Global, regional and national burden and trends of congenital musculoskeletal and limb deformities among under-5 children from 1990 to 2021: a systematic analysis for the Global Burden of Disease Study 2021

Qinglin Yang , Zhuanmei Jin , Yongping Wang

Front. Med. ›› 2025, Vol. 19 ›› Issue (5) : 807 -819.

PDF (3647KB)
Front. Med. ›› 2025, Vol. 19 ›› Issue (5) : 807 -819. DOI: 10.1007/s11684-025-1156-0
RESEARCH ARTICLE

Global, regional and national burden and trends of congenital musculoskeletal and limb deformities among under-5 children from 1990 to 2021: a systematic analysis for the Global Burden of Disease Study 2021

Author information +
History +
PDF (3647KB)

Abstract

Congenital musculoskeletal and limb deformities (CMLD) seriously affect the physical and mental health of patients, and pose great challenges to healthcare systems worldwide. We explored the specific situation and changes of incidence, prevalence, disability-adjusted life years rates, and mortality of CMLD in under-5 children from 1990 to 2021 in different groups, including different regions, periods, genders and socio-demographic indices (SDI), through corresponding analytical models. Overall, the global disease burden of CMLD in under-5 children has decreased from 1990 to 2021. The disease burden of CMLD in under-5 children varied significantly among different regions and countries, and there was a strong correlation between the corresponding burden of disease and the level of SDI. In addition, cross-country inequality analysis showed that while absolute inequalities in the disease burden of CMLD in under-5 children have improved, relative inequalities have worsened. It is essential to reduce the global health impact of CMLD by implementing targeted interventions to improve health care in underdeveloped areas.

Keywords

congenital musculoskeletal and limb deformities / global burden of disease / incidence / prevalence / disability-adjusted life years / trend

Cite this article

Download citation ▾
Qinglin Yang, Zhuanmei Jin, Yongping Wang. Global, regional and national burden and trends of congenital musculoskeletal and limb deformities among under-5 children from 1990 to 2021: a systematic analysis for the Global Burden of Disease Study 2021. Front. Med., 2025, 19(5): 807-819 DOI:10.1007/s11684-025-1156-0

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

Du C , Zhang Z , Xiao S , Li Y , Jiang R , Jian W , Ren Z , Lv Y , Pan Z , Yang J . Association of the national level of human development with the incidence and mortality of congenital birth defects in 2019: a cross-sectional study from 189 countries. Biosci Trends 2024; 18(4): 325–334

[2]

Lupo PJ , Archer NP , Harris RD , Marengo LK , Schraw JM , Hoyt AT , Tanksley S , Lee R , Drummond-Borg M , Freedenberg D , Shetty PB , Agopian AJ , Shumate C , Rasmussen SA , Langlois PH , Canfield MA . Newborn screening analytes and structural birth defects among 27, 000 newborns. PLoS One 2024; 19(7): e0304238

[3]

Haj Yahya R , Roman A , Grant S , Whitehead CL . Antenatal screening for fetal structural anomalies—routine or targeted practice. Best Pract Res Clin Obstet Gynaecol 2024; 96: 102521

[4]

Du X , Wang C , Liu J , Yu M , Ju H , Xue S , Li Y , Liu J , Dai R , Chen J , Zhai Y , Rao J , Wang X , Sun Y , Sun L , Wu X , Xu H , Shen Q . GEN1 as a risk factor for human congenital anomalies of the kidney and urinary tract. Hum Genomics 2024; 18(1): 41

[5]

Zhou X , He J , Wang A , Hua X , Li T , Shu C , Fang J . Multivariate logistic regression analysis of risk factors for birth defects: a study from population-based surveillance data. BMC Public Health 2024; 24(1): 1037

[6]

Yan B , Gong B , Zheng Y , Sun L , Wu X . Embryonic lethal phenotyping to identify candidate genes related with birth defects. Int J Mol Sci 2024; 25(16): 8788

[7]

Li S , Zhang Y , Yang K , Zhou W . Exploring potential causal links between air pollutants and congenital malformations: a two-sample Mendelian Randomization study. Reprod Toxicol 2024; 128: 108655

[8]

Uzark K , Yu S , Lowery R , Afton K , Yetman AT , Cramer J , Rudd N , Cohen S , Gongwer R , Gurvitz M . Transition readiness in teens and young adults with congenital heart disease: can we make a difference. J Pediatr 2020; 221: 201–206. e1

[9]

Banu T , Sharma S , Chowdhury TK , Aziz TT , Martin B , Seyi-Olajide JO , Ameh E , Ozgediz D , Lakhoo K , Bickler SW , Meara JG , Bundy D , Jamison DT , Klazura G , Sykes A , Yap A , Philipo GS . Surgically correctable congenital anomalies: reducing morbidity and mortality in the first 8000 days of life. World J Surg 2023; 47(12): 3408–3418

[10]

Ekundayo TC , Swalaha FM , Ijabadeniyi OA . Global and regional prevalence of Helicobacter pylori in drinking waters: a sustainable, human development and socio-demographic indices based meta-regression-modelling. Sci Total Environ 2023; 861: 160633

[11]

Hosseinpoor AR , Bergen N , Schlotheuber A . Promoting health equity: WHO health inequality monitoring at global and national levels. Glob Health Action 2015; 8(1): 29034

[12]

Bai Z , Han J , An J , Wang H , Du X , Yang Z , Mo X . The global, regional, and national patterns of change in the burden of congenital birth defects, 1990–2021: an analysis of the global burden of disease study 2021 and forecast to 2040. EClinicalMedicine 2024; 77: 102873

[13]

GBD 2021 Diseases , Injuries Collaborators . Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet 2024; 403(10440): 2133–2161

[14]

Tuo Y , Li Y , Li Y , Ma J , Yang X , Wu S , Jin J , He Z . Global, regional, and national burden of thalassemia, 1990–2021: a systematic analysis for the global burden of disease study 2021. EClinicalMedicine 2024; 72: 102619

[15]

Cao F , He YS , Wang Y , Zha CK , Lu JM , Tao LM , Jiang ZX , Pan HF . Global burden and cross-country inequalities in autoimmune diseases from 1990 to 2019. Autoimmun Rev 2023; 22(6): 103326

[16]

Greenland S , Senn SJ , Rothman KJ , Carlin JB , Poole C , Goodman SN , Altman DG . Statistical tests, P values, confidence intervals, and power: a guide to misinterpretations. Eur J Epidemiol 2016; 31(4): 337–350

[17]

Huang X , Tang J , Chen M , Xiao Y , Zhu F , Chen L , Tian X , Hong L . Sex difference and risk factors in burden of urogenital congenital anomalies from 1990 to 2019. Sci Rep 2023; 13(1): 13656

[18]

Koskimies-Virta E , Helenius I , Pakkasjärvi N , Nietosvaara Y . Hospital care and surgical treatment of children with congenital upper limb defects. Scand J Surg 2020; 109(3): 244–249

[19]

Masselli G , Cozzi D , Ceccanti S , Laghi F , Giancotti A , Brunelli R . Fetal body MRI for fetal and perinatal management. Clin Radiol 2021; 76(9): 708. e1–708. e8

[20]

Sitkin NA , Ozgediz D , Donkor P , Farmer DL . Congenital anomalies in low- and middle-income countries: the unborn child of global surgery. World J Surg 2015; 39(1): 36–40

[21]

Yousef Y , Lee A , Ayele F , Poenaru D . Delayed access to care and unmet burden of pediatric surgical disease in resource-constrained African countries. J Pediatr Surg 2019; 54(4): 845–853

[22]

Toobaie A , Yousef Y , Balvardi S , St-Louis E , Baird R , Guadagno E , Poenaru D . Incidence and prevalence of congenital anomalies in low- and middle-income countries: a systematic review. J Pediatr Surg 2019; 54(5): 1089–1093

[23]

Li Y , Wang X , Blau DM , Caballero MT , Feikin DR , Gill CJ , Madhi SA , Omer SB , Simões EAF , Campbell H , Pariente AB , Bardach D , Bassat Q , Casalegno JS , Chakhunashvili G , Crawford N , Danilenko D , Do LAH , Echavarria M , Gentile A , Gordon A , Heikkinen T , Huang QS , Jullien S , Krishnan A , Lopez EL , Markić J , Mira-Iglesias A , Moore HC , Moyes J , Mwananyanda L , Nokes DJ , Noordeen F , Obodai E , Palani N , Romero C , Salimi V , Satav A , Seo E , Shchomak Z , Singleton R , Stolyarov K , Stoszek SK , von Gottberg A , Wurzel D , Yoshida LM , Yung CF , Zar HJ; Respiratory Virus Global Epidemiology Network; Nair H; RESCEU investigators . Global, regional, and national disease burden estimates of acute lower respiratory infections due to respiratory syncytial virus in children younger than 5 years in 2019: a systematic analysis. Lancet 2022; 399(10340): 2047–2064

[24]

Ardura-Garcia C , Kreis C , Rakic M , Jaboyedoff M , Mallet MC , Low N , Kuehni CE . Rotavirus disease and health care utilisation among children under 5 years of age in highly developed countries: a systematic review and meta-analysis. Vaccine 2021; 39(22): 2917–2928

[25]

Yue T , Zhang Q , Li G , Qin H . Global burden of nutritional deficiencies among children under 5 years of age from 2010 to 2019. Nutrients 2022; 14(13): 2685

[26]

Odo DB , Yang IA , Dey S , Hammer MS , van Donkelaar A , Martin RV , Dong GH , Yang BY , Hystad P , Knibbs LD . A cross-sectional analysis of ambient fine particulate matter (PM2.5) exposure and haemoglobin levels in children aged under 5 years living in 36 countries. Environ Res 2023; 227: 115734

[27]

Akinyemiju T , Ogunsina K , Gupta A , Liu I , Braithwaite D , Hiatt RA . A socio-ecological framework for cancer prevention in low and middle-income countries. Front Public Health 2022; 10: 884678

[28]

Asare H , Rosi A , Scazzina F , Faber M , Smuts CM , Ricci C . Maternal postpartum depression in relation to child undernutrition in low- and middle-income countries: a systematic review and meta-analysis. Eur J Pediatr 2022; 181(3): 979–989

[29]

Yang Y , Wang M , Wang H . Prenatal trio-based whole exome sequencing in fetuses with abnormalities of the skeletal system. Mol Genet Genomics 2022; 297(4): 1017–1026

[30]

Ohlendieck K , Swandulla D . Complexity of skeletal muscle degeneration: multi-systems pathophysiology and organ crosstalk in dystrophinopathy. Pflugers Arch 2021; 473(12): 1813–1839

[31]

Dibello D , Di Carlo V , Colin G , Barbi E , Galimberti AMC . What a paediatrician should know about congenital clubfoot. Ital J Pediatr 2020; 46(1): 78

[32]

Pack AM , Oskoui M , Williams Roberson S , Donley DK , French J , Gerard EE , Gloss D , Miller WR , Munger Clary HM , Osmundson SS , McFadden B , Parratt K , Pennell PB , Saade G , Smith DB , Sullivan K , Thomas SV , Tomson T , Dolan O’Brien M , Botchway-Doe K , Silsbee HM , Keezer MR . Teratogenesis, perinatal, and neurodevelopmental outcomes after in utero exposure to antiseizure medication: practice guideline from the AAN, AES, and SMFM. Neurology 2024; 102(11): e209279

RIGHTS & PERMISSIONS

Higher Education Press

AI Summary AI Mindmap
PDF (3647KB)

Supplementary files

Supplementary materials

315

Accesses

0

Citation

Detail

Sections
Recommended

AI思维导图

/