Global trends in diabetes‐related mortality with regard to lifestyle modifications, risk factors, and affordable management: A preliminary analysis. Issue 3 (1st September 2021)

• Record Type: Journal Article
• Authors: Khaltaev, Nikolai; Axelrod, Svetlana
• Is Part Of: Chronic diseases and translational medicine. Volume 7:Issue 3(2021)
• Page Start: 182
• Page End: 189
• Publication Date: 2021-09-01
• Subjects: Diabetes -- Tobacco -- Physical activity -- High blood pressure -- World Health Organization; Chronic diseases -- Periodicals; Medicine -- Research -- Periodicals; Chronic diseases; Medicine -- Research; Chronic Disease; Translational Medical Research; Periodicals; Electronic journals; Fulltext; Internet Resources; Periodicals; Periodical; 616.044
• DOI: 10.1016/j.cdtm.2021.03.003
• Languages: English
• ISSNs: 2095-882X

Abstract

Abstract: Background: According to the World Health Organization (WHO), a global reduction of 17% has been achieved in the major noncommunicable disease‐associated mortality rate since 2000. This decline was due to the decreasing mortality associated with cardiovascular and chronic respiratory diseases. The WHO has not made any comments on diabetes‐related mortality thus far. The objective of this study was to demonstrate trends in diabetes‐related mortality associated with country‐wide interventions. Methods: The WHO statistics were used to assess trends in diabetes‐related mortality from 2000 to 2016. Different types of community‐based interventions in 49 countries were compared and assessed. Results: The baseline mortality decreased by 7%. Mortality in middle‐income countries was higher than that in high‐income countries. The prevalence of obesity showed a gradual increase in all countries. After implementation of the WHO "best buy" in 2010, mortality increased in 17 countries and decreased in 32 countries. Regarding the smoking prevalence trend, 87% countries with decreasing diabetes‐related mortality had a gradual decline in tobacco usage since 2000. The decline was observed only in 43% countries with increasing diabetes‐related mortality. The prevalence of hypertension increased in 19% countries with declining diabetes‐related mortality and in 35% countries with increasing diabetes‐related mortality. Physical activity measures tended to be better implemented in countries with declining diabetes‐related mortality than in countries with increasing diabetes‐related mortality. Conclusion: Smoking cessation and better blood pressure control are associated with declining diabetes‐related mortality. Longer implementation periods are needed for other lifestyle interventions.