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日本工人手动滚动负荷与下背痛:一项横断面研究。

Manual rolling load and low back pain among workers in Japan: a cross-sectional study.

机构信息

National Institute of Occupational Safety and Health, Kawasaki, 214-8585, Japan.

出版信息

J Occup Health. 2024 Jan 4;66(1). doi: 10.1093/joccuh/uiae015.

Abstract

OBJECTIVES

Manual rolling of heavy objects remains in the workplace. The Health and Safety Executive (HSE) in the United Kingdom recommends load weights of <400 kg in the rolling task. However, the association of rolling weights <400 kg with work-related low back pain (LBP) has not been sufficiently investigated. This study examined the effect of rolling loads weighing <400 kg on LBP among Japanese workers.

METHODS

A web-based survey gathered information from 15 158 workers in 2022. Among them, 15 035 did not handle loads, whereas 123 handled rolling weights <400 kg. Load weight was categorized into 4 groups: no-handling (0 kg) and rolling weights of ≤20, 20-40, and >40 kg. Multiple logistic regression analysis examined the association between the subdivided rolling weight and LBP.

RESULTS

No significant differences in odds ratio (OR) of LBP were found for workers handling ≤40 kg rolling weights compared with that for no-handling workers. However, workers handling >40 kg rolling weights had a significantly greater OR of LBP than those not handling loads.

CONCLUSIONS

Rolling weights between 40 and 400 kg could place a high stress on the lower back. Implementation in Japan of the HSE recommendations regarding rolling load should be carefully considered.

摘要

目的

重物手动搬运仍在工作场所中存在。英国健康与安全执行局(HSE)建议在搬运任务中搬运重量不超过 400 公斤。然而,搬运重量不超过 400 公斤与与工作相关的下背痛(LBP)之间的关联尚未得到充分研究。本研究调查了搬运重量不超过 400 公斤的负荷对日本工人 LBP 的影响。

方法

一项基于网络的调查于 2022 年从 15158 名工人中收集信息。其中,15035 人不搬运货物,123 人搬运重量不超过 400 公斤的滚动货物。负载重量分为 4 组:不搬运(0 公斤)和搬运重量≤20 公斤、20-40 公斤和>40 公斤。多变量逻辑回归分析检查了细分滚动重量与 LBP 之间的关联。

结果

与不搬运货物的工人相比,搬运重量不超过 40 公斤的工人患 LBP 的比值比(OR)没有显著差异。然而,搬运重量超过 40 公斤的工人患 LBP 的 OR 明显大于不搬运货物的工人。

结论

40 至 400 公斤之间的滚动重量可能会对下背部造成很大的压力。在日本实施 HSE 关于滚动负载的建议应谨慎考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df3f/11131138/82a39ab2a3d2/uiae015f1.jpg

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