Musculoskeletal Pain and Depressive Symptoms as Predictors of Trajectories in Work Ability Among Finnish Firefighters at 13-Year Follow-Up

Punakallio, Anne; Lusa, Sirpa; Luukkonen, Ritva; Airila, Auli; Leino-Arjas, Päivi

doi:10.1097/jom.0000000000000139

Cited by 24 publications

(33 citation statements)

References 39 publications

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“…They have to perform physically demanding tasks but also have to face many psychologically challenging situations during their rescue. Recently, Punakallio et al [1] have reported that 1/4 of the Finnish firefighters belong to the diminished work ability trajectory during 13-year follow-up, and high mental stress is associated with decreased work ability. Unhealthy lifestyle factors have a negative impact on work-related fitness in the same population [2].…”

Section: Introductionmentioning

confidence: 99%

Recovery of rescuers from a 24-h shift and its association with aerobic fitness

Lyytikäinen¹,

Toivonen²,

Hynynen³

et al. 2017

Int J Occup Med Environ Health

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Objectives: Rescuers work in 24-h shifts and the demanding nature of the occupation requires adequate recovery between work shifts. The purpose of this study has been to find out what kind of changes in autonomic control may be seen during work shift and its recovery period in the case of rescuers. An additional interest has been to see if aerobic fitness is associated with recovery from work shifts. Material and Methods: Fourteen male rescuers (aged 34±9 years old) volunteered to participate in the study. Heart rate variability (HRV) was recorded for 96 h to study stress and recovery, from the beginning of a 24-h work shift to the beginning of the next shift. Aerobic fitness assessment included maximal oxygen uptake (VO 2max ) estimation with a submaximal bicycle ergometer test. Salivary cortisol samples were collected 0 min, 15 min, and 30 min after awakening on the 3 resting days. Results: Some HRV parameters showed enhanced autonomic control after the work shift. Stress percentage decreased from the working day to the 2nd rest day (p < 0.05). However, maximal oxygen uptake was not associated with enhanced parasympathetic cardiac control (p > 0.05). Cortisol awakening response was attenuated right after the work shift. Conclusions: The HRV findings show that recovery after a long work shift takes several days. Thus, rescuers should pay attention to sufficient recovery before the next work shift, and an integrated model of perceived and physiological measurements could be beneficial to assess cardiovascular strain among rescuers with long work shifts.

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Section: Introductionmentioning

confidence: 99%

Recovery of rescuers from a 24-h shift and its association with aerobic fitness

Lyytikäinen¹,

Toivonen²,

Hynynen³

et al. 2017

Int J Occup Med Environ Health

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“…The instrument consists of a self-report questionnaire with 21 multiple-choice questions about how the individual has felt over the last week, expressed in terms of common anxiety symptoms. Each symptom item has four possible response options, as follows, with the corresponding scores: not at all (0); mildly but it didn't bother me much (1); moderately, and it wasn't pleasant at times (2); and severely, and it bothered me a lot (3). The values for each item are summed to produce a total score for all 21 symptoms that can range from 0-63 points, and higher values mean higher levels of anxiety symptoms.…”

Section: Assessment Of Anxiety Symptomsmentioning

confidence: 99%

“…Anxiety symptoms and changes in sleep patterns have been correlated with the presence of headaches and temporomandibular disorders (TMDs) 4,5,6,7 . Some studies have described associations of this nature in the profession of military firefighter [1][2][3] . Also, in these professionals, deficiencies in …”

Section: Articlementioning

confidence: 99%

“…Estudo controlado. The serious political, economic and moral crisis that affects Brazil, especially the state of Rio de Janeiro, with violence and neglect of public institutions, is reflected in the life and work of our population.Studies have indicated that the activities of military firefighters have direct correlations with occupational stress, high risk of back injuries, dangerous working conditions, complaints of anxiety and depression, irregular work shifts and consequent changes in sleep patterns 1,2,3 . Anxiety symptoms and changes in sleep patterns have been correlated with the presence of headaches and temporomandibular disorders (TMDs) 4,5,6,7 .…”

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confidence: 99%

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Painful temporomandibular disorder, sleep bruxism, anxiety symptoms and subjective sleep quality among military firefighters with frequent episodic tension-type headache. A controlled study.

Wagner

Filho

2018

Arq. Neuro-Psiquiatr.

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ARTICLEPainful temporomandibular disorder, sleep bruxism, anxiety symptoms and subjective sleep quality among military firefighters with frequent episodic tension-type headache. A controlled study.Desordens temporomandibulares dolorosas, bruxismo do sono, sintomas de ansiedade e qualidade subjetiva do sono em bombeiros militares com cefaleia do tipo tensional episódica frequente. Estudo controlado. The serious political, economic and moral crisis that affects Brazil, especially the state of Rio de Janeiro, with violence and neglect of public institutions, is reflected in the life and work of our population.Studies have indicated that the activities of military firefighters have direct correlations with occupational stress, high risk of back injuries, dangerous working conditions, complaints of anxiety and depression, irregular work shifts and consequent changes in sleep patterns 1,2,3 . Anxiety symptoms and changes in sleep patterns have been correlated with the presence of headaches and temporomandibular disorders (TMDs) 4,5,6,7 . Some studies have described associations of this nature in the profession of military firefighter [1][2][3] . Also, in these professionals, deficiencies in ABSTRACTObjective: To investigate associations of temporomandibular disorders (TMDs), bruxism, anxiety and sleep quality among military firefighters with frequent episodic tension-type headache (FETTH). Methods: The sample comprised two groups (80 individuals): controls (mean age 35.2 years) and study group (mean age 38.5 years). Headache was diagnosed in accordance with the ICHD-III. The Research Diagnostic Criteria for TMDs were used to classify the TMDs; bruxism was diagnosed in accordance with the International Classification of Sleep Disorders; anxiety was classified using the Beck Anxiety Inventory; and sleep quality was assessed using the Pittsburgh Sleep Quality Index. In the statistical models, we used a significance level of 95%. Results: Associations were found between participants with FETTH and TMDs (p < 0.001) and anxiety (p = 0.002).Poor quality of sleep (p = 0.687) and bruxism (p = 0.670) were not risk factors. Conclusion: The study found that TMDs and anxiety among firefighters were associated with FETTH.Keywords: tension-type headache; temporomandibular joint disorders; bruxism; surveys and questionnaires. Palavras-chave: cefaleia do tipo tensional; transtornos da articulação temporomandibular; bruxismo;inquéritos e questionários.

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“…The major depressive disorder is one of the five main factors associated with absenteeism and decreased work capacity (5). Added to the medical treatment costs are those caused by the loss of productive capacity and decreased work performance (6).…”

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confidence: 99%

Serotonin transporter gene (5-HTT) polymorphism and major depressive disorder in patients in Bogotá, Colombia

2016

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Introduction:The 5-HTT short allele has been controversially associated with an increased risk of major depressive disorder. Objective: To determine the association of 5-HTT short allele with major depression in Bogotá, Colombia. Materials and methods: We carried out a study of cases (n=68) matched 1:1 with controls by gender and age (±5 years). Major depression was diagnosed using the Mini-International Neuropsychiatric Interview, and 5-HTT polymorphism using PCR. Results: Females were predominant (82.4%). The S (short) allele predominated in cases compared with controls (S: 72.1% vs. 63.2; L (long): 27.9% vs. 36.8%), and the SL genotype was more frequent in cases (SL: 45.6% vs. 36.8%; LL: 27.9% vs. 36.8%; SS: 26.5% vs. 26.5%), although not significantly. There were significant differences in those under age 37, with a predominance of the S allele in cases (p=0.038; OR=2.75; 95% CI: 0.88-8.64). Multivariate analysis, adjusted for comorbid anxiety disorders, showed a significant association of major depression with the SL genotype (p=0.049; OR=3.20; 95% CI: 1.00-10.23); the S allele was close to statistical significance (p=0.063; OR=2.94; 95% CI: 0.94-9.13), and it was statistically significant in cases under 37 years of age (p=0.026; OR=10.79; 95% CI: 1.32-80.36). Conclusions: The SL genotype was associated with major depressive disorder in patients of all ages. The S allele was significantly associated with major depressive disorder in patients under age 37, adjusted for comorbid anxiety disorders.

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Musculoskeletal Pain and Depressive Symptoms as Predictors of Trajectories in Work Ability Among Finnish Firefighters at 13-Year Follow-Up

Abstract: When planning preventive actions and workplace health promotion among firefighters, even one site musculoskeletal pain and mild signs of depression should be taken into account. Prevention of adverse lifestyle habits is also essential.

Cited by 24 publications

References 39 publications

Recovery of rescuers from a 24-h shift and its association with aerobic fitness

Recovery of rescuers from a 24-h shift and its association with aerobic fitness

Painful temporomandibular disorder, sleep bruxism, anxiety symptoms and subjective sleep quality among military firefighters with frequent episodic tension-type headache. A controlled study.

Serotonin transporter gene (5-HTT) polymorphism and major depressive disorder in patients in Bogotá, Colombia

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