Evidence map›Paper›PMID 40885984›Full record

ArticleBMC public health2025

Trends and inequalities in the global burden of alzheimer's disease and other dementias, 1990-2021: a Chinese perspective.

Wenhao Zhu, Xianfeng Yu, Chaojuan Huang, Shuqing Deng, Mengmeng Ren, Mingxu Li, Xia Zhou, Ziyuan Shen, Guoqi Cai, Xiaoqun Zhu and 1 more

Abstract read
In one paragraph

Article in BMC 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. Trial
  2. 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

11 authors.

Wenhao Zhu *Department of Neurology, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Shushan District, Hefei, 230022, China.
Xianfeng Yu *Department of Neurology, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Shushan District, Hefei, 230022, China.
Chaojuan Huang *Department of Neurology, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Shushan District, Hefei, 230022, China.
Shuqing Deng *Department of Psychology, Brandeis University, Waltham, MA, 02453, USA.
Mengmeng RenDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Shushan District, Hefei, 230022, China.
Mingxu LiDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Shushan District, Hefei, 230022, China.
Xia ZhouDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Shushan District, Hefei, 230022, China.
Ziyuan ShenDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.
Guoqi CaiDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.
Xiaoqun ZhuDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Shushan District, Hefei, 230022, China. zxq_ayfy@163.com.
Zhongwu SunDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Shushan District, Hefei, 230022, China. sunzhwu@126.com.

Funding

Key Research and Development Projects of Anhui Province 202104j07020031National Natural Science Foundation of China 82401420
6 · The paper itself

Abstract

backgroundGiven the growing global burden of Alzheimer's Disease and Other Dementias (ADODs) and inequalities in its distribution, it is of great necessity to analyze the trends and cross-country inequalities in the burden of ADODs globally and in China from 1990 to 2021.

methodsEstimates and 95% uncertainty intervals (UIs) for incidence, prevalence, and disability-adjusted life years (DALYs) of ADODs were obtained from the Global Burden of Diseases Study (GBD) 2021. We described the epidemiology of ADODs at global, regional, and national levels, conducting temporal trend analyses using estimated annual percentage change, joinpoint regression, and age-period-cohort model. Additionally, we performed spatial autocorrelation, decomposition, and cross-country inequality analyses, comparing the burden in China to global trends.

resultsThe global burden of ADODs increased overall from 1990 to 2021. GBD 2021 estimated 9,837,056 incident cases, 56,856,688 prevalent cases, and 36,332,687 DALYs for ADODs worldwide in 2021, with the highest case number in East Asia and highest age-standardized rate of DALYs in central sub-Saharan Africa. Spatial trends analyses showed hot spots in sub-Saharan Africa, the Middle East and North Africa, Europe, and High-income North America. Decomposition analysis revealed that changes in DALYs were primarily driven by population growth and aging, followed by prevalence, case fatality, and disease severity. Significant increases in absolute and relative sociodemographic index (SDI)-related inequalities in DALYs were observed from 1990 to 2021, with 318.19 to 759.97, and 0.43 to 0.49, respectively.

conclusionThe burden of ADODs globally and in China showed overall increasing trends from 1990 to 2021. This increase was primarily driven by population growth and aging. Countries with high SDI values faced a disproportionately large burden of dementia, and SDI-related inequalities among countries exacerbated over time. These findings highlight significant challenges for the prevention and control of ADODs globally and in China.

Indexed as

Alzheimer DiseaseDementiaGlobal Burden of DiseaseGlobal HealthHealth Status DisparitiesAgedAged, 80 and overChinaDisability-Adjusted Life YearsFemaleHumansIncidenceMaleMiddle AgedPrevalenceSocioeconomic FactorsChina-specific epidemiologyDementia epidemiologyGlobal burdenHealth inequalitiesSociodemographic index

Identifiers

PMID40885984
PMCPMC12398128

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LicenceCC BY-NC-ND
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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.