1990年至2021年期间归因于高体重指数的腰痛趋势及至2036年的预测。
Low back pain trends attributable to high body mass index over the period 1990-2021 and projections up to 2036.
作者信息
Zhang Jiling, Wang Baodong, Zou Congying, Wang Tianyi, Yang Lihui, Zhou Yu
机构信息
Department of Clinical Laboratory, Beijing Shunyi District Hospital, Beijing, China.
Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
出版信息
Front Nutr. 2025 Jan 21;11:1521567. doi: 10.3389/fnut.2024.1521567. eCollection 2024.
BACKGROUND
High body mass index (BMI) is a crucial determinant in low back pain (LBP) incidence and progression. However, the effect of increased BMI on LBP has been largely overlooked at the global, regional, and national levels. This research aimed to use data from the 2021 global burden of disease (GBD) study to determine trends associated with LBP due to high BMI from 1990 to 2021, thereby providing evidence for developing targeted policies.
METHODS
Epidemiological data on the association between high BMI and LBP is obtained from the GBD 2021. Disability-adjusted life-years (DALYs) attributable to high BMI-related LBP are stratified by year, age, country, and socio-demographic index (SDI). The estimated annual percentage change (EAPC) was calculated to evaluate the trends from 1990 to 2021. A Bayesian age-period cohort (BAPC) model was used to assess the corresponding trends from 2022 to 2036. Additionally, statistical models, such as decomposition analysis and frontier analysis, were used.
RESULTS
According to the GBD 2021, the number of DALYs caused by LBP attributed to high BMI reached 8,363,759 in 2021, which is an increase of 170.97% since 1990. The age-standardized rate of disability-adjusted life years (ASDR) for LBP caused by high BMI has been increasing from 1990 to 2021, with an EAPC of 1.14%. Among the five SDI regions, ASDR has increased. High-income North Americans exhibited the highest risk of LBP caused by high BMI, with Hungary being the most affected. Frontier analysis highlights the urgent need for intervention in countries such as the Netherlands, Germany, and Canada. Finally, the burden of LBP related to high BMI will continue to rise from 2022 to 2036.
CONCLUSION
Between 1990 and 2021, there was a global increase in lower back pain due to high BMI, with a projected continuation of this trend. Monitoring BMI is crucial for developing region-specific and national strategies, and research emphasizes the urgency of reducing the health burden of high BMI and improving the quality of life for the global population.
背景
高体重指数（BMI）是腰痛（LBP）发病率和病情发展的关键决定因素。然而，在全球、区域和国家层面，BMI升高对腰痛的影响在很大程度上被忽视了。本研究旨在利用2021年全球疾病负担（GBD）研究的数据，确定1990年至2021年因高BMI导致的腰痛相关趋势，从而为制定针对性政策提供证据。
方法
关于高BMI与LBP之间关联的流行病学数据来自GBD 2021。归因于高BMI相关LBP的伤残调整生命年（DALYs）按年份、年龄、国家和社会人口指数（SDI）进行分层。计算估计年度百分比变化（EAPC）以评估1990年至2021年的趋势。使用贝叶斯年龄-时期-队列（BAPC）模型评估2022年至2036年的相应趋势。此外，还使用了分解分析和前沿分析等统计模型。
结果
根据GBD 2021，2021年因高BMI导致的LBP引起的伤残调整生命年数达到8363759，自1990年以来增加了170.97%。1990年至2021年，高BMI导致的LBP的年龄标准化伤残调整生命年率（ASDR）一直在上升,EAPC为1.14%。在五个SDI区域中，ASDR有所增加。高收入的北美人因高BMI导致LBP的风险最高，匈牙利受影响最大。前沿分析强调了在荷兰、德国和加拿大等国家进行干预的紧迫性。最后，2022年至2036年，与高BMI相关的LBP负担将继续上升。
结论
1990年至2021年，全球因高BMI导致的腰痛有所增加，预计这一趋势将持续。监测BMI对于制定区域特定和国家战略至关重要，研究强调了减轻高BMI对健康的负担并改善全球人口生活质量的紧迫性。
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