A pain in the back

Hitchen, Nadia; Weststrate, Harriet; Sheriff, Arshad

doi:10.1136/bmj.k2868

Cited by 1 publication

(2 citation statements)

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“…From this study, it is concluded that the age-standardised prevalence of LBP is higher in women. Potential explanations of sex differences include comprehensive interactions of different factors [1,21,22]. Physically, women are affected by more painful conditions of the musculoskeletal system and paraspinal muscle, especially the psoas major and erector spinae [23].…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of three decades of the burden of low back pain in China before COVID-19: Estimates from the Global Burden of Disease Database 2019

Xu,

Qi,

Liu

et al. 2024

J Glob Health

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Background Low back pain (LBP) is reported as an urgent public-health concern globally because it occurs in all age groups and is now the leading cause of disability, with health systems unable to cope with this burden. We present China's burden of LBP by estimating its prevalence and years lived with disability (YLDs) from 1990 to 2019. MethodsWe obtained the data relating to LBP from the Global Burden of Disease Database (GBD) 2019. Then we calculated years lived with disability caused by LBP by multiplying the prevalence of LBP sequelae by their corresponding disability weights. We performed an analysis of the age-, sex-, and province-specific prevalence and YLDs of 33 provinces/regions in China, as well as their relationship with the sociodemographic index (SDI). ResultsChina has the largest numbers of people with LBP (91.3 million) and YLDs (8.6 million) globally, and LBP is the leading cause of YLDs. The age-standardised prevalence was 7.25% in 1990, and this decreased to 5.13% in 2019. The age-standardised YLD rate was 579/100 000 in 2019, having decreased by 28.97%. Both measurements increased with age, being higher in women and varying across the 33 provinces/regions. For the 5-to-14-year age group, the prevalence (4.50%) and YLD rate (4.51%) increased in 2019 from 1990 (3.21% and 3.21%, respectively) when compared to the elderly group. Age-standardised YLD rates experienced decreases with increasing SDI, while there was an increasing tendency as SDI increased further; the changes for women were more obvious.Conclusions Over the three decades considered, China has continued to have the largest number of people with LBP in the world, even though the age-standardised prevalence has decreased. YLDs were found to decrease as SDI increased, but they subsequently increased again. LBP still presents a burden, particularly for children and postmenopausal women.

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Section: Discussionmentioning

confidence: 99%

“…As a non-communicable disease, the burden of LBP is multifactorial, although it has particular common features [3,22]. More specifically, primary and secondary industries mainly dominate in regions with lower SDI values and urbanisation rates, where manual labour forms the majority of employment [44].…”

Section: Discussionmentioning

confidence: 99%