Yin Luowa, Zhu Xiaohua, Chu Wangchong, Zhao Mi
Qinhuang Hospital, Xi'an, China.
Daxing Hospital, Xi'an, China.
Eur Spine J. 2025 Jun 9. doi: 10.1007/s00586-025-08935-5.
Low-Back Pain (LBP) caused by Occupational Ergonomic Factors (OEF) is a major contributor to Years Lived with Disability (YLD) in China. Understanding the burden trends of OEF on LBP is crucial for effective management and prevention strategies. However, comprehensive analyses in this area are lacking in China.
To evaluate and forecast the burden trends of OEF-induced LBP in China and compare them with global trends.
Data were extracted from the Global Burden of Disease Study 2021. We used Joinpoint models and Age-Period-Cohort analyses to compare and analyze the temporal trends of OEF-induced LBP burden in China and globally.
From 1990 to 2021, although the reported YLDs due to OEF-induced LBP increased in both global and Chinese populations, the Age-Standardized YLD Rate (ASYR) due to OEF-induced LBP showed a decrease over the same period with average annual percentage changes of -0.68 (95% CI: -0.72, -0.63) and - 1.48 (95% CI: -1.56, -1.40) globally and in China, respectively. The burden of ASYR due to OEF-induced LBP in China was primarily among females aged 50-54. By 2035, it is anticipated that the number of YLDs due to OEF-induced LBP will significantly increase in both China and globally, while the global ASYR due to OEF-induced LBP is projected to decrease over the next 14 years, in contrast to the rising trend in China.
The burden of YLDs and ASYR due to OEF-induced LBP in China is primarily among middle-aged individuals, especially females. This underscores the need for stringent implementation of effective LBP prevention strategies in China, particularly targeting middle-aged women with significant transformative potential.
职业工效学因素（OEF）导致的腰痛（LBP）是中国残疾调整生命年（YLD）的主要促成因素。了解OEF对LBP的负担趋势对于有效的管理和预防策略至关重要。然而，中国在这一领域缺乏全面分析。
评估和预测中国OEF所致LBP的负担趋势，并与全球趋势进行比较。
数据来自《2021年全球疾病负担研究》。我们使用Joinpoint模型和年龄-时期-队列分析来比较和分析中国和全球OEF所致LBP负担的时间趋势。
从1990年到2021年，尽管全球和中国人群中因OEF所致LBP报告的YLD有所增加，但同期因OEF所致LBP的年龄标准化YLD率（ASYR）呈下降趋势，全球和中国的平均年变化百分比分别为-0.68（95%CI：-0.72，-0.63）和-1.48（95%CI：-1.56，-1.40）。中国因OEF所致LBP的ASYR负担主要集中在50-54岁的女性中。到2035年，预计中国和全球因OEF所致LBP的YLD数量将显著增加，而全球因OEF所致LBP的ASYR预计在未来14年将下降，与中国的上升趋势形成对比。
中国因OEF所致LBP的YLD和ASYR负担主要集中在中年人，尤其是女性。这凸显了在中国严格实施有效的LBP预防策略的必要性，特别是针对具有显著转变潜力的中年女性。
