Christian Razo, Department of Health Metrics Sciences, University of Washington, Seattle, Estados Unidos; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, Estados Unidos
Rafael Lozano, Department of Health Metrics Sciences, University of Washington, Seattle, Estados Unidos; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, Estados Unidos; Departamento de Salud Pública, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, México
Luis M. F. Gutiérrez-Robledo, Departamento de Epidemiología Clínica, Instituto Nacional de Geriatría, Ciudad de México, México
Background: Aging, urbanization, and lifestyle changes have fueled the non-communicable diseases (NCDs) epidemic. Objective: Assess mortality, disability, risk factors and life expectancy in people aged ≥60 years (LE-60) in Mexico from 1990- 2022 using estimates from the Global Burden of Diseases, Injuries and Risk factors study. Material and methods: Health loss/ gain in terms of disability-adjusted life years, risk factors, LE-60 and healthy life expectancy (HALE-60) by sex and state were analyzed. Results: NCDs and metabolic risk factors were the main contributors of health loss, noting a high prevalence of non-lethal conditions related to functional decline (vision and hearing loss), oral conditions, and chronic pain (back pain and osteoarthritis). All-cause mortality and disability rates decreased among men and women while LE-60 and HALE-60 increased from 1990-2022, with state-level variations. States with greater development and healthcare had higher LE-60 and HALE-60. Conclusions: LE-60 increases were not accompanied by reductions in disability due to functional decline, highlighting the need for healthcare strategies to enhance healthy aging.
Keywords: Elderly. Burden of disease. Disability. Healthy life expectancy. Mortality.