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2022 Faculty of Biomedical Sciences Frontiers in Neurology

Epidemiology of neurodegenerative diseases in the East African region: A meta-analysis

Hope Onohuean; Abraham Olutumininu Akiyode; Oluwole Akiyode; Sharon Iyobor Igbinoba; Abdullateef Isiaka Alagbonsi

Introduction: There is a scarcity of epidemiological data on neurodegenerativediseases (NDs) in East Africa. This meta-analysis provides the regionalprevalence of NDs, their contributing factors, and evidence of change overtime concerning gender per age or year.Methods: Articles were retrieved from electronic databases following thePRISMA standard.Results: Forty-two studies were reviewed, and 25 were meta-analyzed witha random-eô€€€ects model. The pool estimate proportion of 15.27%, 95% CI(0.09–0.23) (I2 = 98.25%), (Q = 1,369.15, p < 0.0001) among a populationof 15,813 male/female and 1,257 with NDs. Epidemiological characteristicsassociated with NDs include Dyskinesias prevalence 55.4%, 95% CI (13.5; 90.9),I2 (96%) and subsistence farming prevalence 11.3%, 95% CI (5.8; 20.9), I2(99%). Publication bias by Egger test was (z = 4.1913, p < 0.0001), whilerank correlation test using Kendall’s model was (tau = 0.1237, p = 0.3873).Heterogeneity (R2 design = 5.23%, p design < 0.0001; R2 size = 52.163%, psize < 0.001; and R2 period = 48.13, p period < 0.0001. Covariates (R2 design+ size + period = 48.41%, p < 0.001).Conclusion: There is a high prevalence of NDs in the East African region,which could impact life expectancy, morbidity, and quality of life. Thus, earlyscreening and regular surveillance could assist in management strategies.