Nørgaard Remmen Line, Fromsejer Heiberg Regina, Høyrup Christiansen David, Herttua Kimmo, Berg-Beckhoff Gabriele
Department of Public Health, Research Unit for Health Promotion, University of Southern Denmark, Esbjerg, Denmark
University College South Denmark, Esbjerg, Denmark.
Occup Environ Med. 2020 Oct 6. doi: 10.1136/oemed-2020-106675.
Commercial fishing constitutes an increased risk of musculoskeletal disorders (MSD), as it consists of heavy workloads and uncontrollable strenuous settings. The aims of this systematic review were to describe the prevalence of MSD among occupational fishermen and to identify risk factors for onset work-related MSD.
All studies investigating MSD in occupational fishermen were systematically identified and reviewed. Searched databases were PubMed/MEDLINE, EMBASE and CINAHL. Two independent researchers performed the quality assessments of the studies.
From 292 articles identified, 16 articles consisting of 13 studies were suitable for inclusion. Prevalence of overall MSD ranged from 15% to 93%. The only consistent work-related risk factor was 'working part time', while other risk factors, such as vessel and job type showed conflicting results.
MSDs in occupational fishermen are common across countries. Variations observed in MSD prevalence might be due to differences in methodology, populations and definitions of MSD. Evidence on work-related risk factors for MSD is sparse and most studies were of poor methodological quality. Only working part time was identified as a consistent risk factor for MSD possibly caused by a healthy worker effect. There is a need for investigating causality in longitudinal studies, including both active and retired fishermen to better understand the complexity of MSD.
CRD42020147318.
商业捕鱼导致肌肉骨骼疾病（MSD）的风险增加，因为其工作负荷重且工作环境艰苦难以控制。本系统评价的目的是描述职业渔民中MSD的患病率，并确定与工作相关的MSD发病的危险因素。
系统检索并回顾了所有调查职业渔民MSD的研究。检索的数据库包括PubMed/MEDLINE、EMBASE和CINAHL。两名独立研究人员对研究进行了质量评估。
从检索到的292篇文章中，有16篇文章（包含13项研究）适合纳入。MSD的总体患病率在15%至93%之间。唯一一致的与工作相关的危险因素是“兼职工作”，而其他危险因素，如船只类型和工作类型，结果相互矛盾。
职业渔民中的MSD在各国都很常见。MSD患病率的差异可能是由于方法、人群和MSD定义的不同。关于MSD与工作相关危险因素的证据很少，且大多数研究的方法学质量较差。只有兼职工作被确定为MSD的一个一致危险因素，这可能是由于健康工人效应。有必要在纵向研究中调查因果关系，包括在职和退休渔民，以更好地了解MSD的复杂性。
PROSPERO注册号：CRD42020147318。
