Evidence map›Paper›PMID 40406157›Full record

ArticleFrontiers in nutrition2025

Global, regional, and national burden of nutritional deficiencies spanning from 1990 to 2021, with a focus on the impacts observed during the COVID-19 pandemic.

Yue-Yang Zhang, Bing-Xue Chen, Qin Wan

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Yue-Yang Zhang *Department of Endocrinology and Metabolism, Affiliated Hospital of Southwest Medical University, Luzhou, China.
Bing-Xue Chen *Department of Ultrasound Medicine, Affiliated Hospital of Southwest Medical University, Luzhou, China.
Qin Wan *Department of Endocrinology and Metabolism, Affiliated Hospital of Southwest Medical University, Luzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The United Nations has recognized nutritional deficiencies as a critical health issue that necessitates urgent eradication. This study aimed to provide a comprehensive analysis of the spatial distribution and temporal trends of the global disease burden associated with nutritional deficiencies and their four subtypes from 1990 to 2021, with a particular focus on the impact of the COVID-19 pandemic. Methods: This study primarily employs the most recent data from the Global Burden of Disease (GBD) 2021 to conduct a thorough analysis of the distribution trends of incidence, mortality, and disability-adjusted life years (DALYs) associated with nutritional deficiencies and their four subtypes from 1990 to 2021, incorporating detailed subgroup analyses categorized by sex, age, and region. In comparison to the GBD 2019, the GBD 2021 update places a particular emphasis on supplementing disease burden data for the period of the COVID-19 pandemic (2019-2021). Furthermore, this study investigates the primary risk factors contributing to disability-adjusted life years (DALYs) linked to nutritional deficiencies. Results: Between 1990 and 2021, the global burden of nutritional deficiencies experienced a substantial decline, evidenced by a 54.9% reduction in the age-standardized incidence rate (ASIR), a 72.2% decrease in the age-standardized death rate (ASDR), and a 51.9% reduction in the age-standardized DALY rate. However, it is noteworthy that the burden of iodine deficiency (ASIR: 137.72 vs. 75.49; Age-standardized DALY rate: 35.43 vs. 19.98) and dietary iron deficiency (Age-standardized DALY rate: 597.97 vs. 253.05) is considerably greater in women than in men. Moreover, in regions characterized by a low social demographic index (SDI) and lower income levels, the burden of diseases associated with nutritional deficiencies remains substantial. In contrast, the COVID-19 pandemic has not markedly changed the epidemiological profile of nutritional deficiencies compared to the pre-2019 period, and the global burden of nutritional deficiencies has continued its gradual decline. Conclusions: Despite a decline in the global burden of nutritional deficiencies over time, significant disparities related to gender, region, and age persist. Fortunately, the COVID-19 pandemic has had a relatively limited impact on the global burden of nutritional deficiencies. Healthcare institutions must formulate more targeted strategies aimed at alleviating the adverse effects of nutritional deficiencies on global public health.

Indexed as

dietary iron deficiencyglobal burdeniodine deficiencynutritional deficienciesprotein-energy malnutritionvitamin A deficiency

Identifiers

PMID40406157
PMCPMC12094969

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.