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Temporal trends and comparison of the burden of musculoskeletal disorders attributable to high body mass index in China and globally, 1990-2021
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Huan LI1, Tao CHEN1, Lei ZHAN1, Min LIU2, Xiao-bing PU1, 3
Modern Preventive Medicine | 2026, 53(12) : 2285 - 2290
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Modern Preventive Medicine | 2026, 53(12): 2285-2290
• Disease Control and Prevention •
Temporal trends and comparison of the burden of musculoskeletal disorders attributable to high body mass index in China and globally, 1990-2021
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Huan LI1, Tao CHEN1, Lei ZHAN1, Min LIU2, Xiao-bing PU1, 3
Affiliations
  • West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan 610041, China
Published: 2026-06-25 doi: 10.20043/j.cnki.MPM.202601177
Outline
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Objective

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.

Methods

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.

Results

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.

Conclusion

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.

Musculoskeletal disorders  /  High body mass index  /  Temporal trends
李欢, 陈涛, 詹蕾, 刘敏, 蒲小兵. 1990—2021年中国和全球高体质指数归因的肌肉骨骼疾病负担的对比分析. 现代预防医学, 2026 , 53 (12) : 2285 -2290 . DOI: 10.20043/j.cnki.MPM.202601177
Huan LI, Tao CHEN, Lei ZHAN, Min LIU, Xiao-bing PU. Temporal trends and comparison of the burden of musculoskeletal disorders attributable to high body mass index in China and globally, 1990-2021[J]. Modern Preventive Medicine, 2026 , 53 (12) : 2285 -2290 . DOI: 10.20043/j.cnki.MPM.202601177
Year 2026 volume 53 Issue 12
232
105
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doi: 10.20043/j.cnki.MPM.202601177
  • Receive Date:2026-01-12
  • Online Date:2026-09-28
  • Published:2026-06-25
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  • Received:2026-01-12
Affiliations
    West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan 610041, China
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表12种不同金属材料的力学参数
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
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