The burden of low back pain in adolescents and young adults.

IF 1.4 4区医学 Q3 ORTHOPEDICS

Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI:10.3233/BMR-230215

Zhiming Wu, Guoxin Huang, Jinwei Ai, Ying Liu, Bin Pei

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Abstract

Background: Low back pain is highly prevalent and the main cause of years lived with disability, but data on the burden and trends of low back pain (LBP) in adolescents and young adults (AYAs) are sparse.

Objective: To assess trends in the burden of LBP among AYAs aged 15-39 years at the global, regional and national levels from 1990 to 2019.

Methods: Data from the Global Burden of Disease (GBD) 2019 were used to analyze incidence, prevalence and Disability-adjusted life year (DALY) due to LBP at global, regional, and national levels. Joinpoint regression analysis calculated the average annual percentage changes (AAPC). Then analyse the association between incidence, prevalence and DALYs and socioeconomic development using the GBD Socio-demographic Index (SDI). Finally, projections were made until 2030 and calculated in Nordpred.

Results: The incidence, prevalence and DALYs rates (95%UI) were 2252.78 (1809.47-2784.79), 5473.43 (4488.62-6528.15) and 627.66 (419.71-866.97) in 2019, respectively. From 1990 to 2019, the incidence, prevalence, and DALYs rates AAPC (95%CI) were -0.49 (-0.56 to -0.42), -0.58 (-0.65 to -0.51) and -0.57 (-0.64 to -0.5), respectively. Incidence, prevalence, and DALYs rates in South Asia, East Asia, High-income North America, Western Europe, and Australasia decreased with SDI. Incidence, prevalence, and DALYs rates in Central Asia, Central Europe, and Eastern Europe decreased and then increased with SDI. At the national level, the incidence, prevalence, and DALYs rates are high in the United States and low in India and China. From the 2020 to 2030, most regions is predicted to decline.

Conclusion: LBP in AYAs is a major global public problem with a high burden. There are large differences in incidence, prevalence and DALYs across SDIs, regions and countries. there is still a need to focus on LBP in AYAs and tailor interventions to reduce the future burden of this condition.

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青少年和年轻人腰痛的负担。

背景：腰背痛发病率很高，是导致残疾生活年数的主要原因，但有关青少年和年轻成人腰背痛负担和趋势的数据却很少：评估 1990 年至 2019 年全球、地区和国家层面 15-39 岁青少年腰背痛负担的趋势：方法：利用《2019 年全球疾病负担》（GBD）的数据分析全球、地区和国家层面枸杞多糖症的发病率、流行率和残疾调整生命年（DALY）。连接点回归分析计算了年均百分比变化（AAPC）。然后使用 GBD 社会人口指数（SDI）分析发病率、患病率和残疾调整生命年与社会经济发展之间的关联。最后，预测到 2030 年，并在 Nordpred 中进行计算：2019年的发病率、患病率和残疾调整寿命年率（95%UI）分别为2252.78（1809.47-2784.79）、5473.43（4488.62-6528.15）和627.66（419.71-866.97）。从 1990 年到 2019 年，发病率、患病率和 DALYs 率 AAPC（95%CI）分别为-0.49（-0.56 至-0.42）、-0.58（-0.65 至-0.51）和-0.57（-0.64 至-0.5）。南亚、东亚、高收入北美、西欧和澳大拉西亚的发病率、流行率和残疾调整寿命年数率随着 SDI 的下降而下降。中亚、中欧和东欧的发病率、流行率和残疾调整寿命年数率则随着 SDI 的增加而先降后升。在国家层面，美国的发病率、流行率和残疾调整寿命年数率较高，而印度和中国较低。预计从 2020 年到 2030 年，大多数地区的发病率都将下降：结论：青少年枸杞多糖症是一个负担沉重的全球性重大公共问题。不同 SDI、地区和国家在发病率、患病率和残疾调整寿命年数方面存在巨大差异。仍有必要关注亚健康人群的枸杞多糖症，并采取针对性的干预措施，以减轻这一疾病的未来负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.