“…Since these aspects can affect the association between forward bending and LBP, we included self-reports of occupational lift burden as confounding variables in the analyses. Factors like muscle pain tend to bias self-reported measures of physical work demands (16,17), since workers having pain can overestimate the physical exposures, thus leading to erroneous interpretations of associations between physical exposure and pain (23). However, obtaining valid diurnal objective measures of lifting and pulling for several consecutive days in a cohort of this size is, to the authors' knowledge, not yet feasible, leaving only self-reported measures available.…”