Abstract
Job characteristics and musculoskeletal pain among shift workers of a poultry processing plant in Southern Brazil: Dânia Barro, et al. Postgraduate Program in Collective Health, University of Vale do Rio dos Sinos, Brazil
Objective
The purpose of this study was to evaluate the association between job characteristics and musculoskeletal pain among shift workers employed at a 24‐hour poultry processing plant in Southern Brazil.
Methods
This was a cross‐sectional study of 1,103 production line workers aged 18−52 years. The job characteristics of interest were shift (day/night), shift duration, and plant sector ambient temperature. Musculoskeletal pain was defined as self‐reported occupational‐related pain in the upper or lower extremities and trunk, occurring often or always, during the last 12 months.
Results
The mean (SD) participant age was 30.8 (8.5) years, and 65.7% of participants were women. The prevalence of musculoskeletal pain was greater among female participants than male participants. After adjustment for job characteristics and potential confounders, the prevalence ratios (PR) of lower extremity musculoskeletal pain among female workers employed in extreme‐temperature conditions those working the night shift, and those who had been working longer on the same shift were 1.75 (95% CI 1.12, 2.71), 1.69 (95% CI 1.05, 2.70), and 1.64 (95% CI 1.03, 2.62), respectively. In male workers, only extreme‐temperature conditions showed a significant association with lower extremity musculoskeletal pain (PR=2.17; 95% CI 1.12, 4.22) after adjustment analysis.
Conclusions
These findings suggest a need for implementation of measures to mitigate the damage caused by nighttime work and by working under extreme temperature conditions, especially among female shift workers, such as changing positions frequently during work and implementation of rest breaks and a workplace exercise program, so as to improve worker quality of life.
Keywords: Circadian rhythm, Musculoskeletal pain, Night work, Occupational health, Shift work, Temperature
References
- 1. Vos T, Flaxman AD, Naghavi M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380: 2163–96. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2. Andersen JH, Kaergaard A, Frost P, et al. Physical, psychosocial, and individual risk factors for neck/ shoulder pain with pressure tenderness in the muscles among workers performing monotonous, repetitive work. Spine 2002; 27: 660–7. [DOI] [PubMed] [Google Scholar]
- 3. Costa G. The impact of shift and night work on health. Appl Ergon 1996; 27: 9–16. [DOI] [PubMed] [Google Scholar]
- 4. Rajaratnam SM, Arendt J. Health in a 24‐h society. Lancet 2001; 358: 999–1005. [DOI] [PubMed] [Google Scholar]
- 5. Moreno CRC, Fischer FM, Rotenberg L. Health worker in a 24‐h society. São Paulo Perspec 2003; 17: 34–36. [Google Scholar]
- 6. Piedrahita H. Costs of work‐related musculoskeletal disorders (MSDs) in developing countries: Colombia case. Int J Occup Saf Ergon 2006; 12: 379–86. [DOI] [PubMed] [Google Scholar]
- 7. Brasil . Ministério da Previdência Social ‐ MPS. Anuário Estatístico da Previdência Social 2009. Brasília, MPS, 2009. (in Portuguese). [Google Scholar]
- 8. Kleiven M, Boggild H, Jeppesen HJ. Shift work and sick leave. Scand J Work Environ Health 1998; 24 (Suppl 3): 128–33. [PubMed] [Google Scholar]
- 9. Lipscomb JA, Trinkoff AM, Geiger‐Brown J, Brady B. Work‐schedule characteristics and reported musculoskeletal disorders of registered nurses. Scand J Work Environ Health 2002; 28: 394–401. [DOI] [PubMed] [Google Scholar]
- 10. Magnago TS, Lisboa MTL, Griep RH, et al. [Nursing workers: work conditions, social‐demographic characteristics and skeletal muscle disturbances]. Acta Paul Enferm 2010; 23: 187–93 (in Portuguese). [Google Scholar]
- 11. Mehrdad R, Dennerlein JT, Morshedizadeh M. Musculoskeletal disorders and ergonomic hazards among Iranian physicians. Arch Iran Med 2012; 15: 370–4. [PubMed] [Google Scholar]
- 12. Parkes KR. Shiftwork, job type, and the work environment as joint predictors of health‐related outcomes. J Occup Health Psychol 1999; 4: 256–68. [DOI] [PubMed] [Google Scholar]
- 13. Strong LL, Zimmerman FJ. Occupational injury and absence from work among African American, Hispanic, and non‐Hispanic White workers in the national longitudinal survey of youth. Am J Public Health 2005; 95: 1226–32. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14. Macagnan J, Pattussi MP, Canuto R, Henn RL, Fassa AG, Olinto MT. Impact of nightshift work on overweight and abdominal obesity among workers of a poultry processing plant in southern Brazil. Chronobiol Int 2012; 29: 336–43. [DOI] [PubMed] [Google Scholar]
- 15. Kuorinka I, Jonsson B, Kilbom A, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 1987; 18: 233–7. [DOI] [PubMed] [Google Scholar]
- 16. Craig CL, Marshall AL, Sjostrom M, et al. International physical activity questionnaire: 12‐country reliability and validity. Med Sci Sports Exerc 2003; 35: 1381–95. [DOI] [PubMed] [Google Scholar]
- 17. WHO . Obesity: preventing and managing the global epidemic Report from a WHO consultation. World Health Organization Technical Report Series, No 894. Geneva, World Health Organization, 2000. [PubMed] [Google Scholar]
- 18. Lipscomb HJ, Epling CA, Pompeii LA, Dement JM. Musculoskeletal symptoms among poultry processing workers and a community comparison group: black women in low‐wage jobs in the rural South. Am J Ind Med 2007; 50: 327–38. [DOI] [PubMed] [Google Scholar]
- 19. Quandt SA, Grzywacz JG, Marin A, et al. Illnesses and injuries reported by Latino poultry workers in western North Carolina. Am J Ind Med 2006; 49: 343–51. [DOI] [PubMed] [Google Scholar]
- 20. Schulz MR, Grzywacz JG, Chen H, et al. Upper body musculoskeletal symptoms of Latino poultry processing workers and a comparison group of Latino manual workers. Am J Ind Med 2013; 56: 197–205. [DOI] [PubMed] [Google Scholar]
- 21. Cartwright MS, Walker FO, Blocker JN, et al. The prevalence of carpal tunnel syndrome in Latino poultry‐processing workers and other Latino manual workers. J Occup Environ Med 2012; 54: 198–201. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22. Fallentin N, Juul‐Kristensen B, Mikkelsen S, et al. Physical exposure assessment in monotonous repetitive work–the PRIM study. Scand J Work Environ Health 2001; 27: 21–9. [DOI] [PubMed] [Google Scholar]
- 23. Leclerc A, Landre MF, Chastang JF, Niedhammer I, Roquelaure Y, Study Group on Repetitive W . Upper‐limb disorders in repetitive work. Scand J Work Environ Health 2001; 27: 268–78. [DOI] [PubMed] [Google Scholar]
- 24. Córdova A, Navas FJ. Los radicales libres y el daño muscular producido por el ejercicio. Papel de los antioxidantes. Arch Med Deporte 2000; 6: 204–8 (in Spanish). [Google Scholar]
- 25. Kuipers H. Exercise‐induced muscle damage. Int J Sports Med 1994; 15: 132–5. [DOI] [PubMed] [Google Scholar]
- 26. Armstrong RB, Warren GL, Warren JA. Mechanisms of exercise‐induced muscle fibre injury. Sports Med 1991; 12: 184–207. [DOI] [PubMed] [Google Scholar]
- 27. Takahashi M, Iwakiri K, Sotoyama M, Hirata M, Hisanaga N. Musculoskeletal pain and nightshift naps in nursing home care workers. Occup Med (Lond) 2009; 59: 197–200. [DOI] [PubMed] [Google Scholar]
- 28. Smit AA, Halliwill JR, Low PA, Wieling W. Pathophysiological basis of orthostatic hypotension in autonomic failure. J Physiol 1999; 519 (Pt 1): 1–10. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29. Bishara RA, Sigel B, Rocco K, Socha E, Schuler JJ, Flanigan DP. Deterioration of venous function in normal lower extremities during daily activity. J Vasc Surg 1986; 3: 700–6. [DOI] [PubMed] [Google Scholar]
- 30. Katz ML, Comerota AJ, Kerr RP, Caputo GC. Variability of venous‐hemodynamics with daily activity. J Vasc Surg 1994; 19: 361–5. [DOI] [PubMed] [Google Scholar]
- 31. Belczak CEQ, Godoy JMP, Seidel AC, Silva JA, Junior GC, Belczak SQ. Assessing the influence of daily activities in the volumetry of inferior limbs via circumference measurement and water displacement volumetry. J Vasc Br 2004; 3: 304–10. [Google Scholar]
- 32. Marras WS. Occupational low back disorder causation and control. Ergonomics 2000; 43: 880–902. [DOI] [PubMed] [Google Scholar]
- 33. Soares JF, Cezar‐Vaz MR, Mendoza‐Sassi RA, et al. [Temporary workers' perceptions of occupational risks in the port of Rio Grande, Rio Grande do Sul State, Brazil]. Cad Saude Publica 2008; 24: 1251–9 (in Portuguese). [DOI] [PubMed] [Google Scholar]
- 34. Fassa AG, Facchini LA, Dall'Agnol MM. [Work and common disease in a pulp and paper industry: a profile by department]. Cad Saude Publica 1996; 12: 297–307 (in Portuguese). [DOI] [PubMed] [Google Scholar]
- 35. Bang BE, Aasmoe L, Aardal L, et al. Feeling cold at work increases the risk of symptoms from muscles, skin, and airways in seafood industry workers. Am J Ind Med 2005; 47: 65–71. [DOI] [PubMed] [Google Scholar]
- 36. Sormunen E, Remes J, Hassi J, Pienimaki T, Rintamaki H. Factors associated with self‐estimated work ability and musculoskeletal symptoms among male and female workers in cooled food‐processing facilities. Ind Health 2009; 47: 271–82. [DOI] [PubMed] [Google Scholar]
- 37. Graven‐Nielsen T, Arendt‐Nielsen L, Mense S. Thermosensitivity of muscle: high‐intensity thermal stimulation of muscle tissue induces muscle pain in humans. J Physiol 2002; 540: 647–56. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38. Kroemer KHE, Grandjean E. Fitting the task to the human: a textbook of occupational ergonomics. CRC press, 1997. [Google Scholar]
- 39. Knutsson A. Methodological aspects of shift‐work research. Chronobiol Int 2004; 21: 1037–47. [DOI] [PubMed] [Google Scholar]
- 40. Coury HJCG, Moreira RFC, Dias NB. [Evaluation of the effectiveness of workplace exercise in controlling neck, shoulder and low back pain: a systematic review]. Rev Bras Fisioter 2009; 13: 461–79 (in Portuguese). [Google Scholar]