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000182613 0247_ $$2doi$$a10.1136/bmj-2021-068208
000182613 0247_ $$2pmid$$apmid:35273014
000182613 0247_ $$2pmc$$apmc:PMC9316948
000182613 0247_ $$2ISSN$$a0959-535X
000182613 0247_ $$2ISSN$$a0959-8138
000182613 0247_ $$2ISSN$$a0959-8146
000182613 0247_ $$2ISSN$$a0959-8154
000182613 0247_ $$2ISSN$$a1756-1833
000182613 0247_ $$2ISSN$$a1759-2151
000182613 0247_ $$2altmetric$$aaltmetric:124399943
000182613 037__ $$aDKFZ-2022-02793
000182613 041__ $$aEnglish
000182613 082__ $$a610
000182613 1001_ $$aGBD 2019 Ageing Collaborators$$b0$$eCollaboration Author
000182613 245__ $$aGlobal, regional, and national burden of diseases and injuries for adults 70 years and older: systematic analysis for the Global Burden of Disease 2019 Study.
000182613 260__ $$a[S.l.]$$bBMJ Publ. Group$$c2022
000182613 3367_ $$2DRIVER$$aarticle
000182613 3367_ $$2DataCite$$aOutput Types/Journal article
000182613 3367_ $$0PUB:(DE-HGF)16$$2PUB:(DE-HGF)$$aJournal Article$$bjournal$$mjournal$$s1668602742_5814
000182613 3367_ $$2BibTeX$$aARTICLE
000182613 3367_ $$2ORCID$$aJOURNAL_ARTICLE
000182613 3367_ $$00$$2EndNote$$aJournal Article
000182613 500__ $$aISSN 1756-1833 
000182613 520__ $$aTo use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends for the population aged ≥70 and evaluate patterns in causes of death, disability, and risk factors.Systematic analysis.Participants were aged ≥70 from 204 countries and territories, 1990-2019.Years of life lost, years lived with disability, disability adjusted life years, life expectancy at age 70 (LE-70), healthy life expectancy at age 70 (HALE-70), proportion of years in ill health at age 70 (PYIH-70), risk factors, and data coverage index were estimated based on standardised GBD methods.Globally the population of older adults has increased since 1990 and all cause death rates have decreased for men and women. However, mortality rates due to falls increased between 1990 and 2019. The probability of death among people aged 70-90 decreased, mainly because of reductions in non-communicable diseases. Globally disability burden was largely driven by functional decline, vision and hearing loss, and symptoms of pain. LE-70 and HALE-70 showed continuous increases since 1990 globally, with certain regional disparities. Globally higher LE-70 resulted in higher HALE-70 and slightly increased PYIH-70. Sociodemographic and healthcare access and quality indices were positively correlated with HALE-70 and LE-70. For high exposure risk factors, data coverage was moderate, while limited data were available for various dietary, environmental or occupational, and metabolic risks.Life expectancy at age 70 has continued to rise globally, mostly because of decreases in chronic diseases. Adults aged ≥70 living in high income countries and regions with better healthcare access and quality were found to experience the highest life expectancy and healthy life expectancy. Disability burden, however, remained constant, suggesting the need to enhance public health and intervention programmes to improve wellbeing among older adults.
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000182613 650_2 $$2MeSH$$aAged
000182613 650_2 $$2MeSH$$aAged, 80 and over
000182613 650_2 $$2MeSH$$aCost of Illness
000182613 650_2 $$2MeSH$$aDisability Evaluation
000182613 650_2 $$2MeSH$$aFemale
000182613 650_2 $$2MeSH$$aGlobal Burden of Disease
000182613 650_2 $$2MeSH$$aHumans
000182613 650_2 $$2MeSH$$aLife Expectancy
000182613 650_2 $$2MeSH$$aMale
000182613 650_2 $$2MeSH$$aMortality: trends
000182613 650_2 $$2MeSH$$aRisk Factors
000182613 650_2 $$2MeSH$$aWounds and Injuries: epidemiology
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