Cohort study of occupational risk factors of low back pain in construction workers

Latza, Ute; Karmaus, Wilfried; Stürmer, Til; Steiner, Markus; Neth, Axel; Rehder, U.

doi:10.1136/oem.57.1.28

Cited by 97 publications

(71 citation statements)

References 15 publications

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“…One possible cause for the higher prevalence of LBP among people with medium and low educational levels could be that these people are exposed to different workloads and work activities than people with high educational levels [34][35][36][37][38].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of low back pain in different educational levels: a systematic review

Batista

Oliveira

2017

Fisioter. mov.

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Introduction: Non-specific low back pain (LBP) can be understood through the interaction of biopsychosocial factors such as education. Unfortunately, it remains unclear whether education can be considered an important risk and prognostic factor for the occurrence of LBP. Objective: To investigate the association between education and LBP. Methods: The following databases were searched: MEDLINE, EMBASE, Cochrane, AMED and PsyINFO. Results: Thirteen studies were included in the review. The Prevalence Critical Appraisal Instrument (PCAI) was used to assess risk of bias. Methodological quality scores ranged from 7 to 10 on a scale of 0-10. There was a 23% (95% CI, 13-37) prevalence of LBP (10,582 out of a total of 99,457 cases) in the general sample at the time of assessment. The meta-analysis of studies on the prevalence of LBP in people with low, medium or high educational level found the following results, respectively: 24% (95% CI, 12-43), 27% (95% CI, 9-56), and 18% (95% CI, 5-50). The meta-regression identified heterogeneity among the studies included in the review. This can be explained by educational differences (p < 0.05). Conclusion: Occurrence of LBP varies according to educational level. Individuals with higher educational levels are less often affected by LBP than individuals with medium or low educational levels.

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Section: Discussionmentioning

confidence: 99%

Prevalence of low back pain in different educational levels: a systematic review

Batista

Oliveira

2017

Fisioter. mov.

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“…The percentage loss to follow-up varied between 11 [53] and 43% [31] in studies with a follow-up of B1 year [25,28,29,31,37,38,42,46,52,53,55,56], between 10 [54] and 60% [31] in studies with a follow-up [1 and B3 years [22,23,25,28,31,34,35,39,41,49,54,55] and between 12 [45] and 28% [30,44] in studies with a follow-up of more than 3 years. In studies with a follow-up of more than 15 years [24,33,43,47] percentages loss to follow-up varied between 38 [47] and 84% [24].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Ten studies [25-27, 32, 34, 36, 37, 39, 42, 56] used the standardised Nordic Questionnaire (or an adaptation thereof) [58]. The occurrence of new episodes of LBP was measured by the use of questionnaires [22, 24, 25, 27, 28, 31-34, 36, 38, 39, 42, 49, 53-56], interviews [24,41,49] or reports by care providers [50][51][52]57]. Sick leave was derived from questionnaires [25,26,28,29,33,37,38,43,45,47], company registers [23,26,35,40] and social insurance administrations [30,40,48].…”

Section: Study Characteristicsmentioning

confidence: 99%

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Physical activity and low back pain: a systematic review of recent literature

et al. 2011

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The objective of the study is to systematically evaluate the available evidence on the association between physical activity (i.e. occupational load and non-occupational physical activities) and low back pain (LBP). A systematic approach was used to explore the literature between 1999 and 2009. Studies were selected for inclusion following a comprehensive search of Medline, Embase and CINAHL. The methodological quality of each study was assessed. Studies were considered to be of 'high quality' if they met the cut-off criterion of 60% of the maximum available quality score. Thirty-six cohort or case-control studies were retrieved. Heavy workload and the accumulation of loads or frequency of lifts were moderate to strong risk factors for LBP. Strong associations were found for flexed, rotated and the awkward positions of the lumbar spine. Inconsistent results were found for leisure time physical activities, sports and physical exercise. Studies focusing on daily habitual physical activities (e.g. domestic activities and commuting) in association with LBP are lacking. In conclusion, the occurrence of LBP is related to the nature and intensity of the physical activities undertaken. However, physical activities can be subdivided into separate types and intensities and the ultimate physical load is the sum of all these activities. This makes it difficult to designate one particular activity as the cause of LBP.

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“…Most of the previous studies on risk factors for LBP tended to focus on specific triggers and included samples from occupational settings. There is a research focus on biomechanical [2,[7][8][9][10][11][12][13][14][15][16][17][18][19][20], psychological/psychosocial [2,7,9,16,[19][20][21][22][23][24][25] and individual risk factors [2,7,9,12,13,20,21,23,[26][27][28][29][30][31] for LBP; however, only a few studies investigated risk factors from all domains together [7]. Findings from our study suggest that the views of clinicians are as variable as in the evidence found in the literature.…”

Section: Strengths and Weaknesses Of The Studymentioning

confidence: 99%

Clinicians’ views on factors that trigger a sudden onset of low back pain

et al. 2013

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Purpose Little is known about what triggers an episode of low back pain (LBP) in those presenting to primary care. Previous studies of risk factors have focused on specific occupational settings and work conditions. No study has asked primary care clinicians to consider what triggers an episode of sudden-onset LBP in patients presenting to them for care. The purpose of this study, therefore, was to describe the short-and long-term factors that primary care clinicians consider important in triggering a sudden episode of acute LBP. Methods One hundred and thirty-one primary care clinicians who were recruiting patients with LBP to a large observational study were invited to participate. A questionnaire was designed to obtain information about the clinician's characteristics, profession and clinical experience. We also asked clinicians to nominate the five shortand five long-term exposure factors, most likely to trigger a sudden episode of acute LBP, based on their experience. Descriptive statistics and frequency distributions were used to describe clinician's characteristics and the frequencies of the main risk factor categories were reported. Results Based on the views of 103 primary care clinicians, biomechanical risk factors appear to be the most important short-term triggers (endorsed by 89.3 % of clinicians) and long-term triggers (endorsed by 54.2 % of clinicians) for a sudden episode of acute LBP. Individual risk factors were endorsed by 39 % of clinicians as important long-term triggers, while only 6.4 % of clinicians considered them important short-term triggers. Other risk factors, such as psychological/psychosocial and genetic factors, were not commonly endorsed as risk factors for an episode of LBP by primary care clinicians. Conclusions This study shows that primary care clinicians believe that biomechanical risk factors are the most important short-term triggers, while biomechanical and individual risk factors are the most important long-term triggers for a sudden onset of LBP. However, other risk factors, such as psychological/psychosocial and genetic, were not commonly endorsed as risk factors for an episode of LBP by primary care clinicians. Results of this study are based on primary care clinicians' views and further investigation is needed to test the validity of these suggested risk factors.

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Cohort study of occupational risk factors of low back pain in construction workers

Cited by 97 publications

References 15 publications

Prevalence of low back pain in different educational levels: a systematic review

Prevalence of low back pain in different educational levels: a systematic review

Physical activity and low back pain: a systematic review of recent literature

Clinicians’ views on factors that trigger a sudden onset of low back pain

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