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The health burden of non-communicable neurological disorders in the USA between 1990 and 2017

In this observational study, using the Global Burden of Disease and Risk Factors Study, we aimed to (i) report the magnitude of health loss due to non-communicable neurological disorders in the USA in 2017 by sex, age, years and States and (ii) to identify non-communicable neurological disorders att...

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Autores principales: Bazargan-Hejazi, Shahrzad, Dehghan, Kaveh, Edwards, Cristina, Mohammadi, Najmeh, Attar, Setareh, Sahraian, Mohammad Ali, Eskandarieh, Sharareh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7472903/
https://www.ncbi.nlm.nih.gov/pubmed/32954341
http://dx.doi.org/10.1093/braincomms/fcaa097
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author Bazargan-Hejazi, Shahrzad
Dehghan, Kaveh
Edwards, Cristina
Mohammadi, Najmeh
Attar, Setareh
Sahraian, Mohammad Ali
Eskandarieh, Sharareh
author_facet Bazargan-Hejazi, Shahrzad
Dehghan, Kaveh
Edwards, Cristina
Mohammadi, Najmeh
Attar, Setareh
Sahraian, Mohammad Ali
Eskandarieh, Sharareh
author_sort Bazargan-Hejazi, Shahrzad
collection PubMed
description In this observational study, using the Global Burden of Disease and Risk Factors Study, we aimed to (i) report the magnitude of health loss due to non-communicable neurological disorders in the USA in 2017 by sex, age, years and States and (ii) to identify non-communicable neurological disorders attributable environmental, metabolic and behavioural risk factors. We provide estimates of the burden of non-communicable neurological disorders by reporting disability-adjusted life-years and their trends from 1990 to 2017 by age and sex in the USA. The non-communicable neurological disorders include migraines, tension-type headaches, multiple sclerosis, Alzheimer’s disease and other dementias, Parkinson’s disease, epilepsy, motor neuron diseases and other neurological disorders. In 2017, the global burdens of non-communicable neurological disorders were 1444.41 per 100 000, compared to the USA burden of 1574.0. Migraine was the leading age-standardized disability-adjusted life-years 704.7 per 100 000, with Alzheimer’s disease and other dementias (41.8.7), and epilepsy (123.8) taking the second and third places, respectively. Between 1990 and 2017, the age-standardized disability-adjusted life-years rates for aggregate non-communicable neurological disorders relative to all cause increased by 3.42%. More specifically, this value for motor neuron diseases, Parkinson’s disease and multiple sclerosis increase by 20.9%, 4.0%, 2.47%, 3.0% and 1.65%, respectively. In 2017, the age-standardized disability-adjusted life-years rates for the aggregate non-communicable neurological disorders was significantly higher in females than the males (1843.5 versus 1297.3 per 100 000), respectively. The age-standardized disability-adjusted life-years rates for migraine were the largest in both females (968.8) and males were (432.5) compared to other individual non-communicable neurological disorders. In the same year, the leading non-communicable neurological disorders age-standardized disability-adjusted life-years rates among children ≤9 was epilepsy (216.4 per 100 000). Among the adults aged 35–60 years, it was migraine (5792.0 per 100 000), and among the aged 65 and above was Alzheimer’s disease and other dementias (78 800.1 per 100 000). High body mass index, smoking, high fasting plasma glaucous and alcohol use were the attributable age-standardized disability-adjusted life-years risks for aggregate and individual non-communicable neurological disorders. Despite efforts to decrease the burden of non-communicable neurological disorders in the USA, they continue to burden the health of the population. Children are most vulnerable to epilepsy-related health burden, adolescents and young adults to migraine, and elderly to Alzheimer’s disease and other dementias and epilepsy. In all, the most vulnerable populations to non-communicable neurological disorders are females, young adults and the elderly.
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spelling pubmed-74729032020-09-17 The health burden of non-communicable neurological disorders in the USA between 1990 and 2017 Bazargan-Hejazi, Shahrzad Dehghan, Kaveh Edwards, Cristina Mohammadi, Najmeh Attar, Setareh Sahraian, Mohammad Ali Eskandarieh, Sharareh Brain Commun Original Article In this observational study, using the Global Burden of Disease and Risk Factors Study, we aimed to (i) report the magnitude of health loss due to non-communicable neurological disorders in the USA in 2017 by sex, age, years and States and (ii) to identify non-communicable neurological disorders attributable environmental, metabolic and behavioural risk factors. We provide estimates of the burden of non-communicable neurological disorders by reporting disability-adjusted life-years and their trends from 1990 to 2017 by age and sex in the USA. The non-communicable neurological disorders include migraines, tension-type headaches, multiple sclerosis, Alzheimer’s disease and other dementias, Parkinson’s disease, epilepsy, motor neuron diseases and other neurological disorders. In 2017, the global burdens of non-communicable neurological disorders were 1444.41 per 100 000, compared to the USA burden of 1574.0. Migraine was the leading age-standardized disability-adjusted life-years 704.7 per 100 000, with Alzheimer’s disease and other dementias (41.8.7), and epilepsy (123.8) taking the second and third places, respectively. Between 1990 and 2017, the age-standardized disability-adjusted life-years rates for aggregate non-communicable neurological disorders relative to all cause increased by 3.42%. More specifically, this value for motor neuron diseases, Parkinson’s disease and multiple sclerosis increase by 20.9%, 4.0%, 2.47%, 3.0% and 1.65%, respectively. In 2017, the age-standardized disability-adjusted life-years rates for the aggregate non-communicable neurological disorders was significantly higher in females than the males (1843.5 versus 1297.3 per 100 000), respectively. The age-standardized disability-adjusted life-years rates for migraine were the largest in both females (968.8) and males were (432.5) compared to other individual non-communicable neurological disorders. In the same year, the leading non-communicable neurological disorders age-standardized disability-adjusted life-years rates among children ≤9 was epilepsy (216.4 per 100 000). Among the adults aged 35–60 years, it was migraine (5792.0 per 100 000), and among the aged 65 and above was Alzheimer’s disease and other dementias (78 800.1 per 100 000). High body mass index, smoking, high fasting plasma glaucous and alcohol use were the attributable age-standardized disability-adjusted life-years risks for aggregate and individual non-communicable neurological disorders. Despite efforts to decrease the burden of non-communicable neurological disorders in the USA, they continue to burden the health of the population. Children are most vulnerable to epilepsy-related health burden, adolescents and young adults to migraine, and elderly to Alzheimer’s disease and other dementias and epilepsy. In all, the most vulnerable populations to non-communicable neurological disorders are females, young adults and the elderly. Oxford University Press 2020-07-09 /pmc/articles/PMC7472903/ /pubmed/32954341 http://dx.doi.org/10.1093/braincomms/fcaa097 Text en © The Author(s) (2020). Published by Oxford University Press on behalf of the Guarantors of Brain. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Original Article
Bazargan-Hejazi, Shahrzad
Dehghan, Kaveh
Edwards, Cristina
Mohammadi, Najmeh
Attar, Setareh
Sahraian, Mohammad Ali
Eskandarieh, Sharareh
The health burden of non-communicable neurological disorders in the USA between 1990 and 2017
title The health burden of non-communicable neurological disorders in the USA between 1990 and 2017
title_full The health burden of non-communicable neurological disorders in the USA between 1990 and 2017
title_fullStr The health burden of non-communicable neurological disorders in the USA between 1990 and 2017
title_full_unstemmed The health burden of non-communicable neurological disorders in the USA between 1990 and 2017
title_short The health burden of non-communicable neurological disorders in the USA between 1990 and 2017
title_sort health burden of non-communicable neurological disorders in the usa between 1990 and 2017
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7472903/
https://www.ncbi.nlm.nih.gov/pubmed/32954341
http://dx.doi.org/10.1093/braincomms/fcaa097
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