PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

Work-Related Biomechanical Exposure and Job Strain as Separate and Joint Predictors of Musculoskeletal Diseases: A 28-Year Prospective Follow-up Study.

Abstract We investigated how work-related biomechanical exposure and job strain in midlife separately and jointly predicted back and degenerative musculoskeletal diseases (MSDs). A total of 6,257 employees participated in the Finnish Longitudinal Study on Aging Municipal Employees (FLAME) in 1981 and were followed up for 28 years. Risk ratios and the relative excessive risk due to interaction and 95% confidence intervals were modeled for separate and joint prediction estimates, respectively. After adjustment for confounders, job strain predicted degenerative MSDs among women after 4 and 11 years of follow-up. After 11 years, both exposures predicted both types of MSDs among men. Joint exposure predicted both types of MSDs after 4 years among women (for back MSDs, risk ratio (RR) = 1.58, 95% confidence interval (CI): 1.15, 2.18; for degenerative MSDs, RR = 1.59, 95% CI: 1.21, 2.07) and men (for back MSDs, RR = 1.50, 95% CI: 1.05, 2.15; for degenerative MSDs, RR = 1.61, 95% CI: 1.16, 2.22) and both types of MSDs after 11 years (for back MSDs, RR = 1.72, 95% CI: 1.21, 2.43; for degenerative MSDs, RR = 1.68, 95% CI: 1.25, 2.46) among men only, but the relative excessive risk due to interaction was not significant throughout. However, after 28 years, the separate and joint exposures did not predict MSDs. Workplace interventions should be focused on reducing job strain along with biomechanical exposure for possible prevention of MSDs in working life and around the time of retirement, but there may be other pathways of onset of MSDs in old age.
PMID
Related Publications

Aetiology and risk factors of musculoskeletal disorders in physically active conscripts: a follow-up study in the Finnish Defence Forces.

Physical and psychosocial risk factors for musculoskeletal disorders in New Zealand nurses, postal workers and office workers.

Job strain and the risk of disability pension due to musculoskeletal disorders, depression or coronary heart disease: a prospective cohort study of 69,842 employees.

Interaction between postural risk factors and job strain on self-reported musculoskeletal symptoms among users of video display units: a three-year prospective study.

Biomechanical and psychosocial occupational exposures: joint predictors of post-retirement functional health in the French GAZEL cohort.

Authors

Mayor MeshTerms

Internal-External Control

Keywords

biomechanical exposure

interaction

job strain

musculoskeletal diseases

occupational exposure

psychosocial exposure

work

Journal Title american journal of epidemiology
Publication Year Start




PMID- 29206989
OWN - NLM
STAT- MEDLINE
DCOM- 20171213
LR  - 20171213
IS  - 1476-6256 (Electronic)
IS  - 0002-9262 (Linking)
VI  - 186
IP  - 11
DP  - 2017 Dec 1
TI  - Work-Related Biomechanical Exposure and Job Strain as Separate and Joint
      Predictors of Musculoskeletal Diseases: A 28-Year Prospective Follow-up Study.
PG  - 1256-1267
LID - 10.1093/aje/kwx189 [doi]
AB  - We investigated how work-related biomechanical exposure and job strain in midlife
      separately and jointly predicted back and degenerative musculoskeletal diseases
      (MSDs). A total of 6,257 employees participated in the Finnish Longitudinal Study
      on Aging Municipal Employees (FLAME) in 1981 and were followed up for 28 years.
      Risk ratios and the relative excessive risk due to interaction and 95% confidence
      intervals were modeled for separate and joint prediction estimates, respectively.
      After adjustment for confounders, job strain predicted degenerative MSDs among
      women after 4 and 11 years of follow-up. After 11 years, both exposures predicted
      both types of MSDs among men. Joint exposure predicted both types of MSDs after 4
      years among women (for back MSDs, risk ratio (RR) = 1.58, 95% confidence interval
      (CI): 1.15, 2.18; for degenerative MSDs, RR = 1.59, 95% CI: 1.21, 2.07) and men
      (for back MSDs, RR = 1.50, 95% CI: 1.05, 2.15; for degenerative MSDs, RR = 1.61, 
      95% CI: 1.16, 2.22) and both types of MSDs after 11 years (for back MSDs, RR =
      1.72, 95% CI: 1.21, 2.43; for degenerative MSDs, RR = 1.68, 95% CI: 1.25, 2.46)
      among men only, but the relative excessive risk due to interaction was not
      significant throughout. However, after 28 years, the separate and joint exposures
      did not predict MSDs. Workplace interventions should be focused on reducing job
      strain along with biomechanical exposure for possible prevention of MSDs in
      working life and around the time of retirement, but there may be other pathways
      of onset of MSDs in old age.
CI  - (c) The Author(s) 2017. Published by Oxford University Press on behalf of the
      Johns Hopkins Bloomberg School of Public Health. All rights reserved. For
      permissions, please e-mail: [email protected]
FAU - Prakash, K C
AU  - Prakash KC
FAU - Neupane, Subas
AU  - Neupane S
FAU - Leino-Arjas, Paivi
AU  - Leino-Arjas P
FAU - von Bonsdorff, Mikaela B
AU  - von Bonsdorff MB
FAU - Rantanen, Taina
AU  - Rantanen T
FAU - von Bonsdorff, Monika E
AU  - von Bonsdorff ME
FAU - Seitsamo, Jorma
AU  - Seitsamo J
FAU - Ilmarinen, Juhani
AU  - Ilmarinen J
FAU - Nygard, Clas-Hakan
AU  - Nygard CH
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Epidemiol
JT  - American journal of epidemiology
JID - 7910653
SB  - IM
MH  - Adult
MH  - Biomechanical Phenomena/*physiology
MH  - Female
MH  - Finland/epidemiology
MH  - Humans
MH  - *Internal-External Control
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - Musculoskeletal Diseases/epidemiology/*etiology/psychology
MH  - Occupational Diseases/*complications/epidemiology/psychology
MH  - Occupational Exposure
MH  - Risk Factors
MH  - Sex Distribution
MH  - Stress, Psychological/*complications/physiopathology
MH  - Time
OTO - NOTNLM
OT  - biomechanical exposure
OT  - interaction
OT  - job strain
OT  - musculoskeletal diseases
OT  - occupational exposure
OT  - psychosocial exposure
OT  - work
EDAT- 2017/12/06 06:00
MHDA- 2017/12/14 06:00
CRDT- 2017/12/06 06:00
PHST- 2016/07/27 00:00 [received]
PHST- 2017/02/02 00:00 [accepted]
PHST- 2017/12/06 06:00 [entrez]
PHST- 2017/12/06 06:00 [pubmed]
PHST- 2017/12/14 06:00 [medline]
AID - 3860345 [pii]
AID - 10.1093/aje/kwx189 [doi]
PST - ppublish
SO  - Am J Epidemiol. 2017 Dec 1;186(11):1256-1267. doi: 10.1093/aje/kwx189.