Yokoyama Masako, Igarashi Hisaka, Kato Hirohisa, Yokoyama Tetsuji, Ebihara Hiroshi, Azuma Yasuhiro, Sakai Fumihiko, Miyake Hitoshi, Nagumo Satoko
Health Promotion Unit at Fujitsu Co. Ltd, UKT tower 25F Omiya-cho 1-5, Kawasaki, Kanagawa, 2120014, Japan.
Fujitsu Clinic, Kawasaki, Japan.
J Headache Pain. 2025 May 26;26(1):129. doi: 10.1186/s10194-025-02065-5.
Headaches are common and can significantly affect working conditions. To reduce their occurrence at work, identifying factors associated with headaches is important. We aimed to investigate the association between headaches and lifestyle factors, as well as physical and mental symptoms, among workers at the Fujitsu Group, a Japanese information technology company, to identify factors contributing to workplace headaches.
The results of a 2022 Stress Check Survey questionnaire (mandated by Japanese occupational law requirements) were evaluated concerning 63,071 Fujitsu Group workers (men, n = 50,360; [mean age ± standard deviation, 45.6 ± 10.7 years]; women, n = 12,711 [41.8 ± 11.5 years]).
The headache rates according to frequency category (seldom, sometimes, often, and almost always) were as follows: men, 48.8%, 34.2%, 13.9%, and 3.1%, respectively, and women, 33.6%, 39.9%, 21.0%, and 5.5%, respectively. Multiple logistic regression analysis of lifestyle factors showed that the odds ratio (OR [95% confidence interval]) for headache (sometimes, often, or almost always) was highest in the presence of "high stress levels" (men, 7.13 [6.57-7.73]; women, 8.79 [7.07-10.94]). Other lifestyle factors included "seldom exercising" (men, 1.47 [1.36-1.60]; women, 1.55 [1.27-1.89]) and "weekday sitting time > 12 h" (men, 1.35 [1.27-1.43]; women, 1.61 [1.40-1.84]). The population attributable fraction for "exercise habits," "high stress levels," and "sitting time" in men was 26.1%, 8.4%, and 5.2%, respectively, and 30.5%, 5.4%, and 4.9%, in women, respectively. Further analysis regarding physical and mental symptoms showed that the ORs for headache increased with the presence of "stiff shoulders" (men, 3.65 [3.37-3.96]; women, 5.08 [4.26-6.05]), "insomnia" (men, 2.71 [2.41-3.05]; women, 2.61 [2.00-3.41]), "eye strain" (men, 2.62 [2.40-2.86]; women, 2.31 [1.93-2.76]), "depression" (men, 2.35 [2.06-2.69]; women, 2.35 [1.76-3.14]), "back pain" (men, 1.66 [1.53-1.80]; women, 2.08 [1.75-2.40]), and "anxiety" (men, 1.32 [1.18-1.48]; women, 1.55 [1.20-2.00]).
This large-scale survey among Japanese workers revealed the strength of the association between headaches and various lifestyle factors, and physical and mental symptoms. These findings could guide workplace interventions to decrease headaches among workers.
头痛很常见，会显著影响工作条件。为减少工作中头痛的发生，识别与头痛相关的因素很重要。我们旨在调查日本信息技术公司富士通集团员工中头痛与生活方式因素以及身体和精神症状之间的关联，以确定导致工作场所头痛的因素。
对2022年压力检查调查问卷（根据日本职业法要求进行）的结果进行了评估，涉及63,071名富士通集团员工（男性，n = 50,360；[平均年龄±标准差，45.6±10.7岁]；女性，n = 12,711 [41.8±11.5岁]）。
根据头痛频率类别（很少、有时、经常和几乎总是）划分的头痛发生率如下：男性分别为48.8%、34.2%、13.9%和3.1%，女性分别为33.6%、39.9%、21.0%和5.5%。生活方式因素的多因素逻辑回归分析表明，头痛（有时、经常或几乎总是）的优势比（OR [95%置信区间]）在“高压力水平”时最高（男性，7.13 [6.57 - 7.73]；女性，8.79 [7.07 - 10.94]）。其他生活方式因素包括“很少锻炼”（男性，1.47 [1.36 - 1.60]；女性，1.55 [1.27 - 1.89]）和“工作日坐姿时间>12小时”（男性，1.35 [1.27 - 1.43]；女性，1.61 [1.40 - 1.84]）。男性中“运动习惯”“高压力水平”和“坐姿时间”的人群归因分数分别为26.1%、8.4%和5.2%，女性分别为30.5%、5.4%和4.9%。关于身体和精神症状的进一步分析表明，头痛的OR值随着“肩部僵硬”（男性，3.65 [3.37 - 3.96]；女性，5.08 [4.26 - 6.05]）、“失眠”（男性，2.71 [2.41 - 3.05]；女性，2.61 [2.00 - 3.41]）、“眼疲劳”（男性，2.62 [2.40 - 2.86]；女性，2.31 [1.93 - 2.76]）、“抑郁”（男性，2.35 [2.06 - 2.69]；女性，2.35 [1.76 - 3.14]）、“背痛”（男性，1.66 [1.53 - 1.80]；女性，2.08 [1.75 - 2.40]）和“焦虑”（男性，1.32 [1.18 - 1.48]；女性，1.55 [1.20 - 2.00]）的出现而增加。
这项针对日本员工的大规模调查揭示了头痛与各种生活方式因素以及身体和精神症状之间关联的强度。这些发现可为工作场所干预措施提供指导，以减少员工的头痛情况。
