scholarly journals Impact of musculoskeletal disorders on healthy life expectancy in Japan

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yoshihiro Ritsuno ◽  
Miyuki Kawado ◽  
Mitsuhiro Morita ◽  
Harumoto Yamada ◽  
Arihiko Kanaji ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Low Back Pain ◽  
Back Pain ◽  
Life Expectancy ◽  
Musculoskeletal Disorders ◽  
Activity Limitation ◽  
Healthy Life Expectancy ◽  
Mortality Data ◽  
Low Back ◽  
Healthy Life

Abstract Background Musculoskeletal disorders are a key cause of morbidity in elderly people. How musculoskeletal disorders relate to healthy life expectancy remain elusive. Hence, we aimed to estimate gains in healthy life expectancy from the elimination of musculoskeletal diseases and injuries by using recent national health statistics data in Japan. Methods Mortality data were taken from Japanese national life tables and death certificates in 2016. Information on medical diagnoses, injuries, and activity were obtained from the 2016 Comprehensive Survey of Living Conditions. We examined five disorders: rheumatoid arthritis, arthrosis, low back pain, osteoporosis, and fracture. The prevalence of limitations in activities of daily living (ADL) in the population after eliminating the disorder was estimated as the proportion of outpatients without the disorder and ADL limitations, inpatients without the disorder in hospitals and clinics, and people without the disorder who reside in long-term elderly care facilities. Results There were small gains in life expectancy from elimination of all selected musculoskeletal disorders (0.0–0.1 years). Elimination of rheumatoid arthritis, osteoporosis, and fracture slightly increased the expected years without activity limitation (0.1–0.4) and slightly decreased years with activity limitation (0.1–0.4 years). Meanwhile, elimination of arthrosis, low back pain, and arthrosis and low back pain moderately increased expected years without activity limitation (0.3–1.5 years) and decreased years with activity limitation (0.3–1.5 years). In addition, elimination of rheumatoid arthritis, arthrosis, low back pain, osteoporosis, and fracture decreased expected years with ADL limitations (0.0–0.8 years) and non-ADL limitations (0.0–0.3 years). A combination of arthrosis and low back pain showed a moderate decrease in expected years with both ADL limitations (0.7–1.1 years) and non-ADL limitations (0.3–0.4). Conclusions These findings provide clinical evidence that among the musculoskeletal disorders low back pain and arthrosis are the key factors for the elongation of healthy life expectancy.

scholarly journals Impact of Musculoskeletal Disorders on Healthy Life Expectancy in Japan

2021 ◽  
Author(s):  
Yoshihiro Ritsuno ◽  
Miyuki Kawado ◽  
Mitsuhiro Morita ◽  
Harumoto Yamada ◽  
Arihiko Kanaji ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Life Expectancy ◽  
Musculoskeletal Disorders ◽  
Musculoskeletal Diseases ◽  
Activity Limitation ◽  
Healthy Life Expectancy ◽  
Malignant Neoplasms ◽  
Low Back ◽  
Healthy Life

Abstract Background: Musculoskeletal disorders are the key cause of morbidity in elderly people. However, the exact clinical reasons for musculoskeletal disorders related to healthy life expectancy remain elusive. Hence, we aimed to estimate gains in healthy life expectancy from the elimination of musculoskeletal diseases and injuries by using recent national health statistics data in Japan. Methods: The present data were used from the population, life tables, and the number of deaths in Japan in 2016. Data regarding the activity and disease status of persons living at home were obtained from the 2016 Comprehensive Survey of Living Conditions. We selected eight disorders including musculoskeletal diseases and injuries from the above data: rheumatoid arthritis, arthrosis, low back pain, osteoporosis, fracture, malignant neoplasms, ischemic heart disease, and cerebrovascular diseases. After eliminating each disorder, we calculated the prevalence of limitations in the activities of daily living (ADL) in the population after excluding outpatients with the disorder and ADL limitations, inpatients with the disorder in hospitals and clinics, and people with the disorder who reside in long-term elderly care facilities. The prevalence of non-ADL limitations in the population was calculated after excluding outpatients with the disorder and non-ADL limitations.Results: Musculoskeletal diseases and injuries generally decreased expected years at birth with activity limitations. In particular, eliminating low back pain and arthrosis decreased expected years at birth with activity limitation to the greatest extent in selected diseases and injuries (male: 0.9 years, female: 1.5 years). However, eliminating malignant neoplasms increased the expected years at birth with activity limitation (male: 1.3 years, female: 1.2 years). In addition, a combination of arthrosis and low back pain led to a moderate decrease in expected years with both ADL (male: 0.7 years, female: 1.1 years) and non-ADL limitations (male: 0.3 years, female: 0.4 years). In contrast, the elimination of malignant neoplasms increased the expected years with both ADL (male: 0.5 years, female: 0.3 years) and non-ADL limitations (male: 0.8 years, female: 0.9 years). Conclusions: These findings provide clinical evidence that low back pain and arthrosis are the key conditions that can be addressed to prolong healthy life expectancy.

scholarly journals Pattern and trend of five major musculoskeletal disorders in China from 1990 to 2017: findings from the Global Burden of Disease Study 2017

BMC Medicine ◽  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Dongze Wu ◽  
Priscilla Wong ◽  
Cui Guo ◽  
Lai-Shan Tam ◽  
Jieruo Gu
Keyword(s):  
Rheumatoid Arthritis ◽  
Low Back Pain ◽  
Back Pain ◽  
Neck Pain ◽  
Musculoskeletal Disorders ◽  
High Body Mass Index ◽  
Low Back ◽  
Annual Percent Change ◽  
Increasing Trend ◽  
Disease Study

Abstract Background With increasing life expectancy in China, no large population-based studies have been done on the trend for musculoskeletal disorders in China. We have investigated the pattern and trend of five major musculoskeletal disorders in China from the Global Burden of Disease Study 2017 and its association with sociodemographic index (SDI). Methods The main outcome measures were incidence, prevalence, and disability-adjusted life years (DALYs) for rheumatoid arthritis, osteoarthritis, low back pain, neck pain, and gout. Average annual percent change (AAPC) and annual percent change (APC) between 1990 and 2017 were analyzed with Joinpoint regression. Results The age-standardized rate of incidence, prevalence, and DALYs for the five major musculoskeletal disorders increased with age. For SDI, the age-standardized rate of DALYs was zigzagged increasing for rheumatoid arthritis and curvilinear increasing for gout, curvilinear decreasing for low back pain, and reaching to the highest point for osteoarthritis and neck pain with an SDI value of 0.61. The AAPC in age-standardized rate of DALYs indicated an increasing trend for rheumatoid arthritis (0.20, 95% CI 0.07, 0.34), osteoarthritis (0.26, 95% CI 0.20, 0.31), neck pain (0.09, 95% CI 0.07, 0.12), and gout (0.25, 95% CI 0.23, 0.27), but a decreasing trend for low back pain (− 0.96, 95% CI − 0.98, − 0.93). The AAPC of risk factors indicated a decreasing trend in smoking (− 0.14, 95% CI − 0.24, − 0.04) for rheumatoid arthritis, smoking (− 0.22, 95% CI − 0.24, − 0.19) and occupational ergonomic factors (− 1.25, 95% CI − 1.29, − 1.21) for low back pain, and impaired kidney function (− 0.95, 95% CI − 1.00, − 0.90) for gout, but an increasing trend in high body-mass index for osteoarthritis (3.10, 95% CI 3.03, 3.17), low back pain (3.07, 95% CI 2.99, 3.14), and gout (3.12, 95% CI 3.04, 3.20). Comparing the burden of five musculoskeletal diseases in China with the 19 countries of G20, China ranked first to second in the number of DALYs, and 12th to 16th in age-standardized rate of DALYs. Conclusion There are remarkably complex temporal patterns in disease burden and risk factors for five major musculoskeletal disorders across past three decades. Population-wide initiatives targeting high body-mass index may mitigate the burden of musculoskeletal disorders.

scholarly journals Prevalence of Low Back Pain and Dorsalgia and Associated Factors among Casual Dockworkers

2018 ◽  
Vol 15 (10) ◽  
pp. 2310
Author(s):  
Marta Cezar-Vaz ◽  
Clarice Bonow ◽  
Daiani Xavier ◽  
Joana Vaz ◽  
Letícia Cardoso ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Musculoskeletal Disorders ◽  
Illicit Drugs ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Occupational Risk ◽  
Low Back ◽  
Cross Sectional ◽  
Convenience Sample

This study’s aim was to analyse the relationship between musculoskeletal disorders (low back pain and dorsalgia) and sociodemographic characteristics, workload and occupational hazards among casual dockworkers. This cross-sectional study addressed casual dockworkers from the state of Rio Grande do Sul, Brazil. The convenience sample was composed of 232 casual dockworkers. Data were collected using a structured interview and observation. Poisson regression analysis was used. Association between low back pain and physiological occupational risk (p = 0.006), total exertion levels (p = 0.014) and frustration (p = 0.020) remained statistically significant, while the use of illicit drugs (p = 0.023), being a quayside worker (p = 0.021) and physiological occupational risk (p = 0.040) remained associated with dorsalgia. Decreasing these variables in the workplace may also reduce the prevalence of musculoskeletal disorders such as low back pain and dorsalgia.

scholarly journals The burden of musculoskeletal disorders in the countries of the Eastern Mediterranean region of the World Health Organization (EMRO): Study period 2000-2017

2021 ◽  
Author(s):  
Jafar Yahyavi Dizaj ◽  
Manijeh Soleimanifar ◽  
Reza Hashempour ◽  
Ali Kazemi Karyani ◽  
Fateh Mohsen ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Neck Pain ◽  
Musculoskeletal Disorders ◽  
Burden Of Disease ◽  
Disease Burden ◽  
World Health ◽  
Low Back ◽  
The World ◽  
Health Organization

Abstract Background: MSK health is imperative for the active participation of an individual in society and MSK related disorders more direly affects a person's quality of life compared other non-communicable disease while it also negatively effects the health system and economy of a country. The current manuscript analyzed and describes the disease burden of MSK disorders in the EMRO region.Methods: This was a cross-sectional descriptive-analytical study conducted based on data published by the Global Burden of Disease Database for MSK disorders up to 2017. The study target comprised population from all countries of the EMRO region of World Health Organization. The present study considered, MSK disorders such as (rheumatoid arthritis), (osteoarthritis), (Low back pain), (neck pain), (gout) and (other Musculoskeletal disorders. The DALY index was used to measure total disease burden.Results: MSK disorders in the world and in the EMRO region was ranked 5th (4% of total disease burden) and 7th (5% of total disease burden) among all diseases in 2017, respectively. Women over 30 years of age in the EMRO region had the highest risk of MSK disorders compared to other regions and in addition, the DALY lost in EMRO region due to MSK disorders was higher in women of all age categories than men. According to the results of this study, Low back pain, Other musculoskeletal disorders and Neck pain had the highest prevalence and burden of disease in the EMRO region and the world. Bahrain, Iran, and Morocco had the highest incidence of MSK DALY score in the EMRO region, and Somalia, Djibouti, and Afghanistan had the lowest incidence of MSK disorders and DALY score, respectively.Conclusion: With the increase in geriatric population and obesity especially in developing countries, consequently, more people tend to suffer from MSK disorders and it is predicted that this spike will continue in the coming decades. Taking in to account the high prevalence and burden of MSK disorders, forces government and health-policy makers to focus more on preventive cares and rehabilitation.

scholarly journals Health Status of Old Age Population in Bulgaria

2016 ◽  
Vol 2 (4) ◽  
pp. 126
Author(s):  
Mariana Mourgova
Keyword(s):  
Health Status ◽  
Life Expectancy ◽  
European Countries ◽  
Healthy Life Expectancy ◽  
Mortality Data ◽  
Healthy Life ◽  
Healthy Life Years ◽  
Demographic Indicators ◽  
Life Years ◽  
Different Levels

This article examines the health status of the population in Bulgaria at age 65 by gender during the period 2006-2014. The health status is examined by some of the most frequently used demographic indicators, namely life expectancy, based on mortality data and healthy life years and healthy life expectancy, based on mortality, life expectancy and self-perceived health. The main results show that despite of the observed increase in life expectancy at age 65 in Bulgaria during the period it is the lowest compared to other European countries. The share for both men and women reported their health status as without limitations in respect to daily activities decline, while those reported their health status as good increase. These contradictory facts reflect on the measures of health status. Thus, the trend in healthy life years for both sexes decline over the period, whereas the trend in healthy life expectancy increases. Compared with the other European countries, the expected number of years without limitations in Bulgaria is among the largest, while the healthy life expectancy is the lowest. These differences could be explained by the different levels in mortality and the nature of the measures of health status themselves.

scholarly journals Health Status of Old Age Population in Bulgaria

2016 ◽  
Vol 6 (1) ◽  
pp. 126
Author(s):  
Mariana Mourgova
Keyword(s):  
Health Status ◽  
Life Expectancy ◽  
European Countries ◽  
Healthy Life Expectancy ◽  
Mortality Data ◽  
Healthy Life ◽  
Healthy Life Years ◽  
Demographic Indicators ◽  
Life Years ◽  
Different Levels

This article examines the health status of the population in Bulgaria at age 65 by gender during the period 2006-2014. The health status is examined by some of the most frequently used demographic indicators, namely life expectancy, based on mortality data and healthy life years and healthy life expectancy, based on mortality, life expectancy and self-perceived health. The main results show that despite of the observed increase in life expectancy at age 65 in Bulgaria during the period it is the lowest compared to other European countries. The share for both men and women reported their health status as without limitations in respect to daily activities decline, while those reported their health status as good increase. These contradictory facts reflect on the measures of health status. Thus, the trend in healthy life years for both sexes decline over the period, whereas the trend in healthy life expectancy increases. Compared with the other European countries, the expected number of years without limitations in Bulgaria is among the largest, while the healthy life expectancy is the lowest. These differences could be explained by the different levels in mortality and the nature of the measures of health status themselves.

scholarly journals Prevalence of and factors associated with dysfunctional low back pain in patients with rheumatoid arthritis

2019 ◽  
Vol 28 (5) ◽  
pp. 976-982 ◽  
Author(s):  
Kazuto Miura ◽  
Osamu Morita ◽  
Toru Hirano ◽  
Kei Watanabe ◽  
Jun’ichi Fujisawa ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Factors Associated

Quality of life of osteoporotic patients attending rheumatology rehabilitation in-patient units

2012 ◽  
Vol 153 (33) ◽  
pp. 1314-1319
Author(s):  
Julianna Rozália Sallai ◽  
Gábor Héjj ◽  
István †Ratkó ◽  
Aniella Hunka ◽  
Ilona Márkus ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Poor Quality ◽  
Low Back ◽  
Life Data ◽  
Sf 36

There has been no report on demographic, social and quality of life data of osteoporotic patients attending rheumatology rehabilitation in-patient units in Hungary. Aim: The authors analyzed the data of osteoporotic patients treated in rheumatology rehabilitation departments as in-patients in four hospitals in Hungary. Methods: Demographic and social data were obtained by using a questionnaire developed by the authors, and quality of life was assessed with the use of the SF-36 questionnaire. The quality of life data of osteoporotic patients were compared to that obtained from patients with rheumatoid arthritis, osteoarthrosis and chronic low back pain who were treated in the same department at the same time. Results: Of the 253 patients who were asked to participate in the study, 211 patients filled out the questionnaires. 25.6% of the patients were male. 58% of the patients were younger than 60 years of age, and 40% of them were heavy physical workers earlier. More than 50% of the patients did not complete secondary school education, and only 6.7% of the patients had a per capita monthly income higher than 100 000 HUF. The quality of life of the osteoporotic patients assessed by SF-36 scored 34.7, which was significantly lower than that of the mean of the Hungarian population scoring 70–90. The SF-36 scores of osteoporotic patients were lower in all domains compared to the scores of patients with rheumatoid arthritis, osteoarthritis and low back pain, although the difference was significant only in the domain of physical activity. The affective role of patients with osteoporosis was significantly lower than those with rheumatoid arthritis and osteoarthritis. Conclusions: Osteoporotic patients attending in-patient rheumatology in-patient rehabilitation units in Hungary have poor quality of life comparable, even worse than that found in patients with rheumatoid arthritis, osteoarthritis and chronic low back pain. Orv. Hetil., 2012, 153, 1314–1319.

FRI0152 Low back pain in rheumatoid arthritis patients correlated with das28-esr

2013 ◽  
Vol 72 (Suppl 3) ◽  
pp. A421.3-A422
Author(s):  
K. Yamada ◽  
T. Koike ◽  
A. Suzuki ◽  
S. Takahashi ◽  
H. Yasuda ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Low Back Pain ◽  
Back Pain ◽  
Low Back

scholarly journals Burden of Rheumatic Diseases in A Rural Community of Bangladesh

2014 ◽  
Vol 15 (2) ◽  
pp. 125-130 ◽  
Author(s):  
Moniruzzaman Ahmed ◽  
Syed Atiqul Haq ◽  
Md. Nazrul Islam ◽  
Sree Krisna Banik ◽  
Mohammad Noor Alam
Keyword(s):  
Rheumatoid Arthritis ◽  
Low Back Pain ◽  
Back Pain ◽  
Rural Community ◽  
Rheumatic Diseases ◽  
Burden Of Illness ◽  
Adult Population ◽  
Inflammatory Rheumatic Diseases ◽  
Low Back ◽  
Osteoarthritis Of Knee

Objective: To estimate the magnitude, burden of illness and help-seeking behavior of patients with musculoskeletal complaints and to provide incidence of osteoarthritis, low back pain, fibromyalgia, rheumatoid arthritis, gout, and other inflammatory and non-inflammatory rheumatic diseases in a rural community of Bangladesh. Methods: The study was conducted in a few villages near Dhaka city which were considered to be a fairly representative sample of Bangladeshi rural population. Data were collected with the help of modified Community Oriented Program for Control of Rheumatic Diseases (COPCORD) questionnaire and a diagnosis using American College of Rheumatology (ACR) criteria was established. Results: During the 18 months study period, 2685 adults (15 years and above) were included. A total of 441 (M=163, F=278) developed new musculoskeletal (MSK) pain. The incidence rates were 10.9/100 person-years (PY) for the whole population, 8.2/100 PY for males and 13.6/100 PY for females. Nonspecific low back pain (NSLBP), fibromyalgia and osteoarthritis of knee were common MSK problems. A total of 302 patients had complaints of low back pain, of them 204 persons had noninflammatory low back pain; 262 respondents had complaints of knee pain, 38 had satisfied the criteria of knee OA; a total of 116 respondents suffered from fibromyalgia during the study period. Of the respondents (M=17, F=24) 41 had inflammatory arthropathy. Among the incidences of inflammatory arthritis, rheumatoid arthritis 120 (M=101, F=147), spondyloarthropathies 150 (M=252, F=49), ankylosing spondylitis 75 (M=151, F=0), reactive arthritis 50 (M=101, F=0), and psoriatic arthritis 256 (M=0, F=49) per 100,000 / PY respectively were observed, Conclusions: Rheumatic diseases are common in the rural community of Bangladesh, affecting nearly a quarter of adult population. Non-specific low back pain (NSLBP), fibromyalgia and osteoarthritis of knee joints are common joint disorders; point prevalence estimates of most common diagnoses were similar to other community surveys using COPCORD methodology.DOI: http://dx.doi.org/10.3329/jom.v15i2.20685 J MEDICINE 2014; 15 : 125-130

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