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. 1997 Oct;54(10):741–745. doi: 10.1136/oem.54.10.741

Work environment and low back pain: the influence of occupational activities.

Y Xu 1, E Bach 1, E Orhede 1
PMCID: PMC1128929  PMID: 9404322

Abstract

OBJECTIVES: To find associations between the prevalence of low back pain and occupational activities. METHODS: Interviews of a random sample of 5185 19-59 year old Danish employees analysed by logistic regression. RESULTS: Increased risks of low back pain were found for "vibration affecting the whole body" (odds ratio (OR) = 1.28), "physically hard work" (OR = 1.28), "frequently twisting or bending" (OR = 1.71), "standing up" (OR = 1.20), and "concentration demands" (OR = 1.28). In the analysis of dose-response relations between low back pain and the risk factors, the one year period prevalence increased with increasing exposure time during a working day to each of the risk factors. The prevalence proportion ratio for those reporting to be exposed for most of the working time were 1.30 for vibrations affecting the whole body, 1.54 for physically hard work, 1.48 for frequently twisting or bending, 1.29 for standing up, and 1.13 for concentration demands. These associations seemed to be stronger in the subset of subjects who worked for 37 hours or more per week. The population attributable fractions were 15.1% for frequently twisting or bending, 15.0% for standing up, 7.6% for concentration demands, and 4.4% for physically hard work. CONCLUSION: Vibrations affecting the whole body, physically hard work, frequently twisting or bending, standing up, and concentration demands proved to be risk factors for the occurrence of low back pain, even after controlling for age, sex, educational level, and duration of employment in a specific occupation.

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Selected References

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  1. Andersson G. B. Epidemiologic aspects on low-back pain in industry. Spine (Phila Pa 1976) 1981 Jan-Feb;6(1):53–60. doi: 10.1097/00007632-198101000-00013. [DOI] [PubMed] [Google Scholar]
  2. Andersson G. Low back pain in industry: epidemiological aspects. Scand J Rehabil Med. 1979;11(4):163–168. [PubMed] [Google Scholar]
  3. Biering-Sørensen F. A prospective study of low back pain in a general population. I. Occurrence, recurrence and aetiology. Scand J Rehabil Med. 1983;15(2):71–79. [PubMed] [Google Scholar]
  4. Bongers P. M., de Winter C. R., Kompier M. A., Hildebrandt V. H. Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health. 1993 Oct;19(5):297–312. doi: 10.5271/sjweh.1470. [DOI] [PubMed] [Google Scholar]
  5. Brown J. R. Factors contributing to the development of low back pain in industrial workers. Am Ind Hyg Assoc J. 1975 Jan;36(1):26–31. doi: 10.1080/0002889758507203. [DOI] [PubMed] [Google Scholar]
  6. Chaffin D. B., Park K. S. A longitudinal study of low-back pain as associated with occupational weight lifting factors. Am Ind Hyg Assoc J. 1973 Dec;34(12):513–525. doi: 10.1080/0002889738506892. [DOI] [PubMed] [Google Scholar]
  7. Coggon D. Questionnaire based exposure assessment methods. Sci Total Environ. 1995 Jun 16;168(2):175–178. doi: 10.1016/0048-9697(95)04621-7. [DOI] [PubMed] [Google Scholar]
  8. Damkot D. K., Pope M. H., Lord J., Frymoyer J. W. The relationship between work history, work environment and low-back pain in men. Spine (Phila Pa 1976) 1984 May-Jun;9(4):395–399. doi: 10.1097/00007632-198405000-00012. [DOI] [PubMed] [Google Scholar]
  9. Ferguson D. Strain injuries in hospital employees. Med J Aust. 1970 Feb 21;1(8):376–379. [PubMed] [Google Scholar]
  10. Frymoyer J. W., Pope M. H., Clements J. H., Wilder D. G., MacPherson B., Ashikaga T. Risk factors in low-back pain. An epidemiological survey. J Bone Joint Surg Am. 1983 Feb;65(2):213–218. doi: 10.2106/00004623-198365020-00010. [DOI] [PubMed] [Google Scholar]
  11. Frymoyer J. W., Pope M. H., Costanza M. C., Rosen J. C., Goggin J. E., Wilder D. G. Epidemiologic studies of low-back pain. Spine (Phila Pa 1976) 1980 Sep-Oct;5(5):419–423. doi: 10.1097/00007632-198009000-00005. [DOI] [PubMed] [Google Scholar]
  12. KOTTKE F. J. Evaluation and treatment of low back pain due to mechanical causes. Arch Phys Med Rehabil. 1961 Jun;42:426–440. [PubMed] [Google Scholar]
  13. Kelsey J. L. An epidemiological study of the relationship between occupations and acute herniated lumbar intervertebral discs. Int J Epidemiol. 1975 Sep;4(3):197–205. doi: 10.1093/ije/4.3.197. [DOI] [PubMed] [Google Scholar]
  14. Kelsey J. L., Githens P. B., O'Conner T., Weil U., Calogero J. A., Holford T. R., White A. A., 3rd, Walter S. D., Ostfeld A. M., Southwick W. O. Acute prolapsed lumbar intervertebral disc. An epidemiologic study with special reference to driving automobiles and cigarette smoking. Spine (Phila Pa 1976) 1984 Sep;9(6):608–613. doi: 10.1097/00007632-198409000-00012. [DOI] [PubMed] [Google Scholar]
  15. Kelsey J. L., Hardy R. J. Driving of motor vehicles as a risk factor for acute herniated lumbar intervertebral disc. Am J Epidemiol. 1975 Jul;102(1):63–73. doi: 10.1093/oxfordjournals.aje.a112135. [DOI] [PubMed] [Google Scholar]
  16. Kroemer K. H., Robinette J. C. Ergonomics in the design of office furniture. IMS Ind Med Surg. 1969 Apr;38(4):115–125. [PubMed] [Google Scholar]
  17. Magora A. Investigation of the relation between low back pain and occupation. 3. Physical requirements: sitting, standing and weight lifting. IMS Ind Med Surg. 1972 Dec;41(12):5–9. [PubMed] [Google Scholar]
  18. Magora A. Investigation of the relation between low back pain and occupation. 6. Medical history and symptoms. Scand J Rehabil Med. 1974;6(2):81–88. [PubMed] [Google Scholar]
  19. Nachemson A., Elfström G. Intravital dynamic pressure measurements in lumbar discs. A study of common movements, maneuvers and exercises. Scand J Rehabil Med Suppl. 1970;1:1–40. [PubMed] [Google Scholar]
  20. Pietri F., Leclerc A., Boitel L., Chastang J. F., Morcet J. F., Blondet M. Low-back pain in commercial travelers. Scand J Work Environ Health. 1992 Feb;18(1):52–58. doi: 10.5271/sjweh.1614. [DOI] [PubMed] [Google Scholar]
  21. Riihimäki H. Low-back pain, its origin and risk indicators. Scand J Work Environ Health. 1991 Apr;17(2):81–90. [PubMed] [Google Scholar]
  22. Svensson H. O., Andersson G. B. Low-back pain in 40- to 47-year-old men: work history and work environment factors. Spine (Phila Pa 1976) 1983 Apr;8(3):272–276. doi: 10.1097/00007632-198304000-00007. [DOI] [PubMed] [Google Scholar]
  23. Svensson H. O., Andersson G. B. The relationship of low-back pain, work history, work environment, and stress. A retrospective cross-sectional study of 38- to 64-year-old women. Spine (Phila Pa 1976) 1989 May;14(5):517–522. doi: 10.1097/00007632-198905000-00008. [DOI] [PubMed] [Google Scholar]
  24. Videman T., Nurminen T., Tola S., Kuorinka I., Vanharanta H., Troup J. D. Low-back pain in nurses and some loading factors of work. Spine (Phila Pa 1976) 1984 May-Jun;9(4):400–404. doi: 10.1097/00007632-198405000-00013. [DOI] [PubMed] [Google Scholar]
  25. Walsh K., Cruddas M., Coggon D. Low back pain in eight areas of Britain. J Epidemiol Community Health. 1992 Jun;46(3):227–230. doi: 10.1136/jech.46.3.227. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Walsh K., Varnes N., Osmond C., Styles R., Coggon D. Occupational causes of low-back pain. Scand J Work Environ Health. 1989 Feb;15(1):54–59. doi: 10.5271/sjweh.1891. [DOI] [PubMed] [Google Scholar]
  27. Wiktorin C., Hjelm E. W., Winkel J., Köster M. Reproducibility of a questionnaire for assessment of physical load during work and leisure time. Stockholm MUSIC I Study Group. MUSculoskeletal Intervention Center. J Occup Environ Med. 1996 Feb;38(2):190–201. doi: 10.1097/00043764-199602000-00017. [DOI] [PubMed] [Google Scholar]
  28. Wiktorin C., Selin K., Ekenvall L., Alfredsson L. An interview technique for recording work postures in epidemiological studies. Music-Norrtälje Study Group. Int J Epidemiol. 1996 Feb;25(1):171–180. doi: 10.1093/ije/25.1.171. [DOI] [PubMed] [Google Scholar]
  29. Xu Y., Bach E., Orhede E. Occupation and risk for the occurrence of low-back pain (LBP) in Danish employees. Occup Med (Lond) 1996 Apr;46(2):131–136. doi: 10.1093/occmed/46.2.131. [DOI] [PubMed] [Google Scholar]

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