaona Tian
Lisi Zhou
Yizhen Chen
Xiaoxia Liu
Xiaoxia Liu
Systematic analysis and prediction of the burden of Alzheimer’s disease and other dementias caused by hyperglycemia
Frontiers in Public Health
disease burden
dementia
frontier analysis
predictive analysis
Alzheimer’s disease
title Systematic analysis and prediction of the burden of Alzheimer’s disease and other dementias caused by hyperglycemia
title_full Systematic analysis and prediction of the burden of Alzheimer’s disease and other dementias caused by hyperglycemia
title_fullStr Systematic analysis and prediction of the burden of Alzheimer’s disease and other dementias caused by hyperglycemia
title_full_unstemmed Systematic analysis and prediction of the burden of Alzheimer’s disease and other dementias caused by hyperglycemia
title_short Systematic analysis and prediction of the burden of Alzheimer’s disease and other dementias caused by hyperglycemia
title_sort systematic analysis and prediction of the burden of alzheimer s disease and other dementias caused by hyperglycemia
topic disease burden
dementia
frontier analysis
predictive analysis
Alzheimer’s disease
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1516267/full
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