Fibromyalgia & musculoskeletal pain
Global, regional and national temporal trends in prevalence for musculoskeletal disorders in women of childbearing age, 1990–2019: an age-period-cohort analysis based on the Global Burden of Disease Study 2019
Authors' conclusion
Although a favourable overall temporal trend (net drift) of MSK disorders prevalence in WCBA was observed over the last 30 years globally, there were 138 countries showing unfavourable rising trends, coupled with deteriorations in period/cohort risks in many countries, collectively raising concerns about timely realisation of the Targets of Sustainable Development Goal.
Study context
- Population
- Women of childbearing age (WCBA) with musculoskeletal (MSK) disorders, global, regional and national levels, 1990–2019
- Outcome
- Temporal trends in prevalence of MSK disorders in WCBA: net drift (overall annual percentage change, % per year), local drift, age, period and cohort effects
- Follow-up
- 1990–2019
Methodological detailsage-period-cohort model, global, regional and national estimates, 1990–2019
- Age-period-cohort model
- Global, regional and national estimates
- 1990–2019
Main finding
As reported in the abstract
Global MSK disorders prevalence in WCBA
- Global number of MSK disorders prevalence in WCBA in 2019
- 354.57 (million; 95% UI 322.64 to 387.68)
- Global net drift 1990–2019
- −0.06% (% per year; 95% CI −0.07% to −0.05%)
- Net drift in low-middle sociodemographic index (SDI) region
- −0.09% (% per year; 95% CI −0.10% to −0.07%)
- Net drift in high-middle SDI region
- 0.10% (% per year; 95% CI 0.08% to 0.12%)
- Countries presenting increasing trends
- 138
- Countries presenting decreasing trends
- 24
- Countries presenting relatively flat trends
- 42
Observational data: associations, not effects.
Further findings
Country-level prevalence in 2019
- Countries with at least one million prevalence
- 50
- Share of global prevalence in India, China, the USA, Indonesia and Brazil
- 51.03%
Local drift, age, period and cohort effects
- Higher SDI regions had more age groups with rising prevalence; lower SDI regions more declining prevalence
- Age effects similar across SDI regions, risk increasing with age
- High SDI region generally lower period risks over time; others more unfavourable period risks
- High, high-middle and middle SDI regions: unfavourable cohort deteriorations; others favourable improvements
Original publication
Global, regional and national temporal trends in prevalence for musculoskeletal disorders in women of childbearing age, 1990–2019: an age-period-cohort analysis based on the Global Burden of Disease Study 2019. Ann Rheum Dis. Published 2 January 2024. doi:10.
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