Low back pain trends attributable to high body mass index over the period 1990-2021 and projections up to 2036.

IF 4 2区农林科学 Q2 NUTRITION & DIETETICS

Frontiers in Nutrition Pub Date : 2025-01-21 eCollection Date: 2024-01-01 DOI:10.3389/fnut.2024.1521567

Jiling Zhang, Baodong Wang, Congying Zou, Tianyi Wang, Lihui Yang, Yu Zhou

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Abstract

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.

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1990-2021 年间高体重指数导致的腰背痛趋势以及直至 2036 年的预测。

背景：高体重指数（BMI）是腰背痛（LBP）发病率和病情发展的重要决定因素。然而，在全球、地区和国家层面，体重指数增加对腰背痛的影响在很大程度上被忽视了。这项研究旨在利用 2021 年全球疾病负担（GBD）研究的数据，确定 1990 年至 2021 年因高体重指数导致的腰背痛的相关趋势，从而为制定有针对性的政策提供证据：方法：从《2021 年全球疾病负担研究》中获取有关高体重指数与枸杞多糖症之间关系的流行病学数据。高体重指数相关枸杞多糖症导致的残疾调整生命年（DALYs）按年份、年龄、国家和社会人口指数（SDI）进行分层。通过计算估计年度百分比变化（EAPC）来评估 1990 年至 2021 年的趋势。贝叶斯年龄段队列（BAPC）模型用于评估 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：根据《2021 年世界健康发展报告》，2021 年因高体重指数导致的枸杞多糖症造成的残疾调整寿命年数达到 8,363,759 年，比 1990 年增加了 170.97%。从1990年到2021年，高体重指数导致的枸杞多糖症的残疾调整生命年年龄标准化率一直在上升，EAPC为1.14%。在五个 SDI 地区中，ASDR 都在增加。高收入的北美人因高体重指数导致枸杞多糖症的风险最高，匈牙利受影响最大。前沿分析突出表明，荷兰、德国和加拿大等国迫切需要干预。最后，从 2022 年到 2036 年，与高体重指数相关的腰椎间盘突出症负担将继续上升：结论：1990 年至 2021 年期间，全球因高体重指数导致的腰背痛有所增加，预计这一趋势将持续下去。监测体重指数对制定地区和国家战略至关重要，研究强调了减轻高体重指数造成的健康负担和提高全球人口生活质量的紧迫性。

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

Frontiers in Nutrition Agricultural and Biological Sciences-Food Science

CiteScore

5.20

自引率

8.00%

发文量

2891

审稿时长

12 weeks

期刊介绍： No subject pertains more to human life than nutrition. The aim of Frontiers in Nutrition is to integrate major scientific disciplines in this vast field in order to address the most relevant and pertinent questions and developments. Our ambition is to create an integrated podium based on original research, clinical trials, and contemporary reviews to build a reputable knowledge forum in the domains of human health, dietary behaviors, agronomy & 21st century food science. Through the recognized open-access Frontiers platform we welcome manuscripts to our dedicated sections relating to different areas in the field of nutrition with a focus on human health. Specialty sections in Frontiers in Nutrition include, for example, Clinical Nutrition, Nutrition & Sustainable Diets, Nutrition and Food Science Technology, Nutrition Methodology, Sport & Exercise Nutrition, Food Chemistry, and Nutritional Immunology. Based on the publication of rigorous scientific research, we thrive to achieve a visible impact on the global nutrition agenda addressing the grand challenges of our time, including obesity, malnutrition, hunger, food waste, sustainability and consumer health.