Evidence map›Paper›PMID 40668785›Full record

ArticlePloS one2025

Global, regional, and national burden of early-onset OA attributable to high BMI: 1990-2021 estimates and 2036 projections from the global burden of disease study.

Binbin Zhang, Bin Dou, Wenzuo Gu, Chuan Lu, Qi Yan, Dawa Zhaxi, Yu Wang, Jiale Xu, Kewen Li

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Binbin ZhangQinghai University Affiliated Hospital (The Clinical Medical School), Qinghai University, Xining, Qinghai, China.
Bin DouQinghai University Affiliated Hospital (The Clinical Medical School), Qinghai University, Xining, Qinghai, China.
Wenzuo GuQinghai University Affiliated Hospital (The Clinical Medical School), Qinghai University, Xining, Qinghai, China.
Chuan LuQinghai University Affiliated Hospital (The Clinical Medical School), Qinghai University, Xining, Qinghai, China.
Qi YanQinghai University Affiliated Hospital (The Clinical Medical School), Qinghai University, Xining, Qinghai, China.
Dawa ZhaxiQinghai University Affiliated Hospital (The Clinical Medical School), Qinghai University, Xining, Qinghai, China.
Yu WangQinghai University Affiliated Hospital (The Clinical Medical School), Qinghai University, Xining, Qinghai, China.
Jiale XuQinghai University Affiliated Hospital (The Clinical Medical School), Qinghai University, Xining, Qinghai, China.
Kewen LiQinghai University Affiliated Hospital (The Clinical Medical School), Qinghai University, Xining, Qinghai, China.ORCID https://orcid.org/0000-0001-7950-2537

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHigh BMI is a critical risk factor for early-onset OA (diagnosed before age 55). This study aimed to analyze global trends in the age-standardized disability-adjusted life years rates (ASDR) attributable to high BMI from 1990 to 2021.

methodsData from the Global Burden of Disease 2021 (GBD 2021) study were analyzed to assess early-onset OA attributable to high BMI across 204 countries, 21 GBD regions, and 5 Socio-Demographic Index (SDI) tiers. Temporal trends in ASDR were quantified using the estimated annual percentage change (EAPC) and Joinpoint regression. Age-period-cohort models and decomposition analysis identified drivers of burden, while inequality was assessed using the Slope Index of Inequality (SII) and Concentration Index (CI). ARIMA models projected trends to 2036.

resultsThe disease burden of early-onset OA attributable to high BMI increased significantly between 1990 and 2021. The DALYs for early-onset knee and hip OA rose by 203.01% and 170.12%, respectively, with average annual percentage changes (AAPC) of 1.39% and 1.40%. The age-period-cohort analysis indicated that DALYs risk increased with age and period, and later birth cohorts experienced a higher burden of early-onset OA attributable to high BMI. Decomposition analysis revealed that population growth was the primary driver of the rising disease burden. There were significant absolute and relative inequalities in the burden of early-onset OA attributable to high BMI, as measured by the SDI. Countries with higher SDI bore a greater burden. The SII demonstrated that the ASDR gap between countries with the highest and lowest SDI widened steadily from 1990 to 2021. Predictive analysis suggested that the burden of early-onset OA attributable to high BMI will continue to increase over the next 15 years.

conclusionFrom 1990 to 2021, the global burden of early-onset OA attributable to high BMI showed a consistent upward trend, with significant inequalities across countries. The disease burden is projected to grow further in the future.

Indexed as

Body Mass IndexGlobal Burden of DiseaseOsteoarthritis, HipOsteoarthritis, KneeAdultAge of OnsetDisability-Adjusted Life YearsFemaleGlobal HealthHumansMaleMiddle AgedQuality-Adjusted Life YearsRisk Factors

Identifiers

PMID40668785
PMCPMC12266449

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.