Metabolic Risk–Attributable Cardiovascular Disease Burden in Adolescents and Young Adults, 1990–2050: A Global Burden of Disease Study

Endocr PractPublished Global Burden of Disease Study analysis

Authors' conclusion

The AYAs face a growing absolute burden of CVD-MRFs, driven notably by high BMI and FPG. Urgent, targeted prevention strategies are essential, particularly for males, young adults aged 20 to 24 years, and populations in middle and low-middle SDI regions.

Study context

Population
Individuals aged 15 to 39 years (and young adults (AYAs)), global, 1990–2021, stratified by age, sex, region and Socio-demographic Index (SDI)
Outcome
Mortality and DALYs caused by CVD attributable to metabolic risk factors (CVD-MRFs)
Follow-up
1990 to 2021
Methodological detailsjoinpoint regression, Bayesian age-period-cohort projection to 2050
  • Joinpoint regression
  • Bayesian age-period-cohort projection to 2050

Main finding

As reported in the abstract

CVD-MRF burden among AYAs · 2021

Deaths caused by CVD-MRFs globally

213 000

Disability-adjusted life years (DALYs) caused by CVD-MRFs globally

12.9 million

Increase in absolute deaths since 1990

29.1%

Increase in absolute DALYs since 1990

30.4%

Observational data: associations, not effects.

Further findings

Burden by SDI, sex and age

Burden highest in middle and low-middle SDI regions
Burden twice as high in males as in females
20 to 24-year age group the only subgroup with a rising mortality trend

Risk factors and conditions

High body-mass index (BMI) and fasting plasma glucose (FPG) were the most rapidly growing metabolic risk factors (MRFs)
High systolic BP and LDL-C remained the leading risks
Ischemic heart disease was the predominant condition

Projected burden · 2050

Persistent absolute burden through 2050

Original publication

Metabolic Risk–Attributable Cardiovascular Disease Burden in Adolescents and Young Adults, 1990–2050: A Global Burden of Disease Study. Endocr Pract. Published 29 January 2026. doi:10.1016/j.eprac.2026.01.014

Composed by AI from the published abstract and checked against it. How Briefs are made →

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