Evidence map›Paper›PMID 41694459›Full record

ArticleFrontiers in aging neuroscience2025

Trends and cross-country inequalities in the global burden of Alzheimer's disease and other dementias among adults aged 65+ years, 1990-2021: a population based study with projections into 2050.

Sibo Liu, Guozhi Wu, Xiao Ma, Kai Xu, Xiaoyan Lan, Long Wang, Hang Li, Dean Gu, Mengxing Wang, Jinjie Liu

Abstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
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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

10 authors.

Sibo LiuDepartment of Intensive Care Unit, Central Hospital of Dalian University of Technology, Dalian, China.
Guozhi WuDepartment of Intensive Care Unit, Central Hospital of Dalian University of Technology, Dalian, China.
Xiao MaDepartment of General Medicine, Central Hospital of Dalian University of Technology, Dalian, China.
Kai XuDepartment of Neurosurgery, Central Hospital of Dalian University of Technology, Dalian, China.
Xiaoyan LanDepartment of Neurology, Central Hospital of Dalian University of Technology, Dalian, China.
Long WangSchool of Computer and Communication Engineering, University of Science and Technology Beijing, Beijing, China.
Hang LiDepartment of Geriatrics, Affiliated Dalian Friendship Hospital of Dalian Medical University, Dalian, China.
Dean GuDepartment of Neurology, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
Mengxing WangChina National Clinical Research Center for Neurological Diseases, Beijing, China.
Jinjie LiuDepartment of Scientific Research and Discipline Building, Central Hospital of Dalian University of Technology, Dalian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Alzheimer's disease and other dementias (ADOD) pose a significant global health challenge, with projected annual increases. The growing elderly population exacerbates burdens, underscoring the need for interventions. Methods: Using data from the Global Burden of Disease Study 2021, we analysed global ADOD trends from 1990 to 2021 among adults aged 65+ and projected to 2050. Average annual percentage change (AAPC) in the age-standardised prevalence, mortality and disability-adjusted life years (DALYs) rates of ADOD were calculated to quantify the temporal trends. Results: Globally, the number of adults aged 65 years or older living with ADOD increased from 18.1 (95% uncertainty interval [UI] 14.4-22.5) million in 1990 to 49.1 (38.7-61.3) million in 2021 (AAPC 0.09%). While mortality rates remained relatively stable (AAPC 0%), DALYs increased by 176% (AAPC 0.02%). Females consistently exhibited a higher age-standardised prevalence (7,603 [95% UI 6,023-9,469] cases per 100,000 population) vs. 5,744 [4,486-7,205]) and mortality (304 [78 to 782] vs. 225 [54-626]) rate compared to males, with notable regional variations. From 1990 to 2021, the age-standardised prevalence of ADOD increased only in East Asia and High-income Asia Pacific (AAPC 0.79% and 0.16%). High fasting plasma glucose, high body-mass index, and smoking were identified as primary risk factors. Projections indicate a 50.1% increase in age-standardised prevalence by 2050, with an estimated 191 (52-330) million cases, and a predicted death toll of 6.8 (2.4-11.3) million. Conclusion: The global number of people living with dementia nearly tripled from 1990 to 2021, mainly due to increases in population ageing and growth. The findings emphasize the need for comprehensive strategies to address ADOD, including prevention, early diagnosis, and effective management, with a focus on gender and regional disparities.

Indexed as

Alzheimer’s diseaseaverage annual percentage changedementiadisability-adjusted life yearsmortalityprevalencerisk factors

Identifiers

PMID41694459
PMCPMC12894397

What Socratic holds

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LicenceCC BY
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Registered trials

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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 Socratic graph.