A comparison of the burden of knee osteoarthritis attributable to high body mass index in China and globally from 1990 to 2019
BackgroundExcess body mass index (BMI) plays a key role in the onset and progression of knee osteoarthritis (knee OA). However, the burden of knee OA attributable to high BMI at the global, Chinese, and regional levels have received far too little attention. The aim of this study is to provide evide...
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1200294/full |
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| author | Min Song Huijing Chen Jingyi Li Weichang Han Wenfeng Wu Gaoyi Wu Anqi Zhao Qing Yuan Jiani Yu Jiani Yu |
| author_facet | Min Song Huijing Chen Jingyi Li Weichang Han Wenfeng Wu Gaoyi Wu Anqi Zhao Qing Yuan Jiani Yu Jiani Yu |
| author_sort | Min Song |
| collection | DOAJ |
| description | BackgroundExcess body mass index (BMI) plays a key role in the onset and progression of knee osteoarthritis (knee OA). However, the burden of knee OA attributable to high BMI at the global, Chinese, and regional levels have received far too little attention. The aim of this study is to provide evidence to support the design of policy by investigating long-term trends of years lived with disability (YLDs) for knee OA.MethodsTo illustrate the trends of YLDs for knee OA attributable to high BMI and the temporal trends of the YLDs rate by age, period, and cohort, Joinpoint regression software and age-period-cohort (APC) were used to analyze the YLDs data of knee OA from the Global Burden of Disease (GBD) 2019.ResultsIn China, there were 549,963.5 YLDs for knee OA attributable to high BMI in 2019, which had increased by 460.7% since 1990. From 1990 to 2019, age-standardized disability-adjusted life year rate (ASDR) of knee OA attributable to high BMI trended upwards. The average annual percent change (AAPC) of knee OA attributable to high BMI in China and globe were 3.019, 1.419%, respectively. The longitudinal age curve of the APC model showed that the YLDs rates of knee OA due to high BMI increased with age, and YLDs rates were higher among females than males. The period rate ratios (RRs) of knee OA due to high BMI increased significantly. The cohort RRs of knee OA due to high BMI increased among those born between 1900 and 1970. The net drifts of knee OA attributable to high BMI in China and globe were above 1. Compared with global condition, the net drift values of knee OA attributable to high BMI in China was higher. Compared with females, males had higher net drift value. Countries with high socio-demographic index (SDI) have a much higher burden of knee OA caused by high BMI than countries with low SDI.ConclusionIn China, high BMI is a substantial cause of knee OA, the incidence of which has been increasing since 1990. In addition, women and the elderly are more vulnerable to knee OA caused by high BMI. The Chinese government must take the long-term impact of high BMI on knee OA into account and implement effective public health policies and resort to interventions to reduce the burden as soon as possible. |
| first_indexed | 2024-03-12T13:41:59Z |
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| language | English |
| last_indexed | 2024-03-12T13:41:59Z |
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| spelling | doaj.art-38354894031c425d8ec8d43d6633de952023-08-23T13:49:33ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-08-011010.3389/fmed.2023.12002941200294A comparison of the burden of knee osteoarthritis attributable to high body mass index in China and globally from 1990 to 2019Min Song0Huijing Chen1Jingyi Li2Weichang Han3Wenfeng Wu4Gaoyi Wu5Anqi Zhao6Qing Yuan7Jiani Yu8Jiani Yu9Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaSchool of Public Health and Management, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaMedical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaMedical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaThe Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaHuatuo Hospital, Zhaoqing, Guangdong, ChinaMedical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaMedical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaThe Second Affiliated Hospital of Guangzhou University of Chinese Medicine，Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaSun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, ChinaBackgroundExcess body mass index (BMI) plays a key role in the onset and progression of knee osteoarthritis (knee OA). However, the burden of knee OA attributable to high BMI at the global, Chinese, and regional levels have received far too little attention. The aim of this study is to provide evidence to support the design of policy by investigating long-term trends of years lived with disability (YLDs) for knee OA.MethodsTo illustrate the trends of YLDs for knee OA attributable to high BMI and the temporal trends of the YLDs rate by age, period, and cohort, Joinpoint regression software and age-period-cohort (APC) were used to analyze the YLDs data of knee OA from the Global Burden of Disease (GBD) 2019.ResultsIn China, there were 549,963.5 YLDs for knee OA attributable to high BMI in 2019, which had increased by 460.7% since 1990. From 1990 to 2019, age-standardized disability-adjusted life year rate (ASDR) of knee OA attributable to high BMI trended upwards. The average annual percent change (AAPC) of knee OA attributable to high BMI in China and globe were 3.019, 1.419%, respectively. The longitudinal age curve of the APC model showed that the YLDs rates of knee OA due to high BMI increased with age, and YLDs rates were higher among females than males. The period rate ratios (RRs) of knee OA due to high BMI increased significantly. The cohort RRs of knee OA due to high BMI increased among those born between 1900 and 1970. The net drifts of knee OA attributable to high BMI in China and globe were above 1. Compared with global condition, the net drift values of knee OA attributable to high BMI in China was higher. Compared with females, males had higher net drift value. Countries with high socio-demographic index (SDI) have a much higher burden of knee OA caused by high BMI than countries with low SDI.ConclusionIn China, high BMI is a substantial cause of knee OA, the incidence of which has been increasing since 1990. In addition, women and the elderly are more vulnerable to knee OA caused by high BMI. The Chinese government must take the long-term impact of high BMI on knee OA into account and implement effective public health policies and resort to interventions to reduce the burden as soon as possible.https://www.frontiersin.org/articles/10.3389/fmed.2023.1200294/fullknee osteoarthritishigh body mass indexepidemiologyJoinpointage-period-cohort model |
| spellingShingle | Min Song Huijing Chen Jingyi Li Weichang Han Wenfeng Wu Gaoyi Wu Anqi Zhao Qing Yuan Jiani Yu Jiani Yu A comparison of the burden of knee osteoarthritis attributable to high body mass index in China and globally from 1990 to 2019 Frontiers in Medicine knee osteoarthritis high body mass index epidemiology Joinpoint age-period-cohort model |
| title | A comparison of the burden of knee osteoarthritis attributable to high body mass index in China and globally from 1990 to 2019 |
| title_full | A comparison of the burden of knee osteoarthritis attributable to high body mass index in China and globally from 1990 to 2019 |
| title_fullStr | A comparison of the burden of knee osteoarthritis attributable to high body mass index in China and globally from 1990 to 2019 |
| title_full_unstemmed | A comparison of the burden of knee osteoarthritis attributable to high body mass index in China and globally from 1990 to 2019 |
| title_short | A comparison of the burden of knee osteoarthritis attributable to high body mass index in China and globally from 1990 to 2019 |
| title_sort | comparison of the burden of knee osteoarthritis attributable to high body mass index in china and globally from 1990 to 2019 |
| topic | knee osteoarthritis high body mass index epidemiology Joinpoint age-period-cohort model |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1200294/full |
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