Diabetes mortality and trends before 25 years of age: an analysis of the Global Burden of Disease Study 2019

Background: Diabetes, particularly type 1 diabetes, at younger ages can be a largely preventable cause of death with the correct health care and services. We aimed to evaluate diabetes mortality and trends at ages younger than 25 years globally using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019. Methods: We used estimates of GBD 2019 to calculate international diabetes mortality at ages younger than 25 years in 1990 and 2019. Data sources for causes of death were obtained from vital registration systems, verbal autopsies, and other surveillance systems for 1990–2019. We estimated death rates for each location using the GBD Cause of Death Ensemble model. We analysed the association of age-standardised death rates per 100 000 population with the Socio-demographic Index (SDI) and a measure of universal health coverage (UHC) and described the variability within SDI quintiles. We present estimates with their 95% uncertainty intervals. Findings: In 2019, 16 300 (95% uncertainty interval 14 200 to 18 900) global deaths due to diabetes (type 1 and 2 combined) occurred in people younger than 25 years and 73·7% (68·3 to 77·4) were classified as due to type 1 diabetes. The age-standardised death rate was 0·50 (0·44 to 0·58) per 100 000 population, and 15 900 (97·5%) of these deaths occurred in low to high-middle SDI countries. The rate was 0·13 (0·12 to 0·14) per 100 000 population in the high SDI quintile, 0·60 (0·51 to 0·70) per 100 000 population in the low-middle SDI quintile, and 0·71 (0·60 to 0·86) per 100 000 population in the low SDI quintile. Within SDI quintiles, we observed large variability in rates across countries, in part explained by the extent of UHC (r2=0·62). From 1990 to 2019, age-standardised death rates decreased globally by 17·0% (−28·4 to −2·9) for all diabetes, and by 21·0% (–33·0 to −5·9) when considering only type 1 diabetes. However, the low SDI quintile had the lowest decline for both all diabetes (−13·6% [–28·4 to 3·4]) and for type 1 diabetes (−13·6% [–29·3 to 8·9]). Interpretation: Decreasing diabetes mortality at ages younger than 25 years remains an important challenge, especially in low and low-middle SDI countries. Inadequate diagnosis and treatment of diabetes is likely to be major contributor to these early deaths, highlighting the urgent need to provide better access to insulin and basic diabetes education and care. This mortality metric, derived from readily available and frequently updated GBD data, can help to monitor preventable diabetes-related deaths over time globally, aligned with the UN's Sustainable Development Targets, and serve as an indicator of the adequacy of basic diabetes care for type 1 and type 2 diabetes across nations. Funding: Bill & Melinda Gates Foundation. © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license

Авторы
Cousin E. , Duncan B.B. , Stein C. , Ong K.L. , Vos T. , Abbafati C. , Abbasi-Kangevari M. , Abdelmasseh M. , Abdoli A. , Abd-Rabu R. , Abolhassani H. , Abu-Gharbieh E. , Accrombessi M.M.K. , Adnani Q.E.S. , Afzal M.S. , Agarwal G. , Agrawaal K.K. , Agudelo-Botero M. , Ahinkorah B.O. , Ahmad S. , Ahmad T. , Ahmadi K. , Ahmadi S. , Ahmadi A. , Ahmed A. , Salih Y.A. , Akande-Sholabi W. , Akram T. , Al Hamad H.A. , Al-Aly Z. , Alcalde-Rabanal J.E. , Alipour V. , Aljunid S.M. , Al-Raddadi R.M. , Alvis-Guzman N. , Amini S. , Ancuceanu R. , Andrei T. , Andrei C.L. , Anjana R.M. , Ansar A. , Antonazzo I.C. , Antony B. , Anyasodor A.E. , Arabloo J. , Arizmendi D. , Armocida B. , Artamonov A.A. , Arulappan J. , Aryan Z. , Asgari S. , Ashraf T. , Astell-Burt T. , Atorkey P. , Atout M.M.W. , Ayanore M.A. , Badiye A.D. , Baig A.A. , Bairwa M. , Baker J.L. , Baltatu O.C. , Banik P.C. , Barnett A. , Barone M.T.U. , Barone-Adesi F. , Barrow A. , Bedi N. , Belete R. , Belgaumi U.I. , Bell A.W. , 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Издательство
Elsevier Ltd
Номер выпуска
3
Язык
Английский
Страницы
177-192
Статус
Опубликовано
Том
10
Год
2022
Организации
  • 1 Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States
  • 2 Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States
  • 3 Division of Allergy and Infectious Diseases, University of Washington, Seattle, WA, United States
  • 4 Postgraduate Program in Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
  • 5 Department of Juridical and Economic Studies, La Sapienza University, Rome, Italy
  • 6 Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • 7 School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • 8 Department of Epidemiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • 9 Prevention of Metabolic Disorders Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • 10 Department of Surgery, Marshall University, Huntington, WV, United States
  • 11 Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran
  • 12 Evidence-Based Practice Center, Mayo Clinic, Rochester, MN, United States
  • 13 Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States
  • 14 Division of Endocrinology, Mayo Clinic, Rochester, MN, United States
  • 15 Research Center for Immunodeficiencies, Tehran University of Medical Sciences, Tehran, Iran
  • 16 Non-communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • 17 Iranian Research Center for HIV/AIDS (IRCHA), Tehran University of Medical Sciences, Tehran, Iran
  • 18 School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  • 19 Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
  • 20 Pediatric Chronic Kidney Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • 21 Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran
  • 22 Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • 23 Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  • 24 Department of Biosciences and Nutrition, Karolinska University Hospital, Huddinge, Sweden
  • 25 Clinical Sciences Department, University of Sharjah, Sharjah, United Arab Emirates
  • 26 College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
  • 27 Department of Clinical Sciences, University of Sharjah, Sharjah, United Arab Emirates
  • 28 Sharjah Institute for Medical Research, University of Sharjah, Sharjah, United Arab Emirates
  • 29 Department of Disease Control, London School of Hygiene & Tropical Medicine, London, United Kingdom
  • 30 Department of Non-Communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom
  • 31 Department of Clinical Research, Clinical Research Institute of Benin (IRCB), Abomey-Calavi, Benin
  • 32 Faculty of Medicine, Universitas Padjadjaran (Padjadjaran University), Bandung, Indonesia
  • 33 Department of Life Sciences, University of Management and Technology, Lahore, Pakistan
  • 34 Department of Family Medicine, McMaster University, Hamilton, ON, Canada
  • 35 Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada
  • 36 Population Health Research Institute, McMaster University, Hamilton, ON, Canada
  • 37 Department of Internal Medicine, Tribhuvan University, Bhairahawa, Nepal
  • 38 Center for Policy, Population & Health Research, National Autonomous University of Mexico, Mexico City, Mexico
  • 39 Center of Complexity Sciences, National Autonomous University of Mexico, Mexico City, Mexico
  • 40 The Australian Centre for Public and Population Health Research (ACPPHR), University of Technology Sydney, Sydney, NSW, Australia
  • 41 School of Computing Sciences, University of Technology Sydney, Sydney, NSW, Australia
  • 42 Department of Health and Biological Sciences, Abasyn University, Peshawar, Pakistan
  • 43 Department of Epidemiology and Health Statistics, Southeast University, Nanjing, China
  • 44 Lincoln Medical School, Universities of Nottingham & Lincoln, Lincoln, United Kingdom
  • 45 Department of Epidemiology and Biostatistics, Shahrekord University of Medical Sciences, Shahrekord, Iran
  • 46 Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
  • 47 School of Pharmacy, Monash University, Bandar Sunway, Malaysia
  • 48 Department of Pharmacy, Quaid I Azam University Islamabad, Islamabad, Pakistan
  • 49 Database Technology Department, Sulaimani Polytechnic University, Sulaymaniyah, Iraq
  • 50 College of Informatics, Sulaimani Polytechnic University, Sulaymaniyah, Iraq
  • 51 Department of Clinical Pharmacy and Pharmacy Administration, University of Ibadan, Ibadan, Nigeria
  • 52 Department of Health Promotion and Education, University of Ibadan, Ibadan, Nigeria
  • 53 Department of Medicine, University of Ibadan, Ibadan, Nigeria
  • 54 School of Mathematical Sciences, University of Science Malaysia, Penang, Malaysia
  • 55 School of Pharmaceutical Sciences, University of Science Malaysia, Penang, Malaysia
  • 56 Geriatric and Long Term Care Department, Hamad Medical Corporation, Doha, Qatar
  • 57 Rumailah Hospital, Hamad Medical Corporation, Doha, Qatar
  • 58 John T Milliken Department of Internal Medicine, Washington University in St. Louis, St. Louis, MO, United States
  • 59 Program in Physical Therapy, Washington University in St. Louis, St. Louis, MO, United States
  • 60 Clinical Epidemiology Center, US Department of Veterans Affairs (VA), St Louis, MO, United States
  • 61 Center for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico
  • 62 Health and Nutrition Research Center, National Institute of Public Health, Cuernavaca, Mexico
  • 63 Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico
  • 64 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
  • 65 Department of Health Economics, Iran University of Medical Sciences, Tehran, Iran
  • 66 Student Research Committee, Iran University of Medical Sciences, Tehran, Iran
  • 67 Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran
  • 68 Department of Health Policy and Management, Kuwait University, Safat, Kuwait
  • 69 International Centre for Casemix and Clinical Coding, National University of Malaysia, Bandar Tun Razak, Malaysia
  • 70 Department of Community Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
  • 71 Rabigh Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
  • 72 Research Group in Hospital Management and Health Policies, Universidad de la Costa (University of the Coast), Barranquilla, Colombia
  • 73 Research Group in Health Economics, University of Cartagena, Cartagena, Colombia
  • 74 Department of Health Services Management, Khomein University of Medical Sciences, Khomein, Iran
  • 75 Pharmacy Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  • 76 Cardiology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  • 77 Department of Anatomy and Embryology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  • 78 Department of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania
  • 79 Department of Diabetology, Madras Diabetes Research Foundation, Chennai, India
  • 80 School of Nursing and Midwifery, La Trobe University, Melbourne, VIC, Australia
  • 81 Special Interest Group International Health, Public Health Association of Australia, Canberra, ACT, Australia
  • 82 Research Center on Public Health, University of Milan Bicocca, Monza, Italy
  • 83 School of Medicine and Surgery, University of Milan Bicocca, Monza, Italy
  • 84 Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia
  • 85 School of Community Health, Charles Sturt University, Orange, NSW, Australia
  • 86 Faculty of Nutrition, Autonomous University of the State of Morelos, Morelos, Cuernavaca, Mexico
  • 87 Epidemiology Department, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy
  • 88 Clinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy
  • 89 Department of Biophysics, Russian Academy of Sciences, Moscow, Russian Federation
  • 90 Department of Maternal and Child Health, Sultan Qaboos University, Muscat, Oman
  • 91 Brigham and Women's Hospital, Harvard University, Boston, MA, United States
  • 92 Department of Global Health and Social Medicine, Harvard University, Boston, MA, United States
  • 93 Division of Cardiology, Harvard University, Boston, MA, United States
  • 94 Department of Internal Medicine, Harvard University, Boston, MA, United States
  • 95 Department of Global Health and Population, Harvard University, Boston, MA, United States
  • 96 University Institute of Radiological Sciences and Medical Imaging Technology, The University of Lahore, Lahore, Pakistan
  • 97 University Institute of Public Health, The University of Lahore, Lahore, Pakistan
  • 98 School of Health and Society, University of Wollongong, Wollongong, NSW, Australia
  • 99 Menzies Centre for Health Policy, University of Sydney, Sydney, NSW, Australia
  • 100 Sydney Medical School, University of Sydney, Sydney, NSW, Australia
  • 101 Save Sight Institute, University of Sydney, Sydney, NSW, Australia
  • 102 School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia
  • 103 School of Biomedical Sciences and Pharmacy, University of Newcastle, Newcastle, NSW, Australia
  • 104 Research Centre for Generational Health and Ageing, University of Newcastle, Newcastle, NSW, Australia
  • 105 Hunter New England Population Health, Wallsend, NSW, Australia
  • 106 Faculty of Nursing, Philadelphia University, Amman, Jordan
  • 107 Department of Health Policy Planning and Management, University of Health and Allied Sciences, Ho, Ghana
  • 108 Department of Health Economics, Centre for Health Policy Advocacy Innovation & Research in Africa (CHPAIR-Africa), Accra, Ghana
  • 109 Department of Forensic Science, Government Institute of Forensic Science, Nagpur, India
  • 110 Unit of Biochemistry, Universiti Sultan Zainal Abidin (Sultan Zainal Abidin University), Kuala Terengganu, Malaysia
  • 111 Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
  • 112 Center for Clinical Research and Prevention, Bispebjerg University Hospital, Frederiksberg, Denmark
  • 113 Department of Pharmacology & Therapeutics, Khalifa University, Abu Dhabi, United Arab Emirates
  • 114 Center of Innovation, Technology and Education (CITE), Anhembi Morumbi University, Sao Jose dos Campos, Brazil
  • 115 Department of Non-communicable Diseases, Bangladesh University of Health Sciences, Dhaka, Bangladesh
  • 116 Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, Australia
  • 117 Programs, Partnerships, Research and Education, International Diabetes Federation, São Paulo, Brazil
  • 118 International Diabetes Federation, Brussels, Belgium
  • 119 Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
  • 120 Department of Public & Environmental Health, University of The Gambia, Brikama, Gambia
  • 121 Epidemiology and Disease Control Unit, Ministry of Health, Kotu, Gambia
  • 122 School of Public Health, Dr. D. Y. Patil University, Mumbai, India
  • 123 Research & Scientific Studies Unit, University of Sydney, Sydney, NSW, Australia
  • 124 Epidemiology Department, Jazan University, Jazan, Saudi Arabia
  • 125 Department of Medical Laboratory Sciences, Haramaya University, Harar, Ethiopia
  • 126 Department of Oral Pathology and Microbiology, Krishna Institute of Medical Sciences "Deemed To Be University", Karad, India
  • 127 Department of Social Services, Tufts Medical Center, Boston, MA, United States
  • 128 Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
  • 129 The George Institute for Global Health, University of Oxford, Oxford, United Kingdom
  • 130 Department of Internal Medicine, University of São Paulo, São Paulo, Brazil
  • 131 Division of Tropical and Humanitarian Medicine, University of Geneva, Geneva, Switzerland
  • 132 Department of Social and Clinical Pharmacy, Charles University, Hradec Kralova, Czech Republic
  • 133 Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates
  • 134 Family Medicine Department, United Arab Emirates University, Al Ain, United Arab Emirates
  • 135 Neurovascular Imaging Laboratory, NSW Brain Clot Bank, Sydney, NSW, Australia
  • 136 Department of Neurology and Neurophysiology, South West Sydney Local Heath District and Liverpool Hospital, Sydney, NSW, Australia
  • 137 Department of Statistical and Computational Genomics, National Institute of Biomedical Genomics, Kalyani, India
  • 138 Department of Statistics, University of Calcutta, Kolkata, India
  • 139 Department of Anatomy, Manipal University College Melaka, Melaka, Malaysia
  • 140 Department of Biochemistry, Manipal University College Melaka, Melaka, Malaysia
  • 141 Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran
  • 142 Mario Negri Institute for Pharmacological Research, Ranica, Italy
  • 143 Department of Public Health, Samara University, Samara, Ethiopia
  • 144 School of Business Administration, American University of Sharjah, Sharjah, United Arab Emirates
  • 145 Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
  • 146 Department of Cardiology, Centre Hospitalier Montfermeil (Montfermeil Hospital Center), Montfermeil, France
  • 147 Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany
  • 148 Department of Epidemiology and Evidence-Based Medicine, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
  • 149 Department of Information and Internet Technologies, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
  • 150 School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada
  • 151 Al Shifa School of Public Health, Al Shifa Trust Eye Hospital, Rawalpindi, Pakistan
  • 152 Institute of Microengineering, Federal Polytechnic School of Lausanne, Lausanne, Switzerland
  • 153 Internal Medicine Department, Hospital Italiano de Buenos Aires (Italian Hospital of Buenos Aires), Buenos Aires, Argentina
  • 154 Board of Directors, Argentine Society of Medicine, Buenos Aires, Argentina
  • 155 Department of Surgery, Washington University in St. Louis, Saint Louis, MO, United States
  • 156 School of Public Health, University of Hong Kong, Hong Kong
  • 157 School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
  • 158 Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom
  • 159 Department of Medicine, University of Toronto, Toronto, ON, Canada
  • 160 Saveetha Medical College, Saveetha University, Chennai, India
  • 161 Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany
  • 162 Department of Ophthalmology, Heidelberg University, Heidelberg, Germany
  • 163 Division of Biomedical Informatics, Seoul National University Hospital, Seoul, South Korea
  • 164 Department of Community Medicine, Datta Meghe Institute of Medical Sciences, Wardha, India
  • 165 School of Public Health, Curtin University, Perth, WA, Australia
  • 166 Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, VIC, Australia
  • 167 Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia
  • 168 The School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia
  • 169 Center for Biomedicine and Community Health, VNUInternational School, Hanoi, Viet Nam
  • 170 Institute of Neuroscience, National Research Council, Pisa, Italy
  • 171 School of Public Health, Walailak University, Nakhon Si Thammarat, Thailand
  • 172 Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique
  • 173 Public Health Foundation of India, Gurugram, India
  • 174 Indian Council of Medical Research, New Delhi, India
  • 175 Department of Population and Development, Latin American Faculty of Social Sciences Mexico, Mexico City, Mexico
  • 176 Department of Community Medicine, Dr. Baba Saheb Ambedkar Medical College & Hospital, Delhi, India
  • 177 Faculty of Veterinary Medicine and Zootechnics, Autonomous University of Sinaloa, Culiacán Rosales, Mexico
  • 178 School of Health Sciences, Universiti Sains Malaysia (University of Science Malaysia), Kubang Kerian, Malaysia
  • 179 Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, United States
  • 180 Biomedical Informatics and Medical Statistics Department, Alexandria University, Alexandria, Egypt
  • 181 Division of Cardiology, Massachusetts General Hospital, Boston, MA, United States
  • 182 Faculty of Medicine, University of Tripoli, Tripoli, Libya
  • 183 Department of Clinical and Chemical Pathology, Cairo University, Cairo, Egypt
  • 184 National Hepatology and Tropical Medicine Research Institute, Cairo University, Cairo, Egypt
  • 185 Department of Internal Medicine, Rochester General Hospital, Rochester, NY, United States
  • 186 Department of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan
  • 187 School of Population Health, University of New South Wales, Sydney, NSW, Australia
  • 188 Department of Medicine, University of New South Wales, Sydney, NSW, Australia
  • 189 Centre for Big Data Research in Health, University of New South Wales, Sydney, NSW, Australia
  • 190 National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China
  • 191 Associated Laboratory for Green Chemistry (LAQV), University of Porto, Porto, Portugal
  • 192 Institute of Gerontological Health Services and Nursing Research, Ravensburg-Weingarten University of Applied Sciences, Weingarten, Germany
  • 193 Center for Research in Indigenous Health, Maya Health Alliance, Tecpán, Guatemala
  • 194 Department of Internal Medicine, University of Michigan, Ann Arbor, MI, United States
  • 195 Health Services Management Training Centre, Semmelweis University, Budapest, Hungary
  • 196 Faculty of Health and Public Administration, Semmelweis University, Budapest, Hungary
  • 197 Department of Applied Social Sciences, Sapientia Hungarian University of Transylvania, Târgu-Mureş, Romania
  • 198 Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, United States
  • 199 Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, United States
  • 200 Gillings School of Global Public Health, University of North Carolina Chapel Hill, Chapel Hill, NC, United States
  • 201 Department of Community Dentistry, Mahidol University, Ratchathewi, Thailand
  • 202 Population and Patient Health Group, King's College London, London, United Kingdom
  • 203 Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom
  • 204 Department of Public Health, Debre Berhan University, Debre Berhan, Ethiopia
  • 205 Department of Medical Surgical Nursing, Tabriz University of Medical Sciences, Tabriz, Iran
  • 206 Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • 207 Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • 208 Research Group for Genomic Epidemiology, Technical University of Denmark, Copenhagen, Denmark
  • 209 Department of Public Health, University of Muhammadiyah Kalimantan Timur, Samarinda, Indonesia
  • 210 Medical School, University of Warwick, Coventry, United Kingdom
  • 211 Family Medicine Research Center, Ministry of Health, Hail, Saudi Arabia
  • 212 Health Systems and Policy Research, Indian Institute of Public Health, Gandhinagar, India
  • 213 Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States
  • 214 Department of Health and Social Affairs, Government of the Federated States of Micronesia, Palikir, Federated States of Micronesia
  • 215 Institute of Tropical Pathology and Public Health (IPTSP), Federal University of Goias, Goiânia, Brazil
  • 216 Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, United States
  • 217 Department of Clinical Pharmacy and Outcomes Sciences, University of South Carolina, Columbia, SC, United States
  • 218 Centre for Noncommunicable Diseases and Nutrition, BRAC University, Dhaka, Bangladesh
  • 219 Department of Preventive Cardiology, Eternal Heart Care Centre & Research Institute, Jaipur, India
  • 220 Department of Medicine, Mahatma Gandhi University Medical Sciences, Jaipur, India
  • 221 Department of Clinical Medicine, Macquarie University, Sydney, NSW, Australia
  • 222 School of Medicine, Deakin University, Geelong, VIC, Australia
  • 223 Toxicology Department, Shriram Institute for Industrial Research, Delhi, Delhi, India
  • 224 Department of Quantitative Economics, Maastricht University, Maastricht, Netherlands
  • 225 Department of Radiology and Radiological Science, Baltimore, MD, United States
  • 226 Medical School, University of Western Australia, Perth, WA, Australia
  • 227 Dobney Hypertension Centre, University of Western Australia, Perth, WA, Australia
  • 228 Department of Neurology, Sir Charles Gairdner Hospital, Perth, WA, Australia
  • 229 Department of Zoology and Entomology, Al Azhar University, Cairo, Egypt
  • 230 Department of Pharmacy, University of Huddersfield, Huddersfield, United Kingdom
  • 231 Department of Public Health, Jigjiga University, Jijiga, Ethiopia
  • 232 Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
  • 233 Caspian Digestive Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran
  • 234 Institute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Lahore, Pakistan
  • 235 Department of Pharmacy Administration and Clinical Pharmacy, Xian Jiaotong University, Xian, China
  • 236 Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh
  • 237 Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh
  • 238 Burn Research Center, Shahid Motahari Hospital, Tehran, Iran
  • 239 Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong
  • 240 Department of Public Health and Community Medicine, Shaikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore, Pakistan
  • 241 Department of Occupational Safety and Health, China Medical University, Taichung, Taiwan
  • 242 Department of Health Services Administration, China Medical University, Taichung, Taiwan
  • 243 Division of Community Health and Family Medicine, Bangalore Baptist Hospital, Bangalore, India
  • 244 College of Public Health, Taipei Medical University, Taipei, Taiwan
  • 245 Department of Nutrition Research, Institute of Public Health Nutrition, Dhaka, Bangladesh
  • 246 Institute for Physical Activity and Nutrition, Deakin University, Burwood, VIC, Australia
  • 247 Department of Clinical Pharmacy, MAHSA University, Bandar Saujana Putra, Malaysia
  • 248 Department of General Surgery and Surgical-Medical Specialties, University of Catania, Catania, Italy
  • 249 Department of Health Management, University of Hail, Hail, Saudi Arabia
  • 250 Department of Health Services Research, University of Tsukuba, Tsukuba, Japan
  • 251 Knowledge Translation Program, Centre for Health Evaluation and Outcome Sciences, Vancouver, BC, Canada
  • 252 Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan
  • 253 Department of Global Health, Economics and Policy, University of Kragujevac, Kragujevac, Serbia
  • 254 Department of Physiology, University of Colombo, Colombo, Sri Lanka
  • 255 Department of Pharmacology, University of Colombo, Colombo, Sri Lanka
  • 256 School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, QLD, Australia
  • 257 Department of Community Medicine, Banaras Hindu University, Varanasi, India
  • 258 Renal and Cardiovascular Division, The George Institute for Global Health, New Delhi, India
  • 259 Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Beijing, China
  • 260 Institute for Prevention of Noncommunicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
  • 261 Health Services Management Department, Qazvin University of Medical Sciences, Qazvin, Iran
  • 262 Kasturba Medical College, Mangalore, India
  • 263 Department of Community Medicine, Manipal, India
  • 264 Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur, India
  • 265 Sydney Eye Hospital, South Eastern Sydney Local Health District, Sydney, NSW, Australia
  • 266 International Research Center of Excellence, Institute of Human Virology Nigeria, Abuja, Nigeria
  • 267 Julius Centre for Health Sciences and Primary Care, Utrecht University, Utrecht, Netherlands
  • 268 Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Faroe Islands
  • 269 School of Science and Technology, The University of Georgia, Tbilisi, Georgia
  • 270 Department of Diagnostic & Interventional Radiology, New Hospitals LTD, Tbilisi, Georgia
  • 271 Department of Public Health, Jordan University of Science and Technology, Irbid, Jordan
  • 272 Amity Institute of Forensic Sciences, Amity University, Noida, India
  • 273 Primary Care Department, NHS North West London, London, United Kingdom
  • 274 Department of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh
  • 275 Executive Board of the Health Ministers, Council for the Gulf Cooperation Council States, Riyadh, Saudi Arabia
  • 276 Department of Public Health, New Mexico State University, Las Cruces, NM, United States
  • 277 Department of Genomics and Digital Health, Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Seoul, South Korea
  • 278 Public Health Center, Ministry of Health and Welfare, Wando, South Korea
  • 279 School of Traditional Chinese Medicine, Xiamen University Malaysia, Sepang, Malaysia
  • 280 Department of Nutrition, Simmons University, Boston, MA, United States
  • 281 Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
  • 282 School of Health Sciences, Kristiania University College, Oslo, Norway
  • 283 Department of Global Community Health and Behavioral Sciences, Tulane University, New Orleans, LA, United States
  • 284 Department of Epidemiology and Public Health, University College London, London, United Kingdom
  • 285 Institute of Cardiovascular Science, University College London, London, United Kingdom
  • 286 Department of Infection, University College London, London, United Kingdom
  • 287 Department of Public Health, University of Helsinki, Helsinki, Finland
  • 288 Department of General Practice - Family Medicine, Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
  • 289 Biomedical Research Networking Center for Mental Health Network (CIBERSAM), San Juan de Dios Sanitary Park, Sant Boi de Llobregat, Spain
  • 290 Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
  • 291 Department of Anthropology, Panjab University, Chandigarh, India
  • 292 Department of Demography, University of Montreal, Montreal, QC, Canada
  • 293 Department of Social and Preventive Medicine, University of Montreal, Montreal, QC, Canada
  • 294 Department of Community Medicine, Manipal Academy of Higher Education, Mangalore, India
  • 295 Department of Infectious Disease, Manipal Academy of Higher Education, Mangalore, India
  • 296 Imperial College Business School, Imperial College London, London, United Kingdom
  • 297 Department of Primary Care and Public Health, Imperial College London, London, United Kingdom
  • 298 WHO Collaborating Centre for Public Health Education and Training, Imperial College London, London, United Kingdom
  • 299 Faculty of Public Health, University of Indonesia, Depok, Indonesia
  • 300 Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
  • 301 National Institute for Health Research (NIHR), Oxford Biomedical Research Centre, Oxford, United Kingdom
  • 302 Department of Medical Sciences, Uppsala University, Uppsala, Sweden
  • 303 Department of Clinical Chemistry and Pharmacology, Uppsala University Hospital, Uppsala, Sweden
  • 304 Department of Otorhinolaryngology, Father Muller Medical College, Mangalore, India
  • 305 The Office of Health Policy & Legislative Affairs, University of Texas, Galveston, TX, United States
  • 306 Department of Health Sciences, University of Leicester, Leicester, United Kingdom
  • 307 School of Pharmacy, Taylor's University Lakeside Campus, Subang Jaya, Malaysia
  • 308 Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan
  • 309 Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • 310 Department of Medicine and Therapeutics, The Chinese University of Hong Kong, N.T., Shatin, Hong Kong
  • 311 School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil
  • 312 Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  • 313 Value-Based Healthcare Unit, IRCCS MultiMedica, Sesto San Giovanni, Italy
  • 314 Faculty of Public Health, Universitas Airlangga (Airlangga University), Surabaya, Indonesia
  • 315 Indonesian Public Health Association, Surabaya, Indonesia
  • 316 National Centre for Disease Informatics and Research, Indian Council of Medical Research, Bengaluru, India
  • 317 Department of Ophthalmology, Singleton Hospital, Swansea, United Kingdom
  • 318 Department of Social Work, Shahjalal University of Science and Technology, Sylhet, Bangladesh
  • 319 Department of Nutrition, University of Oslo, Oslo, Norway
  • 320 Institute of Health and Society, University of Oslo, Oslo, Norway
  • 321 Forensic Medicine Division, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • 322 Department of Pharmacy Practice, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • 323 School of Medicine, University of Gondar, Gondar, Ethiopia
  • 324 School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden
  • 325 Department of Propedeutics of Internal Diseases & Arterial Hypertension, Pomeranian Medical University, Szczecin, Poland
  • 326 Woman-Mother-Child Department, Lausanne University Hospital, Lausanne, Switzerland
  • 327 Internal Medicine Programme, Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan
  • 328 Department of Atherosclerosis and Coronary Heart Disease, National Center of Cardiology and Internal Disease, Bishkek, Kyrgyzstan
  • 329 Department of Chemistry, Umm Al Qura University, Makkah, Saudi Arabia
  • 330 Department of Nursing, Mashhad University of Medical Sciences, Mashhad, Iran
  • 331 Applied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • 332 Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • 333 Department of Biology, University of Jeddah, Jeddah, Saudi Arabia
  • 334 Department of Computer Science and Engineering, Pabna University of Science and Technology, Pabna, Bangladesh
  • 335 Department of Epidemiology, Arak University of Medical Sciences, Arak, Iran
  • 336 Department of Pediatrics, Arak University of Medical Sciences, Arak, Iran
  • 337 Department of Medicine, Stanford University, Palo Alto, CA, United States
  • 338 Stanford Cardiovascular Institute, Stanford University, Palo Alto, CA, United States
  • 339 Demographic Change and Aging Research Area, Federal Institute for Population Research, Wiesbaden, Germany
  • 340 Center for Population and Health, Wiesbaden, Germany
  • 341 Department of Internal Medicine, Staten Island University Hospital Northwell Health, Staten Island, NY, United States
  • 342 Institute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany
  • 343 Suraj Eye Institute, Nagpur, India
  • 344 Discipline of Social & Administrative Pharmacy, University of Science, Malaysia, Penang, Malaysia
  • 345 Department of Disease Control and Environmental Health, Makerere University, Kampala, Uganda
  • 346 Cardio-Aid, Bucharest, Romania
  • 347 Estia Health Blakehurst, Estia Health, Sydney, NSW, Australia
  • 348 Institute for Global Health Innovations, Duy Tan University, Hanoi, Viet Nam
  • 349 Centre for Heart Rhythm Disorders, University of Adelaide, Adelaide, SA, Australia
  • 350 School of Public Health, University of Adelaide, Adelaide, SA, Australia
  • 351 Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge, Sweden
  • 352 Administrative and Economic Sciences Department, University of Bucharest, Bucharest, Romania
  • 353 Department of Community Health and Primary Care, University of Lagos, Idi Araba, Nigeria
  • 354 Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT, United States
  • 355 Department of Medicine, University College Hospital, Ibadan, Ibadan, Nigeria
  • 356 Department of Social and Behavioral Sciences, New York University, New York, NY, United States
  • 357 Department of Psychiatry, University of Lagos, Lagos, Nigeria
  • 358 Department of Pharmacology and Therapeutics, University of Nigeria Nsukka, Enugu, Nigeria
  • 359 Department of Medicine, Autonomous University of Madrid, Madrid, Spain
  • 360 Department of Nephrology and Hypertension, The Institute for Health Research Foundation, Jiménez Díaz University Hospital, Madrid, Spain
  • 361 Department of Public Health, University of Naples Federico II, Naples, Italy
  • 362 Corporate Somnogen Canada Inc, Toronto, ON, Canada
  • 363 Vision and Eye Research Institute, Anglia Ruskin University, Cambridge, United Kingdom
  • 364 Department of Health Administration and Policy, George Mason University, Fairfax, VA, United States
  • 365 Center for Research and Innovation, Ateneo De Manila University, Pasig City, Philippines
  • 366 Department of Development Studies, International Institute for Population Sciences, Mumbai, India
  • 367 Department of Community Medicine, Mahatma Gandhi Medical College & Hospital, Jaipur, India
Ключевые слова
Adult; Diabetes Mellitus, Type 1; Diabetes Mellitus, Type 2; Global Burden of Disease; Global Health; Humans; Risk Factors; Article; body mass; cause of death; chronic kidney failure; clinical article; demography; diabetes mellitus; economic development; ethnicity; global disease burden; glucose blood level; human; insulin dependent diabetes mellitus; major clinical study; mortality; mortality rate; non insulin dependent diabetes mellitus; pregnancy diabetes mellitus; prevalence; risk factor; sociodemographics; sustainable development; trend study; adult; global disease burden; global health; insulin dependent diabetes mellitus; non insulin dependent diabetes mellitus
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