Mortality attributable to diabetes in 20-79 years old adults, 2019 estimates: Results from the International Diabetes Federation Diabetes Atlas, 9th edition

Diabetes Res Clin Pract. 2020 Apr:162:108086. doi: 10.1016/j.diabres.2020.108086. Epub 2020 Feb 15.


Aims: To estimate the number of deaths attributable to diabetes in 20-79-year-old adults in 2019.

Methods: The following were used to estimate the number of deaths attributable to diabetes: all-cause mortality estimates from the World Health Organization life table, country level age- and sex-specific estimates of diabetes prevalence in 2019 and relative risks of death in people with diabetes compared to people without diabetes.

Results: An estimated 4.2 million deaths among 20-79-year-old adults are attributable to diabetes. Diabetes is estimated to contribute to 11.3% of deaths globally, ranging from 6.8% (lowest) in the Africa Region to 16.2% (highest) in the Middle East and North Africa. About half (46.2%) of the deaths attributable to diabetes occur in people under the age of 60 years. The Africa Region has the highest (73.1%) proportion of deaths attributable to diabetes in people under the age of 60 years, while the Europe Region has the lowest (31.4%).

Conclusions: Diabetes is estimated to contribute to one in nine deaths among adults aged 20-79 years. Prevention of diabetes and its complications is essential, particularly in middle-income countries, where the current impact is estimated to be the largest. Contemporary data from diverse populations are needed to validate these estimates.

Keywords: Diabetes; Global; International Diabetes Federation; Mortality; Regional.

MeSH terms

  • Adult
  • Africa / epidemiology
  • Age Factors
  • Aged
  • Americas / epidemiology
  • Asia / epidemiology
  • Diabetes Mellitus / epidemiology
  • Diabetes Mellitus / mortality*
  • Europe / epidemiology
  • Female
  • Global Health*
  • Humans
  • Male
  • Middle Aged
  • Middle East / epidemiology
  • Prevalence
  • Risk
  • World Health Organization
  • Young Adult