Global Trends in Risk Factors for Low Back Pain: An Analysis of the Global Burden of Disease Study Data From 1990 to 2021.

IF 3.7 2区医学 Q1 RHEUMATOLOGY

Arthritis Care & Research Pub Date : 2025-03-06 DOI:10.1002/acr.25520

Katharine E Roberts, Manuela L Ferreira, Paula R Beckenkamp, Sneha Nicholson, Lyn March, Paulo H Ferreira

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引用次数: 0

Abstract

Objective: The increasing burden associated with low back pain (LBP) is a critical issue. This is a novel analysis of trends in risk factors for LBP aiming to identify risk factors that require further attention or consideration in global policies to reduce the burden of LBP.

Methods: The Global Burden of Disease study metadata were used to describe the trends in three modifiable categories of risk factors that contribute to the burden associated with LBP. The trends in occupational/ergonomic, behavioral (smoking), and metabolic (high body mass index [BMI]) risk factors for LBP between 1990 and 2021 have been described with attention to global areas, high sociodemographic index (SDI) areas, and low SDI areas.

Results: The number of years lived with disability (YLDs) caused by LBP increased globally, in high and low SDI areas between 1990 and 2021. The impact of smoking and occupational/ergonomic risk factors have decreased; however, the impact of high BMI has increased markedly in the same time frame, with a particularly concerning impact in high SDI areas and on women.

Conclusion: The burden of LBP is increasing globally, with a significant proportion of the YLDs caused by LBP attributed to three modifiable lifestyle factors: occupation/ergonomics, smoking, and high BMI. Of significant concern is the rapidly increasing impact of high BMI on YLDs caused by LBP, with the greatest impact seen among women in low and high SDI areas. The role of additional risk factors (eg, physical inactivity) still needs to be determined in the context of the global burden of LBP.

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下腰痛危险因素的全球趋势。1990年至2021年GBD研究数据分析。

目的：与腰痛（LBP）相关的日益加重的负担是一个关键问题。这是一项对腰痛风险因素趋势的新颖分析，旨在确定全球政策中需要进一步关注或考虑的风险因素，以减轻腰痛的负担。方法：使用全球疾病负担（GBD）研究元数据来描述导致腰痛相关负担的三种可修改危险因素类别的趋势。对1990年至2021年间LBP的职业/人体工程学、行为（吸烟）和代谢（高体重指数（BMI））危险因素的趋势进行了描述，并对全球、高社会人口指数（SDI）地区和低SDI地区进行了关注。结果：从1990年到2021年，在全球范围内，高SDI地区和低SDI地区，LBP导致的YLDs数量都有所增加。吸烟和职业/人体工程学风险因素的影响已经下降，然而，高BMI的影响在同一时间段内显著增加，特别是对高SDI地区和女性的影响。结论：全球范围内腰痛的负担正在增加，腰痛导致的YLDs中有很大一部分归因于三种可改变的生活方式因素——职业/人体工程学、吸烟和高BMI。值得关注的是，高BMI对腰痛导致的YLDs的影响迅速增加，在低SDI和高SDI地区的女性中影响最大。其他风险因素的作用，如缺乏身体活动，仍需要在全球腰痛负担的背景下确定。

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

Arthritis Care & Research RHEUMATOLOGY-

CiteScore

9.40

自引率

6.40%

发文量

368

审稿时长

3-6 weeks

期刊介绍： Arthritis Care & Research, an official journal of the American College of Rheumatology and the Association of Rheumatology Health Professionals (a division of the College), is a peer-reviewed publication that publishes original research, review articles, and editorials that promote excellence in the clinical practice of rheumatology. Relevant to the care of individuals with rheumatic diseases, major topics are evidence-based practice studies, clinical problems, practice guidelines, educational, social, and public health issues, health economics, health care policy, and future trends in rheumatology practice.