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      A Lower Level of Physically Demanding Work Is Associated with Excellent Work Ability in Men and Women with Neck Pain in Different Age Groups

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          Abstract

          Background

          The aim of this study was to investigate which physical and psychosocial work demands were associated with excellent work ability in individuals with neck pain, and to investigate age and sex differences in these associations.

          Methods

          The study sample was obtained from the Statistics Sweden cross-sectional Work Environment survey and consisted of workers who reported neck pain after work ( N = 3,212).

          Results

          The findings showed an association between excellent work ability and self-reported low exposure to lifting, twisted work posture, working with hands in shoulder level or higher, and leaning forward without support and combination of exposures containing these work demands. Low exposure to seated work and high demands showed a reversed association. The associations were present mainly among older workers and were generally stronger for men than for women.

          Conclusion

          This study indicates that a lower level of physically demanding work is an important element to maintain excellent work ability, especially for the older worker with neck pain.

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          Most cited references40

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          Risk factors for work-related musculoskeletal disorders: A systematic review of recent longitudinal studies.

          Bruno da Costa, Edgar Vieira (2010)
          This systematic review was designed and conducted in an effort to evaluate the evidence currently available for the many suggested risk factors for work-related musculoskeletal disorders. To identify pertinent literature we searched four electronic databases (Cinahl, Embase, Medline, and The Cochrane Library). The search strategies combined terms for musculoskeletal disorders, work, and risk factors. Only case-control or cohort studies were included. A total of 1,761 non-duplicated articles were identified and screened, and 63 studies were reviewed and integrated in this article. The risk factors identified for the development of work-related musculoskeletal disorders were divided and organized according to the affected body part, type of risk factor (biomechanical, psychosocial, or individual) and level of evidence (strong, reasonable, or insufficient evidence). Risk factors with at least reasonable evidence of a causal relationship for the development of work-related musculoskeletal disorders include: heavy physical work, smoking, high body mass index, high psychosocial work demands, and the presence of co-morbidities. The most commonly reported biomechanical risk factors with at least reasonable evidence for causing WMSD include excessive repetition, awkward postures, and heavy lifting. Additional high methodological quality studies are needed to further understand and provide stronger evidence of the causal relationship between risk factors and work-related musculoskeletal disorders. The information provided in this article may be useful to healthcare providers, researchers, and ergonomists interested on risk identification and design of interventions to reduce the rates of work-related musculoskeletal disorders. 2009 Wiley-Liss, Inc.
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            The effects of work-related and individual factors on the Work Ability Index: a systematic review.

            T. I. J. van den Berg, L. Elders, B C H de Zwart … (2009)
            This paper systematically reviews the scientific literature on the effects of individual and work-related factors on the Work Ability Index (WAI). Studies on work ability published from 1985 to 2006 were identified through a structured search in PubMed, and Web of Science. Studies were included if the WAI was used as measure of work ability and if quantitative information was presented on determinants of work ability. In total, 20 studies were included with 14 cross-sectional studies and six longitudinal studies. Factors associated with poor work ability, as defined by WAI, were lack of leisure-time vigorous physical activity, poor musculoskeletal capacity, older age, obesity, high mental work demands, lack of autonomy, poor physical work environment, and high physical work load. The WAI is associated with individual characteristics, lifestyle, demands at work, and physical condition. This multifactorial nature of work ability should be taken into account in health promotion programmes aimed at maintaining and promoting the participation of the labour force and improvement of the performance at work.
            Article 0 comments Cited 224 times – based on 0 reviews     Review now
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              The epidemiology of neck pain.

              D. G. Hoy, M Protani, R. De … (2010)
              Neck pain is becoming increasingly common throughout the world. It has a considerable impact on individuals and their families, communities, health-care systems, and businesses. There is substantial heterogeneity between neck pain epidemiological studies, which makes it difficult to compare or pool data from different studies. The estimated 1 year incidence of neck pain from available studies ranges between 10.4% and 21.3% with a higher incidence noted in office and computer workers. While some studies report that between 33% and 65% of people have recovered from an episode of neck pain at 1 year, most cases run an episodic course over a person's lifetime and, thus, relapses are common. The overall prevalence of neck pain in the general population ranges between 0.4% and 86.8% (mean: 23.1%); point prevalence ranges from 0.4% to 41.5% (mean: 14.4%); and 1 year prevalence ranges from 4.8% to 79.5% (mean: 25.8%). Prevalence is generally higher in women, higher in high-income countries compared with low- and middle-income countries and higher in urban areas compared with rural areas. Many environmental and personal factors influence the onset and course of neck pain. Most studies indicate a higher incidence of neck pain among women and an increased risk of developing neck pain until the 35-49-year age group, after which the risk begins to decline. The Global Burden of Disease 2005 Study is currently making estimates of the global burden of neck pain in relation to impairment and activity limitation, and results will be available in 2011. 2011 Elsevier Ltd. All rights reserved.
              Article 0 comments Cited 203 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Stefan Oliv
                Journal
                Journal ID (nlm-ta): Saf Health Work
                Journal ID (iso-abbrev): Saf Health Work
                Title: Safety and Health at Work
                Publisher: Occupational Safety and Health Research Institute
                ISSN (Print): 2093-7911
                ISSN (Electronic): 2093-7997
                Publication date PMC-release: 06 April 2017
                Publication date (Print): December 2017
                Publication date (Electronic): 06 April 2017
                Volume: 8
                Issue: 4
                Pages: 356-363
                Affiliations
                [1]Department of Occupational and Environmental Medicine, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden
                Author notes
                [∗ ]Corresponding author. Department of Occupational and Environmental Medicine, University of Gothenburg and Sahlgrenska University Hospital, Arbets och miljömedicin, Box 414, 405 30 Göteborg, Sweden.Department of Occupational and Environmental MedicineUniversity of Gothenburg and Sahlgrenska University HospitalArbets och miljömedicinBox 414Göteborg405 30Sweden stefan.oliv@ 123456amm.gu.se
                Article
                Publisher ID: S2093-7911(17)30173-7
                DOI: 10.1016/j.shaw.2017.03.004
                PMC ID: 5715480
                PubMed ID: 29276634
                SO-VID: ea59e198-f657-495c-90c8-75e283975f9a
                Copyright © © 2017 The Authors
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 29 April 2016
                Date revision received : 8 November 2016
                Date accepted : 1 March 2017
                Categories
                Subject: Original Article

                ScienceOpen disciplines: Occupational & Environmental medicine
                Keywords: aging workers,work ability index,work demands
                Data availability:
                ScienceOpen disciplines: Occupational & Environmental medicine
                Keywords: aging workers, work ability index, work demands

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