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Global surge in postmenopausal osteoarthritis and associated disability
Cases of postmenopausal osteoarthritis, and disabilities associated with the condition, have surged globally by more than 130 per cent over the last three decades, data shows.
During this period, East Asia and high income Asia Pacific countries experienced the fastest growth in the condition while excess weight accounted for 20 per cent of the total years lived with the resulting disability, the analysis indicates.
Osteoarthritis is primarily characterised by the deterioration and damage of joint cartilage, accompanied by bony remodelling, joint dysfunction, and chronic pain.
In 2020 alone, an estimated 595 million people worldwide were living with the condition, comprising nearly eight per cent of the world’s population, with postmenopausal women at heightened risk.
To better understand the global impact of osteoarthritis in this group, researchers drew on The Global Burden of Disease (GBD) 2021 study. This collected and analysed data from 204 countries and territories for the prevalence, severity, and deaths attributable to 371 diseases between 1990 and 2021.
The researchers focused in particular on rates of new and existing cases of knee, hip, hand, and ‘other’ osteoarthritis and years of healthy life lost (DALYs) among postmenopausal women, aged 55 and above.
The menopause signals a decline in oestrogen levels, which not only affects skeletal health, but is also directly linked to the function and stability of the joint system, explain the researchers.
The GBD framework incorporates the SocioDemographic Index (SDI), a composite measure of a nation’s development, based on income per head of the population, average years of education, and fertility rates for those under 25.
And to provide regional estimates of osteoarthritis, these countries and territories were further divided into 21 regions, based on geographic proximity and cultural similarities.
Generally, global age standardised rates of new and existing cases and DALYs for all types of osteoarthritis steadily increased in postmenopausal women across all age groups from 1990 to 2021.
In 2021 there were 14,258,581 new cases; 278,568,950 existing cases; and 99,447,16 DALYs, representing increases of 133 per cent, 140 per cent, and 142 per cent since 1990, respectively.
High SDI areas exhibited significantly greater incidence, prevalence, and DALY rates than other regions, with the exception of other osteoarthritis.
Osteoarthritis of the knee was the most common type and associated with the highest loss of healthy years of life (1264.48/100,000 people), followed by that of the hand and ‘other’.
At the other end of the spectrum, osteoarthritis of the hip was the least common and associated with the lowest rates of DALYs.
Among the 21 GBD regions, high income Asia Pacific countries had the highest age standardised incidence, prevalence, and DALY rates for knee osteoarthritis per 100,000 people, while countries in Central Asia reported the lowest age standardised rates.
The fastest rise in new cases of knee osteoarthritis occurred in Southeast Asia while the most rapid rise in prevalence and DALYs occurred in East Asia.
The highest burden of hand osteoarthritis was in Central Asia while the lowest was in Oceania. The fastest rise in new and existing cases of hand osteoarthritis, as well as DALYs, was observed in East Asia.
All age standardised rates for hip and other osteoarthritis were relatively similar between older men and women of the same age. But women had significantly higher values for hand and knee osteoarthritis than men of the same age.
Specifically, DALYs for hand osteoarthritis in 55–59 year old women were nearly twice as high as they were in men of the same age.
Hand and other osteoarthritis showed the fastest growth among 55–59 and 60–64 year old women over the past decade.
Excess weight (BMI), a key risk factor for osteoarthritis, was the only risk factor investigated in the GBD 21 data. It was defined as above 20 to 23 kg/m² for those aged at least 20.
Between 1990 and 2021 DALYs attributable to high BMI among postmenopausal women rose significantly across all SDI categories, and in most regions, with the exception of Central Asia.
Globally, DALYs attributed to high BMI among postmenopausal women increased from around 17 per cent in 1990 to around 21 per cent in 2021. Regions at the upper end of SDIs had the highest proportions of DALYs associated with high BMI, exceeding 20 per cent, with East Asia showing the sharpest rise from around 14 per cent to 23 per cent.
Osteoarthritis attributed to high BMI was consistently more of an issue for women in all regions of the world and across all SDI categories.
The trends observed in East Asia “may be linked to rapid population ageing, increased workforce participation, and a surge in obesity rates due to urbanisation and changing lifestyles,” suggest the researchers.
“Conversely, the high burden observed in high-income Asia Pacific could be attributed to advanced healthcare systems with better diagnostic capabilities, facilitating comprehensive identification and reporting of [osteoarthritis] cases,” they add.
The researchers acknowledge various limitations to their findings including regional variations in data quality, while data from low income countries were often scarce. The age cut-off of 55 may also have excluded women who were postmenopausal at younger ages.
But they conclude: “The burden of [osteoarthritis] among postmenopausal women continues to escalate, highlighting its significant impact on [their] global health.”
They add: “There is an urgent need for proactive measures to rigorously monitor and manage risk factors, with a particular emphasis on promoting lifestyle adjustments aimed at controlling BMI. Additionally, policies should be implemented that take into account socio-demographic disparities, to effectively alleviate the burden of [osteoarthritis] in postmenopausal women.”
Light exercise and less sitting may reduce pregnant women’s risk of serious blood pressure complications, according to a new study.
Researchers have proposed a daily activity and sleep guide that they say was linked to a nearly 30 per cent lower risk of hypertensive disorders of pregnancy.
The suggested pattern includes fewer than eight hours of sedentary time, at least seven hours of light physical activity, around 22 minutes of more intense activity and nearly nine hours of sleep.
The University of Iowa-led study examined the daily behaviours of 470 pregnant women across all stages of pregnancy.
Participants wore monitors that measured physical activity over 24-hour periods and recorded how long they spent asleep.
Hypertensive disorders of pregnancy include chronic high blood pressure, gestational hypertension and pre-eclampsia.
Gestational hypertension is high blood pressure that develops during pregnancy, while pre-eclampsia is a potentially serious condition involving high blood pressure and signs that organs may be affected.
Sedentary behaviour means being mostly inactive, such as sitting or lying down.
Light physical activity can include casual walking, moving around the home or standing.
Moderate to vigorous activity includes movement such as brisk walking, where breathing and heart rate increase.
Kara Whitaker, associate professor in the department of health, sport, and human physiology at Iowa and corresponding author of the study, said: “We are identifying the optimal composition of movement behaviours across the day associated with the lowest risk of developing HDP and the most improved health outcomes.
“This blueprint holds for each and every trimester of pregnancy.”
Study participants were enrolled at sites in Iowa City, Pittsburgh and Morgantown, West Virginia.
The women wore activity and sleep monitors for at least one week during each trimester of pregnancy.
Four in five participants were non-Hispanic white and nearly a quarter lived in rural areas.
The data showed a steep rise in risk among pregnant women who were sedentary for more than 10 hours a day.
Women who increased light physical activity to at least four hours a day reduced their risk of hypertensive disorders of pregnancy to 15 per cent from 30 per cent.
Whitaker said: “Just moving around more seems to have significant health benefits.
“And I think it also may be a more feasible target for women who are pregnant who are not exercising regularly.”
The researchers said they were surprised that longer durations of moderate to vigorous physical activity did not appear to provide additional benefit.
Sleep beyond a certain duration also did not appear to bring major further benefits.
Whitaker said: “Through this study, we are providing evidence that reducing sedentary behaviour and engaging in light physical activity are important, and maybe more important, when it comes to pregnancy and health.”
The findings may be relevant beyond pregnancy because clinical research has shown that women who develop hypertensive disorders of pregnancy are more than twice as likely to develop heart disease later in life.
Cardiovascular disease includes conditions affecting the heart and blood vessels, such as heart disease and stroke.
Whitaker said: “We know that cardiovascular disease is the number one killer of women, and if we can intervene in pregnancy and prevent women from developing a hypertensive disorder of pregnancy, we are putting them on a better trajectory, away from cardiovascular disease and toward more optimal cardiovascular health.”
The study was published online on June 10.
A second study, published online on May 27, looked more closely at the ratio and type of sedentary behaviour and light physical activity linked to a lower risk of hypertensive disorders of pregnancy.
Whitaker is a lead co-author on that study.
Co-authors in the June 10 study include Alex Crisp, Jaemyung Kim, Karina Smith, Donna Santillan, Mark Santillan and Bridget Zimmerman, from Iowa; Jacob Gallagher, from Iowa State University; Melissa Jones, from Oakland University in Michigan; Bethany Barone Gibbs, Katrina Wilhite, Alexis Thrower and Iqra Sheikh, from West Virginia University; and Sabera Rahman, Janet Catov, Christopher Kline and Maisa Feghali, from the University of Pittsburgh.
The National Institutes of Health, the University of Iowa Institute for Clinical and Translational Science, the University of Pittsburgh Clinical and Translational Science Institute and the West Virginia Clinical and Translational Science Institute funded the research.
We are excited to reveal the winners of the third annual Femtech World Awards.
The winners were announced at a virtual event this afternoon attended by shortlisted companies, along with sponsors and judges.
The event welcomed guests from the UK, Europe, Asia, Africa and North America.
Thank you to all 174 entries, as well as the sponsors for making the event possible.
See you in 2027!
Femtech World Awards 2026 Winners
Winner:
Shortlisted:
IVI RMA x Juno Genetics
Natural Cycles
Winner:
Highly commended:
U-Ploid
Shortlisted:
Hello Inside
Winner:
WISE HF, led by Prof. Mary Ryder
Highly commended:
Cardiac College for Women
Shortlisted:
Hyvelle Ferguson-Davis
CognitiveCare
Winner:
Highly commended:
Youterus
Shortlisted:
ŌURA
Winner:
Shortlisted:
LeanShield by ParrotPal Group
Perigen
Winner:
Shortlisted:
Body Moody
Looop
Winner:
Shortlisted:
Owning Your Menopause
Womeno
Winner:
Shortlisted:
The Blue Box
Celbrea
Winner:
Shortlisted:
HealCycle
Mor
Winner:
Shortlisted:
HRC Fertility
Mira
Pregnant women’s expectations about postpartum sleep may predict sleep quality after birth, outweighing prior sleep and psychiatric history, a study suggests.
The findings suggest attitudes and beliefs about sleep during pregnancy could be a modifiable risk factor for postpartum sleep concerns.
They also indicate that, among women expecting the poorest sleep, higher postpartum anxiety may further worsen sleep quality.
Sammy Dhaliwal, lead author is clinical health psychologist and research fellow in the department of obstetrics and gynaecology at the Perelman School of Medicine at the University of Pennsylvania.
Dhaliwal said: “Most pregnant women in our sample anticipated poor postpartum sleep before it occurred, and it was striking that those expectations predicted worse sleep outcomes even after accounting for factors such as prior sleep disorders, psychiatric history, and number of previous births.
“This suggests that attitudes and beliefs about sleep during pregnancy may represent a modifiable target for early intervention before postpartum sleep problems emerge.”
Sleep disturbance affects an estimated 60 to 80 per cent of postpartum women and is linked to a higher risk of depression and anxiety.
Researchers said it is often regarded as an expected part of life after childbirth rather than a health issue that may be addressed earlier.
The study enrolled 432 pregnant women at about 24 weeks of gestation, meaning around 24 weeks into pregnancy.
Participants completed measures of their expectations about postpartum sleep, current sleep quality using the Pittsburgh Sleep Quality Index, and mood using validated depression and anxiety scales.
Assessments were repeated at six, 12 and 24 weeks postpartum.
A subset of 49 women also wore wrist actigraphy devices at six to eight weeks postpartum.
Actigraphy uses a wearable device, similar to a watch, to estimate sleep and wake patterns based on movement.
The results showed that 70 per cent of pregnant women, or 301 of 432 participants, expected poor sleep in the postpartum period.
Researchers found that predicted sleep disruption during pregnancy was a significant predictor of postpartum sleep concerns.
Among first-time pregnant women without prior health concerns, those who expected greater sleep disturbance had significantly more disrupted sleep after birth, measured by both actigraphy and self-report.
Among women who expected the worst sleep quality, higher postpartum anxiety significantly worsened both measured sleep and self-reported sleep, independent of anxiety levels during pregnancy.
Dhaliwal said the findings point to two possible areas for intervention: addressing sleep-related beliefs during pregnancy and treating postpartum anxiety.
Dhaliwal said: “Postpartum sleep disruption is often treated only after problems develop, but our findings suggest there may be an opportunity to intervene earlier during pregnancy.
“Addressing sleep-related beliefs and postpartum anxiety during prenatal and postpartum care may help improve sleep and emotional well-being in new mothers.”
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