Global Burden of Vitamin A Deficiency in 204 Countries and Territories from 1990-2019

Abstract

Vitamin A deficiency (VAD) is one of the important public health issues worldwide. However, a detailed understanding of the incidence and disability-adjusted life years (DALYs) due to VAD in recent years is lacking. We aimed to estimate the incidence and DALYs of VAD at global, regional, and national levels in terms of sex, age, and socio-demographic index (SDI). Using data from the 2019 Global Burden of Disease (GBD) study, the estimated annual percentage change (EAPC) was measured to assess trends in the age-standardized incidence and DALY rates from 1990 to 2019. The global age-standardized incidence and DALY rates of VAD decreased with an EAPC of −3.11% (95% confidence interval (CI): −3.24% to −2.94%) and −2.18% (95% CI: −2.38% to −1.93%), respectively. The age-standardized incidence and DALY rates decreased least in low-SDI regions, which had the highest age-standardized incidence and DALY rates of all SDI regions. Sub-Saharan Africa, especially central sub-Saharan Africa, had the highest age-standardized incidence and DALY rates in 2019. At the national level, Somalia and Niger had the highest age-standardized incidence and DALY rates. The age-standardized incidence and DALY rates were higher in males than in females. Younger children, especially those aged < 5 years in low-SDI regions, had a higher VAD burden than other age groups. Although the global burden of VAD has decreased, future work should aim to improve the prevention and treatment strategies for VAD, particularly in children aged < 5 years in countries and territories with low SDI values, such as sub-Saharan Africa.

Keywords: Global Burden of Disease; disability-adjusted life years; epidemiology; incidence; vitamin A deficiency.

Figure 1

The EAPC of VAD age-standardized rates from 1990 to 2019 by sexes and regions. (A) The EAPC of age-standardized incidence rate. (B) The EAPC of age-standardized DALY rate. Abbreviations: DALY, disability adjusted life-year; EAPC, estimated annual percentage change; SDI, socio-demographic index; VAD, vitamin A deficiency.

Figure 2

The EAPC of VAD age-standardized rates from 1990 to 2019 by countries. (A) The EAPC of age-standardized incidence rate. (B) The EAPC of age-standardized DALY rate. Abbreviations: DALY, disability adjusted life-year; EAPC, estimated annual percentage change; SDI, socio-demographic index; VAD, vitamin A deficiency.