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      Prevalence and associated occupational factors of low back pain among the bank employees in Dhaka City

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          Abstract

          Objective

          Low back pain (LBP) is one of the common health problems among full‐time office employees that causes absenteeism from work. The aim of the study is to identify the association between occupational factors and LBP among full‐time bank employees in Dhaka City.

          Materials and Methods

          We conducted a cross‐sectional study involving 593 full‐time bank employees who were engaged in sedentary works. The 1‐month complaint of LBP was measured using a subscale of subjective health complaints inventory. Multivariable logistic models were performed to identify variables related to LBP, and a random forest technique was performed to determine the top five important variables.

          Results

          The 1‐month prevalence for LBP was found to be 36.6% among the bank employees, and the prevalence was the highest (64.3%) for the 51‐ to 59‐year‐old age group. The regression analysis indicates that respondents from both agegroups, 41‐50 years (OR = 2.00, 95% confidence interval [CI] = 1.10‐3.69) and 51‐59 years age groups (OR = 5.14, 95% CI = 2.05‐13.64), are significantly associated with LBP. Furthermore, obesity (OR = 2.06, 95% CI = 1.01‐4.21), and prolong working hours (>9 hours) (OR = 1.42, 95% CI = 1.01‐2.0) are positively associated with LBP. The top five important variables for LBP identified by random forest technique are: age, length of employment, prolong office hours, presence of chronic illness, and physical activity.

          Conclusion

          LBP is highly prevalent in full‐time bank employees. The occupational factors, including the length of employment (>10 years) and long working hours, play a significant role in developing LBP among bank employees. Moreover, several factors, including age, chronic illness, obesity, and physical activity, should be taken into account in the prevention of LBP in bank employees.

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          Most cited references32

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          The association between obesity and low back pain: a meta-analysis.

          This meta-analysis assessed the association between overweight/obesity and low back pain. The authors systematically searched the Medline (National Library of Medicine, Bethesda, Maryland) and Embase (Elsevier, Amsterdam, the Netherlands) databases until May 2009. Ninety-five studies were reviewed and 33 included in the meta-analyses. In cross-sectional studies, obesity was associated with increased prevalence of low back pain in the past 12 months (pooled odds ratio (OR) = 1.33, 95% confidence interval (CI): 1.14, 1.54), seeking care for low back pain (OR = 1.56, 95% CI: 1.46, 1.67), and chronic low back pain (OR = 1.43, 95% CI: 1.28, 1.60). Compared with non-overweight people, overweight people had a higher prevalence of low back pain but a lower prevalence of low back pain compared with obese people. In cohort studies, only obesity was associated with increased incidence of low back pain for > or =1 day in the past 12 months (OR = 1.53, 95% CI: 1.22, 1.92). Results remained consistent after adjusting for publication bias and limiting the analyses to studies that controlled for potential confounders. Findings indicate that overweight and obesity increase the risk of low back pain. Overweight and obesity have the strongest association with seeking care for low back pain and chronic low back pain.
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            A scoring system for subjective health complaints (SHC).

            The aim of this study is to present a complete scoring system for subjective health complaints (SHC) as they are experienced by the lay population. The scoring system records the complaints, and does not map attributions or medical diagnoses. In all, 1,219 subjects (323 men, 896 women) from various occupations were tested with a scoring system, the SHC inventory, previously referred to as the Ursin Health Inventory (UHI). The SHC consists of 29 questions concerning severity and duration of subjective somatic and psychological complaints. The SHC inventory yields scores on single items and a total number of health complaints categorized into five factors: musculoskeletal pain (alpha=0.74), pseudoneurology (alpha=0.73), gastrointestinal problems (alpha=0.62), allergy (alpha=0.58) and flu (alpha=0.67). The SHC inventory is a systematic, easy, and reliable way to score subjective health complaints. The prevalence of these complaints is high, and should be considered before conclusions are reached about new diseases and new attributions of environmental hazards.
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              Association between sitting and occupational LBP.

              Low back pain (LBP) has been identified as one of the most costly disorders among the worldwide working population. Sitting has been associated with risk of developing LBP. The purpose of this literature review is to assemble and describe evidence of research on the association between sitting and the presence of LBP. The systematic literature review was restricted to those occupations that require sitting for more than half of working time and where workers have physical co-exposure factors such as whole body vibration (WBV) and/or awkward postures. Twenty-five studies were carefully selected and critically reviewed, and a model was developed to describe the relationships between these factors. Sitting alone was not associated with the risk of developing LBP. However, when the co-exposure factors of WBV and awkward postures were added to the analysis, the risk of LBP increased fourfold. The occupational group that showed the strongest association with LBP was Helicopter Pilots (OR=9.0, 90% CI 4.9-16.4). For all studied occupations, the odds ratio (OR) increased when WBV and/or awkward postures were analyzed as co-exposure factors. WBV while sitting was also independently associated with non-specific LBP and sciatica. Vibration dose, as well as vibration magnitude and duration of exposure, were associated with LBP in all occupations. Exposure duration was associated with LBP to a greater extent than vibration magnitude. However, for the presence of sciatica, this difference was not found. Awkward posture was also independently associated with the presence of LBP and/or sciatica. The risk effect of prolonged sitting increased significantly when the factors of WBV and awkward postures were combined. Sitting by itself does not increase the risk of LBP. However, sitting for more than half a workday, in combination with WBV and/or awkward postures, does increase the likelihood of having LBP and/or sciatica, and it is the combination of those risk factors, which leads to the greatest increase in LBP.
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                Author and article information

                Contributors
                ahmed.hosain@utoronto.ca
                Journal
                J Occup Health
                J Occup Health
                10.1002/(ISSN)1348-9585
                JOH2
                Journal of Occupational Health
                John Wiley and Sons Inc. (Hoboken )
                1341-9145
                1348-9585
                27 July 2020
                Jan-Dec 2020
                : 62
                : 1 ( doiID: 10.1002/joh2.v62.1 )
                : e12131
                Affiliations
                [ 1 ] Department of Physiotherapy Uttara Adhunik Medical College Hospital Dhaka Bangladesh
                [ 2 ] Centre for Higher Studies and Research Bangladesh University of Professionals Dhaka Bangladesh
                [ 3 ] Department of Public Health North South University Dhaka Bangladesh
                [ 4 ] Health Management BD Foundation Dhaka Bangladesh
                Author notes
                [*] [* ] Correspondence

                Ahmed Hossain, Department of Public Health, North South University, Bashundhara, Dhaka, 1229, Bangladesh.

                Email: ahmed.hossain@ 123456utoronto.ca

                Author information
                https://orcid.org/0000-0002-4685-5050
                https://orcid.org/0000-0003-4575-1273
                Article
                JOH212131
                10.1002/1348-9585.12131
                7383126
                32715531
                61eb9ff3-7ca1-4043-8e1c-a01829d03138
                © 2020 The Authors. Journal of Occupational Health published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 October 2019
                : 01 April 2020
                : 23 April 2020
                Page count
                Figures: 3, Tables: 4, Pages: 10, Words: 5888
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                January/December 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.5 mode:remove_FC converted:27.07.2020

                bangladesh,bank employees,low back pain,occupational health,random forest

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