Osteoarthritis

Global Burden of Osteoarthritis Attributable to High Body Mass Index, 1990 to 2021: Insights From the Global Burden of Disease Study 2021

Arthritis RheumatolPublished Secondary analysis of the Global Burden of Disease Study 2021

Authors' conclusion

Between 1990 and 2021, the global burden of OA attributable to high BMI increased markedly, with a consistent upward trend across most regions. The burden was more pronounced among women, middle-aged and older adults, and populations in high-SDI regions, reflecting a growing and uneven global health challenge.

Study context

Population
Osteoarthritis (OA) burden attributable to high body mass index (BMI) across 204 countries and regions, 1990–2021204 countries and regions
Primary endpoint
YLDs and age-standardized YLD rates of OA attributable to high BMI
Follow-up
1990 to 2021
Methodological detailsjoinpoint regression, 204 countries and regions
  • Joinpoint regression
  • 204 countries and regions

Primary result

As reported in the abstract

OA burden attributable to high BMI, global

Years lived with disability (YLDs), 1990 to 2021 (increased threefold)

1,449,681 to 4,422,954

Age-standardized YLD rate per 100,000, 1990

33.97

95% UI −3.14 to 102.31

Age-standardized YLD rate per 100,000, 2021

50.59

95% UI −4.81 to 141.35

Average annual percentage change

1.11

95% CI 1.07–1.14

Further findings

OA YLDs attributable to high BMI by sex

Higher in women than men across all age groups

Age-standardized OA YLD rates by Sociodemographic Index (SDI)

Positively correlated with SDI levels; higher burdens in higher-SDI regions

Original publication

Global Burden of Osteoarthritis Attributable to High Body Mass Index, 1990 to 2021: Insights From the Global Burden of Disease Study 2021. Arthritis Rheumatol. Published 16 July 2025. doi:10.1002/art.43241

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