Xu Shangbo, Chen Jiaxin, Wang Chicheng, Lin Ye, Huang Weipeng, Zhou Haoyue, Ji Weibiao, Chen Yangbo
Department of Internal medicine, Jieyang People's Hospital, Tianfu Road 107, Rongcheng district, Jieyang, 522000, Guangdong, China.
UWE College of Hainan Medical University, Haikou, Hainan, 571199, China.
BMC Musculoskelet Disord. 2025 Jan 23;26(1):81. doi: 10.1186/s12891-025-08326-3.
Low back pain (LBP) is a widespread condition that increasingly affects the older adults, highlighting the need for a detailed examination of its global impact. Our research aimed to evaluate the LBP's burden and trends in individuals over 55 years of age across 204 countries and territories from 1990 to 2021.
We analyzed the data from the Global Burden of Disease 2021, focusing on LBP prevalence, incidence, and years lived with disability (YLDs), along with associated risk factors.
In 2021, a total of 271,680,057 individuals aged 55 and older globally suffered from LBP. The age-standardized prevalence rate was 18,282.8 per 100,000 population, marking a 10.4% decrease since 1990. The age-standardized incidence and YLD rates had decreased by 9.4% and 11.0%, respectively. Central and Eastern Europe and Australasia had the highest burden, while Andean Latin America, Caribbean, and East Asia had the lowest. Notably, there were significant gender differences, with males experiencing lower rates than females. Occupational ergonomic factors, smoking, and high body mass index were identified as major contributors to the LBP burden.
This study analyzed the global burden of LBP in adults aged 55 and older, noting a decrease in age-standardized rates but an increase in total cases and regional disparities. It stressed the need to tackle modifiable risk factors like occupational ergonomics, smoking, and obesity to lessen LBP's impact. The study also called for region-specific, gender-sensitive healthcare policies to ensure fair health outcomes for all adults aged 55 and older.
腰痛（LBP）是一种普遍存在的疾病，对老年人的影响日益增加，这凸显了详细研究其全球影响的必要性。我们的研究旨在评估1990年至2021年期间204个国家和地区55岁以上人群中腰痛的负担和趋势。
我们分析了《2021年全球疾病负担》的数据，重点关注腰痛的患病率、发病率和残疾生存年数（YLDs）以及相关风险因素。
2021年，全球共有271,680,057名55岁及以上的人患有腰痛。年龄标准化患病率为每10万人18,282.8例，自1990年以来下降了10.4%。年龄标准化发病率和YLD率分别下降了9.4%和11.0%。中欧和东欧以及澳大拉西亚的负担最高，而安第斯拉丁美洲、加勒比地区和东亚的负担最低。值得注意的是，存在显著的性别差异，男性的发病率低于女性。职业工效学因素、吸烟和高体重指数被确定为腰痛负担的主要促成因素。
本研究分析了55岁及以上成年人腰痛的全球负担，指出年龄标准化率有所下降，但病例总数和地区差异有所增加。它强调需要解决职业工效学、吸烟和肥胖等可改变的风险因素，以减轻腰痛的影响。该研究还呼吁制定针对特定地区、对性别敏感的医疗政策，以确保所有55岁及以上成年人都能获得公平的健康结果。
