Disease burden of low back pain in middle-aged and older women (≥55 years) attributable to three factors: A comparative analysis from GBD 2023.

IF 2.8 Q4 CLINICAL NEUROLOGY

British Journal of Pain Pub Date : 2026-06-09 DOI:10.1177/20494637261459558

Jingwen Jia, Yuxuan Bai, Mingtao Zhang, Mingdong Ma, Shuanhu Lei, Xuewen Kang

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引用次数: 0

Abstract

Background: Low back pain (LBP) is a leading cause of global disability, with a heavier burden in low and low-middle Socio-Demographic Index (SDI) regions. Women aged ≥55 years are vulnerable due to dual labor loads, yet LBP burden attributed to occupational ergonomic factors, smoking, and high Body Mass Index (BMI) in this subgroup remains understudied.

Objective: This study analyzed the 30-year LBP burden and its drivers in this population to inform targeted prevention.

Method: Using Global Burden of Diseases (GBD) 2023 data (1992-2023), we employed Joinpoint regression, decomposition, and frontier analyses to assess LBP-related disability-adjusted life years (DALYs) across low/low-middle SDI regions.

Result: Absolute DALYs increased consistently across all risk factors; age-standardized DALY rates (ASDR) declined with age, peaking at 55-59 years. Population growth was the primary driver which contributed >100%. High BMI-associated LBP grew most prominently with 579% in low-middle SDI regions, and ASDR rises in low SDI regions. Decomposition and frontier analyses revealed unique regional contribution patterns and intercountry disparities.

Conclusion: This study indicates that the burden of LBP attributable to three factors may be increasing in low and low-middle SDI regions, with population growth and aging likely acting as primary drivers. Occupational ergonomic factors emerge as the most pressing risk factors, while high BMI is potentially the fastest-growing contributor. Notable intercountry disparities within each SDI tier underscore both challenges and opportunities for targeted prevention.

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三因素导致中老年妇女（≥55岁）腰痛的疾病负担：GBD 2023的比较分析

背景：腰痛（LBP）是全球致残的主要原因，在低和中低社会人口指数（SDI）地区负担更重。年龄≥55岁的女性易受双重劳动负荷的影响，但该亚组中由职业人体工程学因素、吸烟和高体重指数（BMI）引起的腰痛负担仍未得到充分研究。目的：分析该人群30岁LBP负担及其驱动因素，为有针对性的预防提供依据。方法：使用全球疾病负担（GBD） 2023数据（1992-2023），我们采用Joinpoint回归、分解和前沿分析来评估低/中低SDI地区与lbp相关的残疾调整生命年（DALYs）。结果：绝对伤残调整寿命在所有危险因素中持续增加；年龄标准化DALY率（ASDR）随着年龄的增长而下降，在55-59岁达到峰值。人口增长是主要驱动力，贡献了100%。在中低SDI地区，高bmi相关的LBP增长最为显著，为579%，而在低SDI地区，ASDR上升。分解和前沿分析揭示了独特的区域贡献模式和国家间差异。结论：本研究提示，低、中低SDI地区由3个因素引起的腰痛负担可能正在增加，其中人口增长和老龄化可能是主要驱动因素。职业人体工程学因素是最紧迫的风险因素，而高BMI可能是增长最快的因素。每个SDI级别的显著国家间差异强调了有针对性预防的挑战和机遇。

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

British Journal of Pain CLINICAL NEUROLOGY-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： British Journal of Pain is a peer-reviewed quarterly British journal with an international multidisciplinary Editorial Board. The journal publishes original research and reviews on all major aspects of pain and pain management. Reviews reflect the body of evidence of the topic and are suitable for a multidisciplinary readership. Where empirical evidence is lacking, the reviews reflect the generally held opinions of experts in the field. The Journal has broadened its scope and has become a forum for publishing primary research together with brief reports related to pain and pain interventions. Submissions from all over the world have been published and are welcome. Official journal of the British Pain Society.