Summary In 2019, 16·6% (95% UI 13·7–19·2) of DALYs among children under 5 years was attributable to child wasting, making it the third-ranked Level 4 risk factor in 2019 among children under 5.
Definition Child wasting is defined as weight-for-height more than one standard deviation (SD) below the reference median on the weight-height growth curve based on WHO 2006 growth standards for children 0–59 months. The TMREL is weight-for-height Z-score > -1.
| Total sources | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Exposure | 1240 | |||||||||||
| Relative risk | 1 | |||||||||||
Table 1:
Total sources used in GBD 2019 estimation
What is new in GBD 2019?
- •We improved data processing by age-sex splitting all prevalence data prior to modelling.
- •We revised microdata processing to exclude 1) non-sex-specific data, 2) data with improbable Z-scores (HAZ, WAZ, WHZ, or BMI above 6 SD or below -6 SD), and 3) data with impossible values (negative height, weight, or age).
- •We revised the stage I prediction step in ST-GPR models of prevalence of <-3 Z-scores, <-2 Z-scores, and mean Z-score to use ensemble priors reflecting multiple predictive covariates.
- •We recalculated ensemble weights for distribution fitting using all available microdata.
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Deaths
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YLLs
|
YLDs
|
DALYs
|
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|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number
(millions) |
Rate (per
100 000) |
Number
(millions) |
Rate (per
100 000) |
Number
(millions) |
Rate (per
100 000) |
Number
(millions) |
Rate (per
100 000) |
|||||
| 2019 | ||||||||||||
| Both Sexes | 0·993 (0·786 to 1·25) |
14·8 (11·7 to 18·7) |
79·2 (61·3 to 101) |
1194·9 (923·8 to 1521·2) |
4·35 (2·77 to 6·15) |
59·2 (37·6 to 83·0) |
83·5 (65·6 to 105) |
1254·0 (983·7 to 1584·0) |
||||
| Females | 0·497 (0·397 to 0·614) |
15·1 (12·0 to 18·7) |
39·1 (30·6 to 49·1) |
1218·7 (951·1 to 1531·4) |
1·95 (1·24 to 2·76) |
54·4 (34·6 to 76·3) |
41·1 (32·3 to 51·4) |
1273·1 (1000·2 to 1593·9) |
||||
| Males | 0·497 (0·390 to 0·633) |
14·7 (11·5 to 18·7) |
40·1 (30·6 to 51·9) |
1173·0 (897·7 to 1522·7) |
2·40 (1·53 to 3·42) |
64·1 (40·9 to 91·2) |
42·4 (33·2 to 54·3) |
1237·0 (964·6 to 1583·9) |
||||
| Percentage change 2010-19 | ||||||||||||
| Both Sexes | –37·3% (–47·0 to –26·3) |
–39·0% (–48·5 to –28·2) |
–39·9% (–49·9 to –28·4) |
–40·4% (–50·4 to –29·0) |
10·7% (7·4 to 14·0) |
1·9% (–0·7 to 4·5) |
–38·4% (–48·2 to –27·1) |
–39·2% (–49·0 to –28·1) |
||||
| Females | –36·9% (–46·3 to –25·4) |
–39·2% (–48·6 to –27·8) |
–39·9% (–49·8 to –28·0) |
–40·6% (–50·4 to –28·8) |
10·3% (7·0 to 13·7) |
1·7% (–0·9 to 4·4) |
–38·6% (–48·1 to –26·9) |
–39·5% (–48·9 to –27·8) |
||||
| Males | –37·7% (–47·9 to –25·7) |
–39·0% (–48·8 to –27·4) |
–39·8% (–50·2 to –27·3) |
–40·2% (–50·6 to –27·8) |
10·9% (6·8 to 15·5) |
2·1% (–1·5 to 6·0) |
–38·2% (–48·4 to –26·0) |
–38·9% (–49·1 to –26·8) |
||||
| Numbers in parentheses are 95% uncertainty intervals. | ||||||||||||
Table 2:
Attributable global deaths, YLLs, YLDs, and DALYs in counts and age-standardised rates for both sexes combined, females, and males, 2019, with percentage change between 2010 and 2019
| Deaths | YLLs | YLDs | DALYs | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1990 | 4th | 1st | 21st | 1st | ||||||||
| 2010 | 14th | 5th | 24th | 5th | ||||||||
| 2019 | 19th | 10th | 23rd | 11th | ||||||||
Table 3:
Rank among attributable most detailed risks of global deaths, YLLs, YLDs, and DALYs in 1990, 2010, and 2019 for both sexes combined
Figure 1:
Composition of attributable global DALYs by constituent Level 2 causes for both sexes combined, 2019
Figure 2:
Composition of attributable global DALYs by YLLs and YLDs, age group, and sex, 2019
Figure 3:
Age-standardised all-cause SEV by location, both sexes combined, 2019
Figure 4:
Percentage change in all-cause age-standardised SEV by SDI, both sexes combined, 1990–2019
Figure 5:
Percentage of population exposed to risk factor, both sexes combined, 2019
Figure 6:
All-cause mortality relative risk, both sexes combined, 2019