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

BackgroundHigh 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...

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Main Authors: Jiling Zhang, Baodong Wang, Congying Zou, Tianyi Wang, Lihui Yang, Yu Zhou
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2024.1521567/full
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author Jiling Zhang
Baodong Wang
Congying Zou
Tianyi Wang
Lihui Yang
Yu Zhou
author_facet Jiling Zhang
Baodong Wang
Congying Zou
Tianyi Wang
Lihui Yang
Yu Zhou
author_sort Jiling Zhang
collection DOAJ
description BackgroundHigh 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.MethodsEpidemiological 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.ResultsAccording 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.ConclusionBetween 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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spelling doaj-art-c7eb656a8bf2446198739b67331d52dd2025-01-21T05:43:00ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-01-011110.3389/fnut.2024.15215671521567Low back pain trends attributable to high body mass index over the period 1990–2021 and projections up to 2036Jiling Zhang0Baodong Wang1Congying Zou2Tianyi Wang3Lihui Yang4Yu Zhou5Department of Clinical Laboratory, Beijing Shunyi District Hospital, Beijing, ChinaDepartment of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, ChinaDepartment of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, ChinaDepartment of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, ChinaDepartment of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, ChinaDepartment of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, ChinaBackgroundHigh 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.MethodsEpidemiological 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.ResultsAccording 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.ConclusionBetween 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.https://www.frontiersin.org/articles/10.3389/fnut.2024.1521567/fulllow back painbody mass indexglobal burden of diseasedisability-adjusted life-yearssocio-demographic index
spellingShingle Jiling Zhang
Baodong Wang
Congying Zou
Tianyi Wang
Lihui Yang
Yu Zhou
Low back pain trends attributable to high body mass index over the period 1990–2021 and projections up to 2036
Frontiers in Nutrition
low back pain
body mass index
global burden of disease
disability-adjusted life-years
socio-demographic index
title Low back pain trends attributable to high body mass index over the period 1990–2021 and projections up to 2036
title_full Low back pain trends attributable to high body mass index over the period 1990–2021 and projections up to 2036
title_fullStr Low back pain trends attributable to high body mass index over the period 1990–2021 and projections up to 2036
title_full_unstemmed Low back pain trends attributable to high body mass index over the period 1990–2021 and projections up to 2036
title_short Low back pain trends attributable to high body mass index over the period 1990–2021 and projections up to 2036
title_sort low back pain trends attributable to high body mass index over the period 1990 2021 and projections up to 2036
topic low back pain
body mass index
global burden of disease
disability-adjusted life-years
socio-demographic index
url https://www.frontiersin.org/articles/10.3389/fnut.2024.1521567/full
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