Your new experience awaits. Try the new design now and help us make it even better

ORIGINAL RESEARCH article

Front. Med.

Sec. Geriatric Medicine

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1592620

The Rising Burden of Alzheimer's and Other Dementias: Role of High Fasting Plasma Glucose from 1990 to 2021

Provisionally accepted
Shu  Hua LiuShu Hua Liu1,2Yuxuan  WuYuxuan Wu1,2Fangying  ChenFangying Chen1Luying  HanLuying Han1,2Yu  ZhangYu Zhang1Enqiang  ChangEnqiang Chang1,2,3*
  • 1Henan Provincial People's Hospital, Zhengzhou, Henan Province, China
  • 2Department of Anesthesiology and Perioperative Medicine, People's Hospital of Zhengzhou University, Zhengzhou, Henan Province, China
  • 3Section of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, England, United Kingdom

The final, formatted version of the article will be published soon.

AbstractBackground: Dementia, one of the top 10 causes of death globally, imposes significant health and socioeconomic/socioeconomic burdens, with prevalence projected to reach 82 million by 2030. High fasting plasma glucose (HFPG) is a prominent modifiable risk factor for dementia in 2021. This study aims first to examine the global trend in dementia burden and the disability-adjusted life years (DALYs) and death attributable to HFPG from 1990 to 2021 and second to define age-specific disparities in dementia burden among older populations.Methods: Using data from the Global Burden of Diseases Study (GBD) 2021, this research evaluated the incidence, prevalence, deaths, disability-adjusted life years (DALYs), and HFPG-attributable burden related to ADOD. The estimated annual percentage change was calculated to qualify the burden change of ADOD.Results: There was a significant rise in the ADOD burden globally, with over 56.9 million prevalent cases and 2.0 million deaths in 2021. the incidence and prevalence were positively correlated with HFPG-related summary exposure value. The HFPG-attributable ADOD burden has increased worldwide over time. Globally, the 60 to 74 age groups suffered a prominent rise in the burden and HFPG-attributable burden of ADOD.Conclusions: The global burden and HFPG-attributable ADOD burden have remained prominent and have increased increase over the past 32 years. The ASIR and ASPR showed positive correlations with the SEV related to HFPG. Notably, the 60 to 74 age groups suffered a prominent rise in burden and HFPG attributable to the DALYs rate of ADOD over time. Moreover, a prominent positive correlation was observed between the incidence and prevalence rate with the SEVs related to HFPG occurred in the population aged 60 to 74 years old. Therefore, HFPG should be emphasized in strategic priorities for controlling the ADOD burden.Keywords: Alzheimer’s disease and other dementias, prevalence, incidence, disability-adjusted life years, high fasting plasma glucose, 60 to 74 age groups

Keywords: Alzheimer's disease and other dementias, Prevalence, Incidence, Disability-adjusted life years, High fasting plasma glucose, 60 to 74 age groups

Received: 12 Mar 2025; Accepted: 12 Jun 2025.

Copyright: © 2025 Liu, Wu, Chen, Han, Zhang and Chang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Enqiang Chang, Department of Anesthesiology and Perioperative Medicine, People's Hospital of Zhengzhou University, Zhengzhou, 450001, Henan Province, China

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.