Introduction:Musculoskeletal(MSK)disorders are escalating in the BRICS+nations.The BRICS+countries include five primary members of Brazil,Russia,India,China,and South Africa,and five new members of Saudi Arabia,Egypt,...Introduction:Musculoskeletal(MSK)disorders are escalating in the BRICS+nations.The BRICS+countries include five primary members of Brazil,Russia,India,China,and South Africa,and five new members of Saudi Arabia,Egypt,the United Arab Emirates(UAE),Iran,and Ethiopia by January 1st,2024.Methods:Utilizing the Global Burden of Disease(GBD)2021 database,the study measured MSK disorders burden through incidence,prevalence,and disability-adjusted life years(DALYs),segmented by location,sex,and disease type.The average annual percentage change(AAPC)from 1990 to 2021 was evaluated to track the burden changes.Results:In 2021,among BRICS+nations,Brazil(2,267)and China(1,616)presented the highest and lowest age-standardized DALYs of MSK disorders per 100,000,respectively.Females had higher DALYs than males.The largest decrease and increase in agestandardized DALYs from 1990 to 2021 occurred in China(−2.35%)and Saudi Arabia(10.74%),respectively.Among all MSK disorders in 2021,low back pain(LBP)was the leading cause of the DALYs,while gout was the least contributor in BRICS+nations.For males,the DALYs due to LBP,rheumatoid arthritis(RA),osteoarthritis(OA),neck pain(NP),and other MSK disorders except gout were lower than those for females.From 1990 to 2021,agestandardized DALYs of MSK disorders exhibited a significant decreasing trend in China[AAPC=−0.34;95%confidence interval(CI):−0.38,−0.30],no significant change in Brazil and South Africa,and a growth trend in other nations,with the largest increasing trend detected in Saudi Arabia(AAPC=0.33;95%CI:0.31,0.34).Conclusions:MSK disorders imposed a substantial burden on BRICS+countries,particularly in Brazil and Iran,with distinct patterns requiring tailored healthcare policies and resource distribution.展开更多
基金Supported by the Strategic Research and Consulting Project of the Chinese Academy of Engineering(2022-XBZD-30)the Key Project of the National Social Science Fund of China(23ZDA101).
文摘Introduction:Musculoskeletal(MSK)disorders are escalating in the BRICS+nations.The BRICS+countries include five primary members of Brazil,Russia,India,China,and South Africa,and five new members of Saudi Arabia,Egypt,the United Arab Emirates(UAE),Iran,and Ethiopia by January 1st,2024.Methods:Utilizing the Global Burden of Disease(GBD)2021 database,the study measured MSK disorders burden through incidence,prevalence,and disability-adjusted life years(DALYs),segmented by location,sex,and disease type.The average annual percentage change(AAPC)from 1990 to 2021 was evaluated to track the burden changes.Results:In 2021,among BRICS+nations,Brazil(2,267)and China(1,616)presented the highest and lowest age-standardized DALYs of MSK disorders per 100,000,respectively.Females had higher DALYs than males.The largest decrease and increase in agestandardized DALYs from 1990 to 2021 occurred in China(−2.35%)and Saudi Arabia(10.74%),respectively.Among all MSK disorders in 2021,low back pain(LBP)was the leading cause of the DALYs,while gout was the least contributor in BRICS+nations.For males,the DALYs due to LBP,rheumatoid arthritis(RA),osteoarthritis(OA),neck pain(NP),and other MSK disorders except gout were lower than those for females.From 1990 to 2021,agestandardized DALYs of MSK disorders exhibited a significant decreasing trend in China[AAPC=−0.34;95%confidence interval(CI):−0.38,−0.30],no significant change in Brazil and South Africa,and a growth trend in other nations,with the largest increasing trend detected in Saudi Arabia(AAPC=0.33;95%CI:0.31,0.34).Conclusions:MSK disorders imposed a substantial burden on BRICS+countries,particularly in Brazil and Iran,with distinct patterns requiring tailored healthcare policies and resource distribution.