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

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.

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

10.21203/rs.3.rs-144165/v1 ◽

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.

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Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990–2013: findings from the Global Burden of Disease Study 2013

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2016-210146 ◽

2017 ◽

Vol 76 (8) ◽

pp. 1365-1373 ◽

Cited By ~ 35

Author(s):

Maziar Moradi-Lakeh ◽

Mohammad H Forouzanfar ◽

Stein Emil Vollset ◽

Charbel El Bcheraoui ◽

Farah Daoud ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Musculoskeletal Disorders ◽

Mediterranean Region ◽

Eastern Mediterranean ◽

Eastern Mediterranean Region ◽

Global Burden ◽

Low Back ◽

The World ◽

Disease Study

ObjectivesWe used findings from the Global Burden of Disease Study 2013 to report the burden of musculoskeletal disorders in the Eastern Mediterranean Region (EMR).MethodsThe burden of musculoskeletal disorders was calculated for the EMR's 22 countries between 1990 and 2013. A systematic analysis was performed on mortality and morbidity data to estimate prevalence, death, years of live lost, years lived with disability and disability-adjusted life years (DALYs).ResultsFor musculoskeletal disorders, the crude DALYs rate per 100 000 increased from 1297.1 (95% uncertainty interval (UI) 924.3–1703.4) in 1990 to 1606.0 (95% UI 1141.2–2130.4) in 2013. During 1990–2013, the total DALYs of musculoskeletal disorders increased by 105.2% in the EMR compared with a 58.0% increase in the rest of the world. The burden of musculoskeletal disorders as a proportion of total DALYs increased from 2.4% (95% UI 1.7–3.0) in 1990 to 4.7% (95% UI 3.6–5.8) in 2013. The range of point prevalence (per 1000) among the EMR countries was 28.2–136.0 for low back pain, 27.3–49.7 for neck pain, 9.7–37.3 for osteoarthritis (OA), 0.6–2.2 for rheumatoid arthritis and 0.1–0.8 for gout. Low back pain and neck pain had the highest burden in EMR countries.ConclusionsThis study shows a high burden of musculoskeletal disorders, with a faster increase in EMR compared with the rest of the world. The reasons for this faster increase need to be explored. Our findings call for incorporating prevention and control programmes that should include improving health data, addressing risk factors, providing evidence-based care and community programmes to increase awareness.

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Impact of musculoskeletal disorders on healthy life expectancy in Japan

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04539-4 ◽

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.

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Musculoskeletal problems

Oxford Handbook of General Practice ◽

10.1093/med/9780199671038.003.0015 ◽

2014 ◽

pp. 471-532

Author(s):

Chantal Simon ◽

Hazel Everitt ◽

Françoise van Dorp ◽

Matt Burkes

Keyword(s):

Rheumatoid Arthritis ◽

Low Back Pain ◽

Back Pain ◽

Neck Pain ◽

Sports Medicine ◽

Treatment Options ◽

Low Back ◽

Musculoskeletal Problems ◽

Foot Problems ◽

Ankle And Foot

Symptoms of musculoskeletal disease Neck pain Low back pain Shoulder problems Elbow problems Wrist and hand problems Hip and pelvis problems Knee problems Ankle and foot problems Sports medicine Management of sporting injuries Bone disorders Rickets and osteomalacia Osteoporosis Treatment options for osteoporosis Osteoarthritis Rheumatoid arthritis...

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

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15102310 ◽

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.

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Occupational cold exposure is associated with neck pain, low back pain, and lumbar radiculopathy

Ergonomics ◽

10.1080/00140139.2022.2027030 ◽

2022 ◽

pp. 1-24

Author(s):

Albin Stjernbrandt ◽

Erlend Hoftun Farbu

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Neck Pain ◽

Cold Exposure ◽

Low Back ◽

Lumbar Radiculopathy

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

European Spine Journal ◽

10.1007/s00586-019-05938-x ◽

2019 ◽

Vol 28 (5) ◽

pp. 976-982 ◽

Cited By ~ 2

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

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Female Gender Is Associated with a Higher Prevalence of Chronic Neck Pain, Chronic Low Back Pain, and Migraine: Results of the Spanish National Health Survey, 2017

Pain Medicine ◽

10.1093/pm/pnaa368 ◽

2020 ◽

Author(s):

Domingo Palacios-Ceña ◽

Romana Albaladejo-Vicente ◽

Valentin Hernández-Barrera ◽

Lidiane Lima-Florencio ◽

Cesar Fernández-de-las-Peñas ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Neck Pain ◽

National Health ◽

Health Survey ◽

Chronic Low Back Pain ◽

Chronic Neck Pain ◽

National Health Survey ◽

Low Back ◽

Care Providers

Abstract Objectives To assess the prevalence of chronic neck pain (CNP), chronic low back pain (CLBP), and migraine headache (MH) in the Spanish population and to identify sociodemographic and health-related variables associated with CNP, CLBP, and MH. Design Observational study. Setting Spain. Subjects A total of 22,511 persons 18 years of age or older (10,304 males and 12,207 females) who participated in the 2017 Spanish National Health Survey. Methods Stratified three-stage sampling was applied. CNP, CLBP, and MH were the dependent variables. The analysis was conducted separately by gender. Sociodemographic features, self-perceived health status, lifestyle habits, comorbidities, and pain features were analyzed by using logistic regression models. Results Females reported a higher prevalence of CNP, CLBP, and MH (P < 0.001) than males. For both sexes, anxiety and/or depression and poor self-rated health were associated with a significantly increased prevalence of CNP, CLBP, and MH. For CNP and CLBP, the identified associated factors were older age and limitations to usual activity. For CNP and MH, the most common associated factor was comorbid respiratory disease. Conclusions Our study identified several factors associated with CNP, CLBP, and MH in Spanish female and male adults, with potential implications for health care providers.

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

Orvosi Hetilap ◽

10.1556/oh.2012.29435 ◽

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.

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