Rural Economy Development Programme, Teagasc, Oak Park, Carlow, Ireland.
Am J Ind Med. 2012 Feb;55(2):143-58. doi: 10.1002/ajim.21033. Epub 2011 Nov 8.
To determine the prevalence of musculoskeletal disorders (MSDs) among farmers and to establish the most common regional MSDs reported.
Comprehensive electronic searches of Pubmed, Web of Science, CINAHL, SCOPUS, EMBASE, Agris Database, and Cochrane Library were carried out using keywords for MSDs and farmers. Pooled estimates of prevalence with 95% confidence intervals were calculated for overall MSD prevalence and the most common regional MSDs reported.
Twenty-four studies fulfilled the inclusion criteria and were incorporated into this review. From these studies, life-time prevalence of any form of MSD among farmers was 90.6% while 1-year MSD prevalence was 76.9% (95% CI 69.8-82.7). The majority of studies focused on spinal MSDs with low back pain (LBP) the most frequently investigated. Life-time LBP prevalence was 75% (95% CI 67-81.5) while 1-year LBP prevalence was 47.8% (95% CI 40.2-55.5). The next most common regional MSDs reported were upper (range 3.6-71.4%) and lower extremities (range 10.4-41%).
The systematic review identified the prevalence of MSDs by body region in farmers and established that LBP was the most common MSD, followed by upper and then lower extremity MSDs. Reported trends suggest that the prevalence of MSDs in farmers is greater than in non-farmer populations. Case-definition uniformity among MSD researchers is warranted. More studies are needed regarding upper and lower extremity MSDs, gender, workplace, and task context of MSDs.
确定农民中肌肉骨骼疾病（MSD）的患病率，并确定报告的最常见区域性 MSD。
使用 MSD 和农民的关键词，对 Pubmed、Web of Science、CINAHL、SCOPUS、EMBASE、Agris 数据库和 Cochrane 图书馆进行全面的电子检索。计算总体 MSD 患病率和报告的最常见区域性 MSD 的汇总患病率及其 95%置信区间。
有 24 项研究符合纳入标准并纳入本综述。这些研究中，农民任何形式的 MSD 的终生患病率为 90.6%，而 1 年 MSD 患病率为 76.9%（95%CI 69.8-82.7）。大多数研究都集中在脊柱 MSD 上，其中腰痛（LBP）是最常研究的疾病。终生 LBP 患病率为 75%（95%CI 67-81.5），而 1 年 LBP 患病率为 47.8%（95%CI 40.2-55.5）。报告的下一个最常见的区域性 MSD 是上肢（范围 3.6-71.4%）和下肢（范围 10.4-41%）。
系统综述确定了农民中按身体部位划分的 MSD 患病率，并确定 LBP 是最常见的 MSD，其次是上肢，然后是下肢 MSD。报告的趋势表明，农民中 MSD 的患病率高于非农民人群。有必要在 MSD 研究人员中统一病例定义。需要更多关于上肢和下肢 MSD、性别、工作场所和 MSD 任务背景的研究。
