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Global, regional, and national burdens of atopic dermatitis under 14: a trend analysis and future prediction based on the global burden of disease study 2019

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Abstract

Objective

The aim is to evaluate the global, regional, and national trends in the burden of children and adolescents under 14 from 1990 to 2019, as well as future trend predictions.

Methods

In Global Burden of Disease (GBD), we reported the incidence, prevalence rate and the years lived with disability (YLDs), the incidence per 100,000 people, and the average annual percentage change (AAPC). We further analyzed these global trends by age, gender, and social development index (SDI). We use joinpoint regression analysis to determine the year with the largest global trend change. Bayesian age-period-cohort (BAPC) was used for predictions.

Results

From 1990 to 2019, the incidence rate, prevalence and YLDs of AD under 14 years old showed a downward trend. The incidence rate of AD among people under 5 years old has the largest decline [AAPC: -0.13 (95% CI: -0.15 to -0.11), P < 0.001]. The incidence rate, prevalence and YLDs of AD in women were higher than those in men regardless of age group. Regional, Asia has the highest AD incidence rate in 2019. National, Mongolia has the highest AD incidence rate in 2019. The largest drop in AD incidence rate, prevalence and YLDs between 1990 and 2019 was in the United States.

Conclusion

From 1990 to 2019, the global incidence rate of children and adolescents under 14 declined. With the emergence of therapeutic drugs, the prevalence and YLDs rate declined significantly. From 2020 to 2030, there is still a downward trend.

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Data availability

No datasets were generated or analysed during the current study.

References

  1. Drucker AM, Wang AR, Li WQ et al (2017) The Burden of atopic dermatitis: Summary of a report for the National Eczema Association. J Invest Dermatol 137:26–3020160908. https://doi.org/10.1016/j.jid.2016.07.012

    Article  CAS  PubMed  Google Scholar 

  2. Chiesa Fuxench ZC, Block JK, Boguniewicz M et al (2019) Atopic dermatitis in America Study: a cross-sectional study examining the prevalence and Disease Burden of atopic dermatitis in the US Adult Population. J Invest Dermatol 139:583–590. https://doi.org/10.1016/j.jid.2018.08.028

    Article  CAS  PubMed  Google Scholar 

  3. Laughter MR, Maymone MBC, Mashayekhi S et al (2021) The global burden of atopic dermatitis: lessons from the global burden of Disease Study 1990–2017. Br J Dermatol 184:304–309. https://doi.org/10.1111/bjd.19580

    Article  CAS  PubMed  Google Scholar 

  4. Ivert LU, Johansson EK, Dal H et al (2019) Association between atopic dermatitis and Cardiovascular Disease: a Nationwide Register-based case-control study from Sweden. Acta Derm Venereol 99:865–870. https://doi.org/10.2340/00015555-3235

    Article  PubMed  Google Scholar 

  5. Werfel T, Allam JP, Biedermann T et al (2016) Cellular and molecular immunologic mechanisms in patients with atopic dermatitis. J Allergy Clin Immunol 138:336–349. https://doi.org/10.1016/j.jaci.2016.06.010

    Article  CAS  PubMed  Google Scholar 

  6. Kahn D, Iturriaga C, Bertran K et al (2020) Sleep quality in children with atopic dermatitis during flares and after treatment. Sleep Sci 13:172–175. https://doi.org/10.5935/1984-0063.20190139

    Article  PubMed  PubMed Central  Google Scholar 

  7. DaVeiga SP (2012) Epidemiology of atopic dermatitis: a review. Allergy Asthma Proc 33:227–234. https://doi.org/10.2500/aap.2012.33.3569

    Article  PubMed  Google Scholar 

  8. Kim JP, Chao LX, Simpson EL et al (2016) Persistence of atopic dermatitis (AD): a systematic review and meta-analysis. J Am Acad Dermatol 75:681–687e611. https://doi.org/10.1016/j.jaad.2016.05.028

    Article  PubMed  PubMed Central  Google Scholar 

  9. Bickers DR, Lim HW, Margolis D et al (2006) The burden of skin diseases: 2004 a joint project of the American Academy of Dermatology Association and the Society for Investigative Dermatology. J Am Acad Dermatol 55:490–500. https://doi.org/10.1016/j.jaad.2006.05.048

    Article  PubMed  Google Scholar 

  10. Avena-Woods C (2017) Overview of atopic dermatitis. Am J Manag Care 23:S115–s123

    PubMed  Google Scholar 

  11. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet (2020) ; 396: 1204–1222. https://doi.org/10.1016/s0140-6736(20)30925-9

  12. WHO Guidelines Approved by the Guidelines Review Committee (2019) 2019

  13. Ramírez-Marín HA, Silverberg JI (2022) Differences between pediatric and adult atopic dermatitis. Pediatr Dermatol 39(20220316):345–353. https://doi.org/10.1111/pde.14971

    Article  PubMed  Google Scholar 

  14. Greenland S, Senn SJ, Rothman KJ et al (2016) Statistical tests, P values, confidence intervals, and power: a guide to misinterpretations. Eur J Epidemiol 31:337–350. https://doi.org/10.1007/s10654-016-0149-3

    Article  PubMed  PubMed Central  Google Scholar 

  15. Luger T, Amagai M, Dreno B et al (2021) Atopic dermatitis: role of the skin barrier, environment, microbiome, and therapeutic agents. J Dermatol Sci 102:142–15720210502. https://doi.org/10.1016/j.jdermsci.2021.04.007

    Article  CAS  PubMed  Google Scholar 

  16. Nutten S (2015) Atopic dermatitis: global epidemiology and risk factors. Ann Nutr Metab 66(Suppl 1):8–1620150424. https://doi.org/10.1159/000370220

    Article  CAS  PubMed  Google Scholar 

  17. Lu S, Oldenburg B, Li W et al (2019) Population-based surveys and interventions for mental health literacy in China during 1997–2018: a sco** review. BMC Psychiatry 19:316. https://doi.org/10.1186/s12888-019-2307-0

    Article  PubMed  PubMed Central  Google Scholar 

  18. Illi S, von Mutius E, Lau S et al (2004) The natural course of atopic dermatitis from birth to age 7 years and the association with asthma. J Allergy Clin Immunol 113:925–931. https://doi.org/10.1016/j.jaci.2004.01.778

    Article  PubMed  Google Scholar 

  19. Garmhausen D, Hagemann T, Bieber T et al (2013) Characterization of different courses of atopic dermatitis in adolescent and adult patients. Allergy ; 68: 498–506. 20130301. https://doi.org/10.1111/all.12112

  20. Ständer S (2021) Atopic dermatitis. N Engl J Med 384:1136–1143. https://doi.org/10.1056/NEJMra2023911

    Article  PubMed  Google Scholar 

  21. Narla S, Silverberg JI (2020) The role of Environmental exposures in atopic dermatitis. Curr Allergy Asthma Rep 20:74. https://doi.org/10.1007/s11882-020-00971-z

    Article  PubMed  Google Scholar 

  22. Flohr C, Mann J (2014) New insights into the epidemiology of childhood atopic dermatitis. Allergy 69(20131121):3–16. https://doi.org/10.1111/all.12270

    Article  CAS  PubMed  Google Scholar 

  23. Guo Z, Yang Y, Liao Y et al (2022) Emerging roles of adipose tissue in the pathogenesis of Psoriasis and atopic dermatitis in obesity. JID Innov 2:100064. https://doi.org/10.1016/j.xjidi.2021.100064

    Article  PubMed  Google Scholar 

  24. Morąg B, Kozubek P, Gomułka K (2023) Obesity and selected allergic and immunological Diseases-Etiopathogenesis, Course and Management. Nutrients 15:20230831. https://doi.org/10.3390/nu15173813

    Article  CAS  Google Scholar 

  25. Hoy SM (2017) Crisaborole Ointment 2%: a review in mild to moderate atopic dermatitis. Am J Clin Dermatol 18:837–843. https://doi.org/10.1007/s40257-017-0327-4

    Article  PubMed  Google Scholar 

  26. Frazier W, Bhardwaj N (2020) Atopic dermatitis: diagnosis and treatment. Am Fam Physician 101:590–598

    PubMed  Google Scholar 

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Acknowledgements

Thanks the financial support from Guangdong Women And Children Hospital.

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Authors

Contributions

Authorship contributions ZQW, XFL, XWL and ZZ designed and conducted the whole study. ZWZ, JYZ and XZG applied for the data analysis. XFL, XWL and ZZ finalized the manuscript. All authors contributed to the article and approved the submitted version.

Corresponding authors

Correspondence to Jiayu Zhao or **uzhong Gao.

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The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Wang, Z., Liang, X., Li, X. et al. Global, regional, and national burdens of atopic dermatitis under 14: a trend analysis and future prediction based on the global burden of disease study 2019. Arch Dermatol Res 316, 463 (2024). https://doi.org/10.1007/s00403-024-03195-7

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