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伊朗军事人员的肌肉骨骼疾病及相关危险因素:系统评价与荟萃分析

Musculoskeletal Disorders and Related Risk Factors in Iranian Military Personnel: A Systematic Review and Meta-Analysis.

作者信息

Raei Mehdi, Roveshti Mehran Maleki, Pouya Amin Babaei, Sahlabadi Ali Salehi, Poursadeghiyan Mohsen, Valipour Firouz

机构信息

Department of Epidemiology and Biostatistics, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Department of Occupational Health Engineering, School of Health, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Iran J Public Health. 2024 Nov;53(11):2419-2431. doi: 10.18502/ijph.v53i11.16944.

Abstract

BACKGROUND

Work-Related Musculoskeletal Disorders (WRMSDs) are prevalent and costly diseases in military occupations. WRMSDs are prevalent and costly diseases in military occupations. We investigated the exposure to ergonomic risk factors and the prevalence of musculoskeletal disorders (MSDs) among military personnel in the workplace.

METHOD

We aimed to investigate MSDs by conducting electronic searches on Persian databases such as SID, MagIran, and IranMedex, and English databases like PubMed, Web of Sciences, and Scopus. The search was not restricted by time and was conducted until Dec 20, 2021. Two researchers independently extracted the data, and the quality of the research was evaluated using the STROBE checklist. The results of different studies were merged and incorporated into the analysis using Comprehensive Meta-Analysis (CMA) v3 software.

RESULTS

Eleven qualitative studies found that 92% of the respondents were men (83% to 96%). The mean age was 34.17 ± 0.16 yr, with a confidence interval (of 95% CI:33.85-34.48). The mean BMI was 25±0.39 with a confidence interval of 95% CI:24.28-25.84. The mean work record was 12.89±0.81 yr with a confidence interval of 95% CI:11.30-11.48. The highest outbreak of MSDs is in the knee at 38.1% (95%CI:32.1-44.4), 37.6% of the neck (95% CI:24.8-52.5), and 32.5% of the shoulder. (95%CI:22.5-44.3) was observed.

CONCLUSION

The wide role of various dimensions of work tasks and repetitive tasks (such as lifting, moving or changing positions, standing for long periods, as well as improper postures) in causing WRMSDs. Additionally, the risk factor in the workplace has financial implications for the military organization. The reduction of physical and psychological demands, as well as the improvement of ergonomic standards in the workplace, should be addressed to decrease MSDs in military centers.

摘要

背景

工作相关肌肉骨骼疾病(WRMSDs)在军事职业中普遍存在且代价高昂。我们调查了军事人员在工作场所接触人体工程学风险因素的情况以及肌肉骨骼疾病(MSDs)的患病率。

方法

我们旨在通过对波斯数据库如SID、MagIran和IranMedex以及英文数据库如PubMed、科学网和Scopus进行电子检索来调查肌肉骨骼疾病。检索不受时间限制,截至2021年12月20日。两名研究人员独立提取数据,并使用STROBE清单评估研究质量。不同研究的结果进行合并,并使用综合荟萃分析(CMA)v3软件纳入分析。

结果

11项定性研究发现,92%的受访者为男性(83%至96%)。平均年龄为34.17±0.16岁,置信区间(95%CI:33.85 - 34.48)。平均体重指数为25±0.39,置信区间为95%CI:24.28 - 25.84。肌肉骨骼疾病的最高发病率出现在膝盖,为38.1%(95%CI:32.1 - 44.4),颈部为37.6%(95%CI:24.8 - 52.5),肩部为32.5%(95%CI:22.5 - 44.3)。

结论

工作任务和重复性任务的各个维度(如搬运、移动或改变姿势、长时间站立以及不当姿势)在导致工作相关肌肉骨骼疾病方面发挥着广泛作用。此外,工作场所的风险因素对军事组织有经济影响。应减少身体和心理需求,并改善工作场所的人体工程学标准,以降低军事中心的肌肉骨骼疾病发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3803/11607146/7c6c23f5c18d/IJPH-53-2419-g001.jpg

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