Work-related musculoskeletal disorders among occupational fishermen: a systematic literature review.

Autor:	Nørgaard Remmen L; Department of Public Health, Research Unit for Health Promotion, University of Southern Denmark, Esbjerg, Denmark lremmen@health.sdu.dk.; University College South Denmark, Esbjerg, Denmark., Fromsejer Heiberg R; Department of Public Health, Center for Maritime Health and Society, University of Southern Denmark, Esbjerg, Denmark., Høyrup Christiansen D; Department of Occupational Medicine, University Research Clinic, Regional Hospital West Jutland, Herning, Denmark.; Department of Clinical Medicine, Health, Aarhus University, Aarhus, Denmark., Herttua K; Department of Public Health, Center for Maritime Health and Society, University of Southern Denmark, Esbjerg, Denmark., Berg-Beckhoff G; Department of Public Health, Research Unit for Health Promotion, University of Southern Denmark, Esbjerg, Syddanmark, Denmark.
Jazyk:	angličtina
Zdroj:	Occupational and environmental medicine [Occup Environ Med] 2020 Oct 06. Date of Electronic Publication: 2020 Oct 06.
DOI:	10.1136/oemed-2020-106675
Abstrakt:	Background: 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. Methods: 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. Results: 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. Conclusion: 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. Prospero Registration Number: CRD42020147318. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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