Jensen L K
Department of Occupational Medicine, Regionshospitalet Skive, Resenvej 25, DK-7800 Skive, Denmark.
Occup Environ Med. 2008 Jan;65(1):6-19. doi: 10.1136/oem.2006.032409. Epub 2007 Jul 18.
The aim of the study was to evaluate the evidence for an association between hip osteoarthritis (OA) and physical work demands. Systematic searches were made and epidemiological studies on hip OA and heavy lifting, including farming and construction work and climbing stairs, were reviewed for the period 1966-2007 inclusive. The quality of the studies was assessed and best-evidence syntheses of a causal relation between hip OA and physical demanding work have been made using specific criteria of the different degrees of evidence of causality. Limitations of the studies include few participants, use of different diagnostic criteria, and a poor description of the exposure. It is concluded that moderate to strong evidence was found for a relation between heavy lifting and hip OA. The burdens have to be at least 10-20 kg and the duration at least 10-20 years to give a clearly increased risk of hip OA. For farmers the risk of hip OA seems doubled after approximately 10 years of farming and the evidence is considered as moderate to strong. The evidence for a relation between hip OA for construction workers is limited and there is insufficient or no evidence that climbing stairs or ladders causes hip OA.
本研究的目的是评估髋关节骨关节炎（OA）与体力工作要求之间存在关联的证据。进行了系统检索，并对1966年至2007年（含）期间关于髋关节OA与重体力劳动（包括农业和建筑工作以及爬楼梯）的流行病学研究进行了综述。评估了这些研究的质量，并使用不同因果关系证据程度的特定标准，对髋关节OA与体力要求高的工作之间的因果关系进行了最佳证据综合分析。这些研究的局限性包括参与者较少、使用不同的诊断标准以及对暴露情况描述不佳。得出的结论是，发现了重体力劳动与髋关节OA之间存在关联的中度至有力证据。负担必须至少为10 - 20千克，持续时间至少为10 - 20年，才会明显增加髋关节OA的风险。对于农民来说，从事大约10年农业工作后，髋关节OA的风险似乎会翻倍，证据被认为是中度至有力的。建筑工人中髋关节OA与之关联的证据有限，并且没有足够证据或没有证据表明爬楼梯或梯子会导致髋关节OA。
