This article reviews the effectiveness of physical activity (PA) interventions at the workplace to reduce musculoskeletal pain among employees and assesses the effect size of these programs using meta-analysis. Four databases (i.e., PubMed, EBSCO, Web of Science, and Cochrane) were searched for research trials, which included comparison groups of employees that assessed PA programs, musculoskeletal pain, and health-related behaviors, published between January 1990 and March 2013. The meta-analysis estimates of standardized mean differences (Hedges' g) present significant evidence of less general pain (g = -.40 with a 95% confidence interval [CI] = [-0.78, -0.02]) and neck and shoulder pain (g = -.37 with a 95% CI = [-0.63, -0.12]) in intervention groups. The few studies of low back pain and arm, elbow, wrist, hand, or finger pain did not present sufficient statistically significant evidence. Consistent evidence demonstrates that workplace PA interventions significantly reduce general musculoskeletal pain and neck and shoulder pain. More studies are needed to determine the effectiveness of work-related PA interventions for arm, elbow, wrist, hand or finger, and low back pain.
Epidemiologic studies have reported an inverse association between dairy product consumption and cardiometabolic risk factors in adults, but this relation is relatively unexplored in adolescents. We hypothesized that a higher dairy product intake is associated with lower cardiometabolic risk factor clustering in adolescents. To test this hypothesis, a cross-sectional study was conducted with 494 adolescents aged 15 to 18 years from the Azorean Archipelago, Portugal. We measured fasting glucose, insulin, total cholesterol, high-density lipoprotein cholesterol, triglycerides, systolic blood pressure, body fat, and cardiorespiratory fitness. We also calculated homeostatic model assessment and total cholesterol/high-density lipoprotein cholesterol ratio. For each one of these variables, a z score was computed using age and sex. A cardiometabolic risk score (CMRS) was constructed by summing up the z scores of all individual risk factors. High risk was considered to exist when an individual had at least 1 SD from this score. Diet was evaluated using a food frequency questionnaire, and the intake of total dairy (included milk, yogurt, and cheese), milk, yogurt, and cheese was categorized as low (equal to or below the median of the total sample) or "appropriate" (above the median of the total sample).The association between dairy product intake and CMRS was evaluated using separate logistic regression, and the results were adjusted for confounders. Adolescents with high milk intake had lower CMRS, compared with those with low intake (10.6% vs 18.1%, P = .018). Adolescents with appropriate milk intake were less likely to have high CMRS than those with low milk intake (odds ratio, 0.531; 95% confidence interval, 0.302-0.931). No association was found between CMRS and total dairy, yogurt, and cheese intake. Only milk intake seems to be inversely related to CMRS in adolescents.
The aim of this study was to verify the effect of a physical activity (PA) program on musculoskeletal pain andphysical activity musculoskeletal pain workers intervention study
Obesity rates are high among employed adults and have shown a consistent increase over the past few decades. Musculoskeletal disorders related to work are a major cause of disability in working individuals. The objective of this study was to verify the associations between weight status and musculoskeletal pain and related symptoms in different body regions among workers. The sample comprised 203 factory workers. Anthropometric measures were assessed with standardized protocols and body mass index (BMI) was calculated. Participants were classified as nonoverweight (BMI ≤ 24.9 kg/m 2 ) or overweight/obese (BMI ≥ 25 kg/m 2 ). Musculoskeletal pain and related symptoms was assessed with the Nordic Questionnaire of Osteoarticular Symptoms. The association of BMI and musculoskeletal pain and related symptoms was analyzed with logistic regression. Overweight/obese participants were more likely to have musculoskeletal pain and related symptoms in the shoulders (odds ratio [OR] = 2.129, p = .023). Our results emphasize the need of worksite interventions to promote healthy weight as a way to prevent musculoskeletal pain and related symptoms.
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