Evidence map›Paper›PMID 41988288›Full record

ArticleJournal of thoracic disease2026

The evolving global burden of asthma among children and adolescents, 1990-2040: trends, disparities, and future projections based on Global Burden of Disease (GBD) 2021.

Xi Chen, Dandan Ma, Hangyu Li, Yilin Liu, Guixing Xu, Guilin Zhang, Xingyu Liang, Hui Pan, Hong Zhang

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Update on Pediatric asthma management: Recent advances.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
  2. Review
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

9 authors.

Xi ChenAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Dandan MaAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Hangyu LiAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yilin LiuAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Guixing XuHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Guilin ZhangHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Xingyu LiangThe General Hospital of Western Theater Command, Chengdu, China.
Hui PanDepartment of Rehabilitation, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Hong ZhangAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Asthma is a significant contributor to the global disease burden and is the most common chronic disease in children and adolescents. This study provides estimates of the prevalence, incidence, mortality, and disability-adjusted life-years (DALYs) burden of asthma among children and adolescents from 1990 to 2021. Methods: Using Global Burden of Disease (GBD) 2021 data, we analyzed age-standardized prevalence (ASPR), incidence (ASIR), mortality (ASMR), and DALYs (ASDR) rates of asthma among children and adolescents from 1990 to 2021. Estimated annual percentage changes (EAPC) were calculated to evaluate temporal trends. Data were stratified by sex, age, 204 nations/territories, 21 GBD regions, and five socio-demographic index (SDI) quintiles. The Bayesian age-period-cohort (BAPC) models were applied to predict asthma burden up to 2040. Results: In 2021, there were approximately 126 million prevalent cases and 27 million incidence cases among children and adolescents worldwide. From 1990 to 2021, ASPR (EAPC -1.00) and ASIR (EAPC -0.77) declined moderately, while ASMR (EAPC -3.01) and ASDR (EAPC -1.54) decreased substantially. High SDI regions had the highest prevalence, incidence, and DALYs, whereas low SDI regions bore greater mortality. Males exhibited higher prevalence, whereas females experienced higher mortality. Prevalence peaked at ages 5-9 years, while incidence, deaths, and DALYs were highest in children younger than 5 years. High body mass index (BMI) was a leading contributor to asthma burden. During the coronavirus disease 2019 (COVID-19) pandemic (2019-2021), global asthma burden in children and adolescents decreased, particularly in deaths, while prevalence slightly increased. BAPC projections indicate that the ASPR and ASIR will remain stable through 2040, while ASMR and ASDR will continue to decline. Conclusions: The global burden of asthma among children and adolescents has declined, but regional, sex, and age disparities persist. These findings highlight the need for targeted healthcare strategies and policies that address age, gender, and regional differences.

Indexed as

adolescentsAsthmachildrenglobal burden of disease studytrends

Identifiers

PMID41988288
PMCPMC13077360

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.