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下背痛是否是对体力工作要求较高的老年工人的限制因素?一项横断面研究。

Is low-back pain a limiting factor for senior workers with high physical work demands? A cross-sectional study.

作者信息

Nygaard Patrick Pascal, Skovlund Sebastian Venge, Sundstrup Emil, Andersen Lars Louis

机构信息

Musculoskeletal Disorders and Physical Workload, National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen, Denmark.

Sport Sciences, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.

出版信息

BMC Musculoskelet Disord. 2020 Sep 21;21(1):622. doi: 10.1186/s12891-020-03643-1.

Abstract

BACKGROUND

Low-back pain (LBP) is highly prevalent among senior workers and may affect work ability, especially among those with hard physical work. This study determined the joint association of LBP intensity and physical work demands with work limitiations due to pain in senior workers.

METHODS

In the SeniorWorkingLife study (2018), 11,738 senior workers (≥50 years) replied to questions about physical work demands, LBP intensity, and work limitations due to pain. Using logistic regression analyses and controlling for potential confounders, associations between the physical work demands and LBP intensity (interaction) with work limitiations due to pain (outcome) was modeled.

RESULTS

Higher LBP intensity, as well as higher physical work demands, significantly increased the odds of experiencing work limitiations due to pain, and these two factors interacted with each other (p < 0.0001). In analyses stratified for LBP intensity, higher physical work demands gradually increased the odds of experiencing work limitiations due to pain.

CONCLUSIONS

Senior workers with a combination of physically demanding work and LBP are more affected by their pain during everyday work tasks compared to workers with similar LBP-intensity in sedentary occupations. Accommodation of work demands seems especially relevant for this group of workers.

摘要

背景

下背痛(LBP)在老年工人中非常普遍,可能会影响工作能力,尤其是从事重体力劳动的工人。本研究确定了老年工人中LBP强度和体力工作需求与因疼痛导致的工作限制之间的联合关联。

方法

在“SeniorWorkingLife研究”(2018年)中,11738名老年工人(≥50岁)回答了有关体力工作需求、LBP强度以及因疼痛导致的工作限制的问题。使用逻辑回归分析并控制潜在混杂因素,对体力工作需求与LBP强度(交互作用)与因疼痛导致的工作限制(结果)之间的关联进行建模。

结果

较高的LBP强度以及较高的体力工作需求,均显著增加了因疼痛导致工作限制的几率,且这两个因素相互作用(p<0.0001)。在按LBP强度分层的分析中,较高的体力工作需求逐渐增加了因疼痛导致工作限制的几率。

结论

与久坐职业中具有相似LBP强度的工人相比,从事体力要求高的工作且患有LBP的老年工人在日常工作任务中受疼痛的影响更大。调整工作需求对这群工人似乎尤为重要。

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