Evidence map›Paper›PMID 40703184›Full record

Observational studyFrontiers in public health2025

Global burden of childhood developmental intellectual disability caused by iodine deficiency from 1990 to 2021 and projection to 2040.

Zihao Liu, Youhui Lin, Li Liang, Xuanyi Li, Zhiyin Wang, Wei Cheng

Abstract readObservational Study
In one paragraph

Observational study in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Frontiers in aging neuroscience · 2025
    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

6 authors.

Zihao LiuSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Youhui LinSchool of Management, Beijing University of Chinese Medicine, Beijing, China.
Li LiangSchool of Management, Beijing University of Chinese Medicine, Beijing, China.
Xuanyi LiSchool of Management, Beijing University of Chinese Medicine, Beijing, China.
Zhiyin WangSchool of Management, Beijing University of Chinese Medicine, Beijing, China.
Wei ChengSchool of Management, Beijing University of Chinese Medicine, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Iodine deficiency remains a leading preventable cause of childhood developmental intellectual disability (DID), imposing a substantial and enduring global public health burden; despite decades of global efforts to combat iodine deficiency, persistent health inequalities and uneven progress highlight critical gaps. This study aimed to comprehensively analyze the global burden, temporal trends, and inequalities in childhood DID attributable to iodine deficiency from 1990 to 2021 and projected to 2040. Our results will inform evidence-based public health policies, especially in the most affected areas. Methods: This observational study utilized secondary data from the Global Burden of Disease 2021 study, which covered 204 countries and territories. The burden of DID was stratified by age, sex, and region. Age-standardized prevalence rates (ASPR) and age-standardized years lived with disability (ASYR) were calculated. Trends were analyzed using joinpoint regression by estimated the annual percent change and average annual percent change (AAPC). Health inequalities were assessed using the slope index of inequality. Forecasts to 2040 were generated using the Bayesian age-period-cohort model. Results: Global ASPR declined from 43.06 to 8.96/100,000 (AAPC = -4.95) and ASYR from 7.71 to 1.67/100,000 (AAPC = -4.81) between 1990 and 2021. Despite this progress, low socio-demographic index (SDI) regions, particularly Central Sub-Saharan Africa and South Asia, continue to bear the highest burden. Somalia had the highest 2021 rates (ASPR: 47.86; ASYR: 9.40/100,000). SDI correlated negatively with ASPR (R = -0.62, Conclusion: While public health interventions have reduced the global burden of DID caused by iodine deficiency, persistent inequalities in vulnerable regions demand urgent policy action: scaling up universal salt iodization programs in high-burden areas, integrating maternal nutrition education into primary healthcare systems, and prioritizing resource allocation to regions with stagnating SDI indices.

Indexed as

Global Burden of DiseaseGlobal HealthIntellectual DisabilityIodineAdolescentChildChild, PreschoolFemaleHumansInfantMalePrevalenceIodineBayesian age-period-cohort modelchildhooddevelopmental intellectual disorderGlobal Burden of Diseasesiodine deficiency

Identifiers

PMID40703184
PMCPMC12283712

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.