Global, regional, and national burden of low back pain for adults aged 55 and older 1990–2021: an analysis for the global burden of disease study 2021

Abstract Background Low back pain (LBP) is a widespread condition that increasingly affects the older adults, highlighting the need for a detailed examination of its global impact. Our research aimed to evaluate the LBP’s burden and trends in individuals over 55 years of age across 204 countries and...

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Main Authors: Shangbo Xu, Jiaxin Chen, Chicheng Wang, Ye Lin, Weipeng Huang, Haoyue Zhou, Weibiao Ji, Yangbo Chen
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-025-08326-3
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author Shangbo Xu
Jiaxin Chen
Chicheng Wang
Ye Lin
Weipeng Huang
Haoyue Zhou
Weibiao Ji
Yangbo Chen
author_facet Shangbo Xu
Jiaxin Chen
Chicheng Wang
Ye Lin
Weipeng Huang
Haoyue Zhou
Weibiao Ji
Yangbo Chen
author_sort Shangbo Xu
collection DOAJ
description Abstract Background Low back pain (LBP) is a widespread condition that increasingly affects the older adults, highlighting the need for a detailed examination of its global impact. Our research aimed to evaluate the LBP’s burden and trends in individuals over 55 years of age across 204 countries and territories from 1990 to 2021. Methods We analyzed the data from the Global Burden of Disease 2021, focusing on LBP prevalence, incidence, and years lived with disability (YLDs), along with associated risk factors. Results In 2021, a total of 271,680,057 individuals aged 55 and older globally suffered from LBP. The age-standardized prevalence rate was 18,282.8 per 100,000 population, marking a 10.4% decrease since 1990. The age-standardized incidence and YLD rates had decreased by 9.4% and 11.0%, respectively. Central and Eastern Europe and Australasia had the highest burden, while Andean Latin America, Caribbean, and East Asia had the lowest. Notably, there were significant gender differences, with males experiencing lower rates than females. Occupational ergonomic factors, smoking, and high body mass index were identified as major contributors to the LBP burden. Conclusion This study analyzed the global burden of LBP in adults aged 55 and older, noting a decrease in age-standardized rates but an increase in total cases and regional disparities. It stressed the need to tackle modifiable risk factors like occupational ergonomics, smoking, and obesity to lessen LBP’s impact. The study also called for region-specific, gender-sensitive healthcare policies to ensure fair health outcomes for all adults aged 55 and older.
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spelling doaj-art-cc4f59ca35e844d593b65419356adc842025-01-26T12:10:01ZengBMCBMC Musculoskeletal Disorders1471-24742025-01-0126111310.1186/s12891-025-08326-3Global, regional, and national burden of low back pain for adults aged 55 and older 1990–2021: an analysis for the global burden of disease study 2021Shangbo Xu0Jiaxin Chen1Chicheng Wang2Ye Lin3Weipeng Huang4Haoyue Zhou5Weibiao Ji6Yangbo Chen7Department of Internal medicine, Jieyang People’s HospitalUWE College of Hainan Medical UniversityGuangdong Medical UniversityGuanghua School of Stomatology, Sun Yat-sen UniversityDepartment of Internal medicine, Jieyang People’s HospitalDepartment of Internal medicine, Jieyang People’s HospitalDepartment of Internal medicine, Jieyang People’s HospitalDepartment of Internal medicine, Jieyang People’s HospitalAbstract Background Low back pain (LBP) is a widespread condition that increasingly affects the older adults, highlighting the need for a detailed examination of its global impact. Our research aimed to evaluate the LBP’s burden and trends in individuals over 55 years of age across 204 countries and territories from 1990 to 2021. Methods We analyzed the data from the Global Burden of Disease 2021, focusing on LBP prevalence, incidence, and years lived with disability (YLDs), along with associated risk factors. Results In 2021, a total of 271,680,057 individuals aged 55 and older globally suffered from LBP. The age-standardized prevalence rate was 18,282.8 per 100,000 population, marking a 10.4% decrease since 1990. The age-standardized incidence and YLD rates had decreased by 9.4% and 11.0%, respectively. Central and Eastern Europe and Australasia had the highest burden, while Andean Latin America, Caribbean, and East Asia had the lowest. Notably, there were significant gender differences, with males experiencing lower rates than females. Occupational ergonomic factors, smoking, and high body mass index were identified as major contributors to the LBP burden. Conclusion This study analyzed the global burden of LBP in adults aged 55 and older, noting a decrease in age-standardized rates but an increase in total cases and regional disparities. It stressed the need to tackle modifiable risk factors like occupational ergonomics, smoking, and obesity to lessen LBP’s impact. The study also called for region-specific, gender-sensitive healthcare policies to ensure fair health outcomes for all adults aged 55 and older.https://doi.org/10.1186/s12891-025-08326-3Low back painGlobal burden of diseaseBurdenRisk factors
spellingShingle Shangbo Xu
Jiaxin Chen
Chicheng Wang
Ye Lin
Weipeng Huang
Haoyue Zhou
Weibiao Ji
Yangbo Chen
Global, regional, and national burden of low back pain for adults aged 55 and older 1990–2021: an analysis for the global burden of disease study 2021
BMC Musculoskeletal Disorders
Low back pain
Global burden of disease
Burden
Risk factors
title Global, regional, and national burden of low back pain for adults aged 55 and older 1990–2021: an analysis for the global burden of disease study 2021
title_full Global, regional, and national burden of low back pain for adults aged 55 and older 1990–2021: an analysis for the global burden of disease study 2021
title_fullStr Global, regional, and national burden of low back pain for adults aged 55 and older 1990–2021: an analysis for the global burden of disease study 2021
title_full_unstemmed Global, regional, and national burden of low back pain for adults aged 55 and older 1990–2021: an analysis for the global burden of disease study 2021
title_short Global, regional, and national burden of low back pain for adults aged 55 and older 1990–2021: an analysis for the global burden of disease study 2021
title_sort global regional and national burden of low back pain for adults aged 55 and older 1990 2021 an analysis for the global burden of disease study 2021
topic Low back pain
Global burden of disease
Burden
Risk factors
url https://doi.org/10.1186/s12891-025-08326-3
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