Abstract：
The population in the Western Pacific region is aging rapidly. Nutritional deficiency is prevalent in older adults; however, information regarding nutritional deficiency in this population is scarce. Using the 2019 Global Burden of Disease (GBD) results, the age-standardized disability-adjusted life years (DALYs) and years of healthy life lost due to disability (YLDs) from nutritional deficiency were estimated between 1990 and 2019 for this population. Average annual percentage change (AAPC) was used to assess temporal trends, and linear mixed-effects models were used to examine socioeconomic and sex inequalities. From 1990 to 2019, the age-standardized DALYs of nutritional deficiency in this population decreased from 697.95 to 290.95 per 100,000, and their age-standardized YLDs decreased from 459.03 to 195.65 per 100,000, with the greatest declines seen in South Korea (AAPCs < -5.0). Tonga had the least decline in DALYs (AAPC = -0.8), whereas Fiji experienced an increase in YLDs (AAPC = 0.1). Being female and having a lower sociodemographic index score was significantly associated with higher age-standardized DALYs and YLDs. The magnitude and temporal trends of the nutritional deficiency burden among older adults varied across countries and sex in the region, indicating that health policies on nutritional deficiency among older adults must be crafted to local conditions.
摘要：
西太平洋地区的人口正在迅速老龄化。营养缺乏在老年人中普遍存在；然而，有关该人群营养缺乏的信息很少。使用2019年全球疾病负担(GBD)结果，在1990年至2019年期间,对该人群进行了年龄标准化的残疾调整生命年(DALYs)和因营养缺乏导致残疾而失去的健康生命年(YLDs)的估算.平均年度百分比变化(AAPC)用于评估时间趋势，线性混合效应模型被用来检验社会经济和性别不平等。从1990年到2019年，该人群中营养缺乏的年龄标准化DALYs从697.95降至290.95/100,000，年龄标准化YLDs从459.03降至195.65/100,000，其中下降幅度最大的是韩国（AAPC<-5.0）。汤加的DALYs下降最少(AAPC=-0.8)，而斐济的YLDs增加(AAPC=0.1)。女性和较低的社会人口统计学指数得分与较高的年龄标准化DALYs和YLDs显着相关。老年人营养缺乏负担的规模和时间趋势因国家和性别而异。这表明针对老年人营养缺乏的卫生政策必须因地制宜。
