1990年から2021年までの産卵年齢の女性の骨関節炎の世界的,地域的,国内的な負担,2045年まで予測される傾向
Jianye Tan1,2,3, Yinsong Sun1,2,3, Jinping Chen1,2,3
1Department of Orthopaedic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
まとめ
骨格関節炎 (OA) は,特に膝と手に影響を及ぼし,産児年齢の女性 (WCBA) の間で世界的に増加しています. 標的を絞った予防戦略は この集団にとって極めて重要です
科学分野:
- 流行病学
- 運動器官の健康
- 公衆衛生
背景:
- 骨関節炎 (OA) は 世界的な健康問題です
- 妊活年齢の女性におけるOA負担 (WCBA) を理解することは,標的を絞った介入に不可欠です.
- 現存するデータには,OAの傾向と WCBAの格差に関する包括的な分析がない.
研究 の 目的:
- 産卵年齢の女性における整体性関節炎 (OA) の負担を体系的に定量化する.
- 発症率と障害の時間的傾向と地域的格差を分析する.
- 2045年までのWCBAにおける将来のOA負担を予測する.
主な方法:
- 障害の発生率と長生き年数 (YLDs) に関する2021年のグローバル・バード・オブ・ディジーズデータ (1990-2021) を活用した.
- トレンド予測のためのベイジアン年齢期間コホート (BAPC) モデリングを使用した.
- 年齢サブグループと社会人口指数 (SDI) 地域間の格差を分析した.
主要な成果:
- 2021年には,8,222,896のOA症例が世界的に記録されました.
- 高所得アジア・太平洋,東アジア,高所得北米で年齢標準化率が最も高い.
- 膝と手によるOAは 主な原因で,特にアジア地域では 手によるOAの発生率が急速に増加し,45歳から49歳までの年齢層が 最も重荷を負っている.
結論:
- 膝関節と手関節が 主に関わっています
- OAの負担は地域と社会経済的に大きく異なっています.
- 年齢,地域,関節の特定の要因を考慮して,WCBAをOAの予防と筋骨格の健康政策に統合することが不可欠です.
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