To analyze the temporal trends of the burden of musculoskeletal disorders (MSDs) attributable to high body mass index (BMI) in China and globally from 1990 to 2021.
This study utilized the publicly available database of the Global Burden of Disease Study 2021 (GBD 2021). The temporal trends of the burden of MSDs attributable to high BMI in China and globally were evaluated by calculating the annual estimated percentage change and joinpoint analysis. The Das Gupta decomposition method was used to quantify the contributions of population growth, aging, and epidemiological changes to the increase in disease burden.
In 2021, the years lived with disability(YLDs)due to MSDs attributable to high BMI in China was 239 person-years, an increase of 353.92% compared to 1990, significantly higher than the global increase of 184.03% during the same period. The burden of MSDs attributable to high BMI in both China and globally showed an upward trend. The estimated average percentage change (EAPC) in China was 2.69%, and the average annual percentage change (AAPC) was 2.35%. The EAPC globally was 1.18%, and the AAPC was 1.11%. Compared with the global trend, the burden of MSDs attributable to high BMI in China increased at a faster rate and showed a phased fluctuating growth trend. The disease burden of MSDs was higher in females than in males in both China and globally. Decomposition analysis indicated that population aging and population growth were the main reasons for the increase in the prevalence of MSDs in the population.
The burden of MSDs attributable to high BMI in China increased at a faster rate than globally from 1990 to 2021. It is recommended that health departments focus on middle-aged and elderly women, and through strengthening weight management and early intervention, slow down the upward trend of the burden of MSDs.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |