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. 1997 Nov;54(11):793–799. doi: 10.1136/oem.54.11.793

Repeated survey on changes in musculoskeletal complaints relative to age and work demands.

B C de Zwart 1, J P Broersen 1, M H Frings-Dresen 1, F J van Dijk 1
PMCID: PMC1128950  PMID: 9538351

Abstract

OBJECTIVES: To examine changes in musculoskeletal complaints over four years in groups of employees relative to age and work demands. METHODS: Repeated questionnaire data of male employees in heavy physical work (exposed group, n = 7324) and mental work (control group, n = 4686), stratified for age (20-9, 30-9, 40-9, 50-9), were analysed. For each employee, data on the occurrence of musculoskeletal complaints from two surveys with a mean interval of around four years were available. Changes in prevalences over the follow up interval were analysed. Proportions of new, recovered, and chronic cases as well as those free of complaints at both surveys were studied. RESULTS: For most complaints, there were significantly greater increases in prevalences in the exposed group compared with the control group over the follow up interval particularly within the group aged 40-9 for back, neck, and several sites of the upper and lower limbs. The 20-9 year age group also had significantly greater changes for several musculoskeletal complaints. Within the oldest age group (50-9) exposure to heavy physical work demands only affected changes in prevalences of neck and upper arm complaints. After four years in the cohort free of complaints at the start of the follow up the group aged 40-9 had the highest prevalence of complaints of the back, neck, and the upper and lower limbs. CONCLUSIONS: Middle aged and younger employees develop musculoskeletal complaints as a result of exposure to heavy physical work. In the oldest age group health related selection seems to mask the occupational health risks under study. To prevent the expected increase in musculoskeletal disorders and related work disability in our aging workforce, preventive measures should be taken at all stages of a working life.

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Selected References

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  1. Arndt V., Rothenbacher D., Brenner H., Fraisse E., Zschenderlein B., Daniel U., Schuberth S., Fliedner T. M. Older workers in the construction industry: results of a routine health examination and a five year follow up. Occup Environ Med. 1996 Oct;53(10):686–691. doi: 10.1136/oem.53.10.686. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Berg M., Sandén A., Torell G., Järvholm B. Persistence of musculoskeletal symptoms: a longitudinal study. Ergonomics. 1988 Sep;31(9):1281–1285. doi: 10.1080/00140138808966767. [DOI] [PubMed] [Google Scholar]
  3. Broersen J. P., de Zwart B. C., van Dijk F. J., Meijman T. F., van Veldhoven M. Health complaints and working conditions experienced in relation to work and age. Occup Environ Med. 1996 Jan;53(1):51–57. doi: 10.1136/oem.53.1.51. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Buckwalter J. A. Aging and degeneration of the human intervertebral disc. Spine (Phila Pa 1976) 1995 Jun 1;20(11):1307–1314. doi: 10.1097/00007632-199506000-00022. [DOI] [PubMed] [Google Scholar]
  5. Garg A., Moore J. S. Epidemiology of low-back pain in industry. Occup Med. 1992 Oct-Dec;7(4):593–608. [PubMed] [Google Scholar]
  6. Gibbons L. E., Battié M. C., Videman T. Changes in occupational physical loading during the lifetimes of Finnish men. Scand J Work Environ Health. 1995 Jun;21(3):208–214. doi: 10.5271/sjweh.29. [DOI] [PubMed] [Google Scholar]
  7. Hildebrandt V. H. Back pain in the working population: prevalence rates in Dutch trades and professions. Ergonomics. 1995 Jun;38(6):1283–1298. doi: 10.1080/00140139508925188. [DOI] [PubMed] [Google Scholar]
  8. Ilmarinen J., Tuomi K., Eskelinen L., Nygård C. H., Huuhtanen P., Klockars M. Summary and recommendations of a project involving cross-sectional and follow-up studies on the aging worker in Finnish municipal occupations (1981-1985). Scand J Work Environ Health. 1991;17 (Suppl 1):135–141. [PubMed] [Google Scholar]
  9. Kelsey J. L., Golden A. L., Mundt D. J. Low back pain/prolapsed lumbar intervertebral disc. Rheum Dis Clin North Am. 1990 Aug;16(3):699–716. [PubMed] [Google Scholar]
  10. Luttmann A., Jäger M., Laurig W., Schlegel K. F. Orthopaedic diseases among transport workers. Int Arch Occup Environ Health. 1988;61(3):197–205. doi: 10.1007/BF00381019. [DOI] [PubMed] [Google Scholar]
  11. Mackenbach J. P. Socio-economic health differences in The Netherlands: a review of recent empirical findings. Soc Sci Med. 1992 Feb;34(3):213–226. doi: 10.1016/0277-9536(92)90264-q. [DOI] [PubMed] [Google Scholar]
  12. Ostlin P. The 'health-related selection effect' on occupational morbidity rates. Scand J Soc Med. 1989;17(4):265–270. doi: 10.1177/140349488901700402. [DOI] [PubMed] [Google Scholar]
  13. Sairanen E., Brüshaber L., Kaskinen M. Felling work, low-back pain and osteoarthritis. Scand J Work Environ Health. 1981 Mar;7(1):18–30. doi: 10.5271/sjweh.2572. [DOI] [PubMed] [Google Scholar]
  14. Tuomi K., Ilmarinen J., Eskelinen L., Järvinen E., Toikkanen J., Klockars M. Prevalence and incidence rates of diseases and work ability in different work categories of municipal occupations. Scand J Work Environ Health. 1991;17 (Suppl 1):67–74. [PubMed] [Google Scholar]
  15. Tuomi K., Toikkanen J., Eskelinen L., Backman A. L., Ilmarinen J., Järvinen E., Klockars M. Mortality, disability and changes in occupation among aging municipal employees. Scand J Work Environ Health. 1991;17 (Suppl 1):58–66. [PubMed] [Google Scholar]
  16. Törner M., Blide G., Eriksson H., Kadefors R., Karlsson R., Petersen I. Musculo-skeletal symptoms as related to working conditions among Swedish professional fisherman. Appl Ergon. 1988 Sep;19(3):191–201. doi: 10.1016/0003-6870(88)90137-8. [DOI] [PubMed] [Google Scholar]
  17. Viikari-Juntura E., Riihimäki H., Tola S., Videman T., Mutanen P. Neck trouble in machine operating, dynamic physical work and sedentary work: a prospective study on occupational and individual risk factors. J Clin Epidemiol. 1994 Dec;47(12):1411–1422. doi: 10.1016/0895-4356(94)90085-x. [DOI] [PubMed] [Google Scholar]
  18. de Zwart B. C., Broersen J. P., van der Beek A. J., Frings-Dresen M. H., Van Dijk F. J. Selection related to musculoskeletal complaints among employees. Occup Environ Med. 1997 Nov;54(11):800–806. doi: 10.1136/oem.54.11.800. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. de Zwart B. C., Frings-Dresen M. H., van Dijk F. J. Physical workload and the aging worker: a review of the literature. Int Arch Occup Environ Health. 1995;68(1):1–12. doi: 10.1007/BF01831627. [DOI] [PubMed] [Google Scholar]

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