ORIGINAL RESEARCH article

Front. Nutr.

Sec. Nutritional Epidemiology

Volume 12 - 2025 | doi: 10.3389/fnut.2025.1568015

The global burden of low back pain attributable High Body Mass Index over the period 1990-2021 and projections up to 2035

Provisionally accepted
Jishi  YeJishi Ye1*Jingli  ChenJingli Chen2Huang  DingHuang Ding1Zhongyuan  XiaZhongyuan Xia1Juan  WangJuan Wang1Yifan  JiaYifan Jia1
  • 1Renmin Hospital of Wuhan University, Wuhan, China
  • 2The Centre Hospital of Wuhan, Wuhan, Hebei Province, China

The final, formatted version of the article will be published soon.

Objective: Low back pain (LBP) is a widely disease burden that transcends geographical, cultural, and demographic boundaries, with high body mass index (BMI) recognized as one of its well-established risk factors.Methods: Data on LBP attributed to high BMI were retrieved from the Global Burden of Disease (GBD) study 2021 online database. To evaluate the magnitude and direction of the trend in DALYs, a Joinpoint Regression Analysis (JRA) was performed. Additionally, an autoregressive integrated moving average (ARIMA) model was utilized to forecast future trends in DALYs indicators associated with LBP for the subsequent 15 years.Results: The impact of high BMI on LBP has shown a progressive increase annually from 1990 to 2021, with a more pronounced disease burden observed in regions with higher economic status. Within areas of comparable economic levels, older age correlates with a heightened burden of disease, and females experience a relatively greater disease burden compared to males. Projections based on the Autoregressive Integrated Moving Average (ARIMA) model indicate that the global burden of disease is predicted to continue its upward trajectory over the next 15 years.Conclusion: Higher levels of BMI, along with age and gender, are associated with an increased burden of LBP. The global burden of LBP attributable to high BMI is predicted to continue rising over the next 15 years. This study offers additional evidence to support the development and implementation of policies and strategies aimed at preventing and mitigating future increases in the burden of LBP.

Keywords: Low Back Pain, high body mass index, sociodemographic index, GBD, sex difference

Received: 28 Jan 2025; Accepted: 09 May 2025.

Copyright: © 2025 Ye, Chen, Ding, Xia, Wang and Jia. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Jishi Ye, Renmin Hospital of Wuhan University, Wuhan, China

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