Risk factors for upper-extremity musculoskeletal disorders in the working population
Autor: | Roquelaure, Yves, Ha, Catherine, Rouillon, Clarisse, Fouquet, Natacha, Leclerc, Annette, Descatha, Alexis, Touranchet, Annie, Goldberg, Marcel, Imbernon, Ellen, De La Loire Region, 83 Occupational Physicians Of The Pays |
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Přispěvatelé: | Laboratoire d'Ergonomie et d'Épidémiologie en Santé au Travail (LEEST), Université d'Angers (UA)-Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM)-PRES Université Nantes Angers Le Mans (UNAM)-Institut de Veille Sanitaire (INVS), Département santé travail (DST-InVS), Institut de Veille Sanitaire (INVS), Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé, Epidémiologie, sciences sociales, santé publique (IFR 69), Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Direction régionale du travail de l'emploi et de la formation professionnelle, DRTEFP, Kaniewski, Nadine, Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
Jazyk: | angličtina |
Rok vydání: | 2009 |
Předmět: |
Adult
Employment Male Safety Management medicine.medical_specialty Immunology Physical examination Logistic regression Article Upper Extremity 03 medical and health sciences 0302 clinical medicine Musculoskeletal disorder Rheumatology Risk Factors Internal medicine medicine Humans Immunology and Allergy Pharmacology (medical) Musculoskeletal Diseases 030212 general & internal medicine Risk factor medicine.diagnostic_test business.industry Odds ratio Middle Aged medicine.disease 030210 environmental & occupational health Occupational Diseases medicine.anatomical_structure [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie Physical therapy Upper limb Female [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie business Psychosocial |
Zdroj: | Arthritis and Rheumatism Arthritis and Rheumatism, Wiley, 2009, 61 (10), pp.1425-34. ⟨10.1002/art.24740⟩ Arthritis and Rheumatism, 2009, 61 (10), pp.1425-34. ⟨10.1002/art.24740⟩ |
ISSN: | 0004-3591 1529-0131 |
Popis: | Objective To assess the relative importance of personal and occupational risk factors for upper-extremity musculoskeletal disorders in the working population. Methods A total of 3,710 workers (58% men) participating in a surveillance program of musculoskeletal disorders in a French region in 2002–2005 were included. Upper-extremity musculoskeletal disorders were diagnosed by 83 trained occupational physicians performing a standardized physical examination. Personal factors and work exposure were assessed by a self-administered questionnaire. Statistical associations between musculoskeletal disorders, personal, and occupational factors were analyzed using logistic regression modeling. Results A total of 472 workers experienced at least 1 upper-extremity musculoskeletal disorder. The risk of upper-extremity musculoskeletal disorders increased with age for both sexes (P < 0.001, odds ratio [OR] ≤4.9 in men and ≤5.0 in women), and in cases of prior history of upper-extremity musculoskeletal disorders (OR 3.1 and 5.0, respectively, P < 0.001). In men, upper-extremity musculoskeletal disorders were associated with obesity (OR 2.2, P = 0.014), high level of physical demand (OR 2.0, P < 0.001), high repetitiveness of the task (OR 1.5, P = 0.027), postures with the arms at or above shoulder level (OR 1.7, P = 0.009) or with full elbow flexion (OR 1.6, P = 0.006), and high psychological demand (OR 1.5, P = 0.005). In women, upper-extremity musculoskeletal disorders were associated with diabetes mellitus (OR 4.9, P = 0.001), postures with extreme wrist bending (OR 2.0, P < 0.001), use of vibrating hand tools (OR 2.2, P = 0.025), and low level of decision authority (OR 1.4, P = 0.042). Conclusion Personal and work-related physical and psychosocial factors were strongly associated with clinically diagnosed upper-extremity musculoskeletal disorders. |
Databáze: | OpenAIRE |
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