Poor Sleep Is a Risk Factor for Low-Back Pain among Healthcare Workers: Prospective Cohort Study

Vinstrup, Jonas; Jakobsen, Markus Due; Andersen, Lars L.

doi:10.3390/ijerph17030996

Cited by 24 publications

(24 citation statements)

References 40 publications

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“…Prior to this analysis, we have previously published associations between lifestyle factors and the outcome of poor sleep and pain (8,29), as well as data on the prospective association between patient transfers and back injury (30).…”

Section: Methodsmentioning

confidence: 99%

Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study

Vinstrup

Jakobsen

Andersen

2020

Front. Public Health

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This study aimed to investigate the association between perceived stress and odds of low-back pain (LBP) in a population of Danish healthcare workers. Methods: Utilizing a prospective cohort design with 1-year follow-up, a total of 1,944 healthcare workers from 389 departments at 19 hospitals responded to questionnaires containing items related to lifestyle, health, and working environment. Using Cohen's Perceived Stress Scale, associations between baseline stress levels and LBP intensity (0-10 scale) at follow-up were modeled using cumulative logistic regression, accounting for clustering at the department level and adjusting for age, sex, baseline intensity of LBP, education, seniority, number of daily patient transfers, psychosocial work environment, and lifestyle factors. Results: For the entire population, moderate and high stress (reference: low stress) at baseline increased the odds of LBP at 1-year follow-up with odds ratios (ORs) of 1.39 (95% CI 1.13-1.71) and 1.99 (95% CI 1.49-2.66), respectively. Sensitivity analyses among female nurses showed similar results [i.e., OR 1.40 (95% CI 1.08-1.80) and OR 2.08 (95% CI 1.44-3.00) for moderate and high stress, respectively], while only high stress significantly increased the odds among those without LBP at baseline. Conclusions: Psychological stress increases the odds of LBP among healthcare workers. Identifying and diminishing work-related psychosocial stressors should be included in strategies that aim to prevent musculoskeletal disorders in this population.

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Section: Methodsmentioning

confidence: 99%

Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study

Vinstrup

Jakobsen

Andersen

2020

Front. Public Health

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“…Various studies have demonstrated that brief rest in all populaces, is major cause for fatigue, high blood pressure, insulin resistance, cardio and vascular disease. 14 Sleep disorder is a rising public health concern worldwide. It can be influenced by environmental, cultural and behavioural factors and is estimated to have a prevalence of 10 to 48%.…”

Section: Introductionmentioning

confidence: 99%

“…Taking into consideration the high incidence of musculoskeletal conditions in occupational health groups. 14 Research investigating the effect of sleep disruption on low back pain severity have shown a substantial correlation between sleep quality and intensity of pain, exhaustion, subsequent-day function and psychological distress. Individuals with low back pain who have sleep issues and more extreme pain have also been reported to be at higher risk of being hospitalized for low back pain than people with good sleep quality.…”

Section: Introductionmentioning

confidence: 99%

Association of Poor Sleep with Low Back Pain among Symptomatic and Asymptomatic Population: A Research Protocol

2021

IJFMT

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Background and objectives-Low back pain (LBP) is the key contributor to ages of disability. Although Low back pain puts an immerse economic strain on healthcare services, this disease is responsible for impacting people's daily lives. Low back pain is a widely common illness impacting persons of all ages. Sleep is an intricate and fundamental organic element with the social objective of keeping up homeostasis by methods for various physiological frameworks. Sleep quality has gained interest for people with musculoskeletal pain conditions as a contributing factor to the outcome. Sleep consistency has created consideration as a risk factor to the outcomes for people with MSK pain disorders. Some studies show a bidirectional link between intensity of pain and sleep quality. Recent attention to the combination of inflammatory processes in pain on the one side and sleep on the other, contributes to neuro-immunological mechanisms that may contribute to the near connection between pain and sleep.Aim and objectives-To study association of poor sleep with low back pain among symptomatic and asymptomatic population.Materials and Method-All asymptomatic and symptomatic individuals with low back pain in the group between 35-50 years of age will fill the survey using Visual Analogue Scale (VAS) and Insomnia Severity Index Questionnaire, and further data will be analyzed.Result-The parameters of outcome measures of both the group of low back pain individuals will be analysed using the statistical test namely students paired T-test. Conclusion-Based on the previous studies we assume that there should be a positive association between both poor sleep and low back pain.

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“…The survey used in the present study was partially based on the 2018 round of the Danish Work Environment Cohort Study (DWECS) - from which we have previously reported associations between pain, stress and sleep among healthcare workers [ 35 – 37 ] - and included questions concerning lifestyle-, health- and factors related to the work environment. While the entire questionnaire exists only in Danish, the questions used in this study have been translated and included in this section; containing questions specific to the work environment of healthcare workers.…”

Section: Methodsmentioning

confidence: 99%

Physical exposure during patient transfer and risk of back injury & low-back pain: prospective cohort study

Vinstrup

Jakobsen

Madeleine

et al. 2020

BMC Musculoskelet Disord

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Background Work-related musculoskeletal disorders (MSDs) are common among healthcare workers. Because frequent patient transfer has been associated with increased risk of MSDs, we aim to quantify the physical load associated with commonly-used assistive devices and to investigate associations between accumulated physical exposure and risk of MSDs. Methods By applying an exposure matrix based on objective measurements of electromyography and trunk flexion on a large (n = 1285) prospective cohort, intensity of low-back pain (LBP) and odds of back injury at 1-year follow-up were modelled using linear models and logistic regressions, respectively. The cohort was divided into groups according to physical exposure; i.e. low (1st quartile), moderate (2nd and 3rd quartiles) and high (4th quartile) exposure. Results Exposure profiles are provided for 9 groups of assistive devices, with ceiling lifts and intelligent beds eliciting the lowest physical exposure. In the fully-adjusted model, we report differences in LBP intensity at follow-up between the low and moderate exposure groups (p = 0.0085). No difference was found between the moderate and high exposure groups (p = 0.2967). Likewise, we find no associations between physical exposure and odds of back injury at 1-year follow-up, with a prevalence of 11, 13 and 11% for the three groups, respectively. Conclusions Low physical exposure during patient transfer was prospectively associated with lower intensity of LBP. Consistent use of assistive devices associated with low physical exposure, namely ceiling-lifts and intelligent beds, may play a role in reducing the incidence of MSDs among healthcare workers.

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Poor Sleep Is a Risk Factor for Low-Back Pain among Healthcare Workers: Prospective Cohort Study

Cited by 24 publications

References 40 publications

Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study

Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study

Association of Poor Sleep with Low Back Pain among Symptomatic and Asymptomatic Population: A Research Protocol

Physical exposure during patient transfer and risk of back injury & low-back pain: prospective cohort study

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