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Leino-Arjas, Päivi; Hänninen, K; Puska, Pekka

doi:10.1023/a:1007448402954

Cited by 69 publications

(12 citation statements)

References 33 publications

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“…Occupational ergonomic factors and high body-mass index (BMI) are estimated to be responsible for 30·9% (29·2–32·5) and 5·5% (3·4–7·6) of YLDs due to low back pain, respectively 49 . The highest occupational risk is found in service industries and manual labour, especially agriculture 50, 51. The relatively small proportion of low back pain that is caused by high BMI is amenable to intervention, but the continued escalation of obesity rates indicates that these measures might have little effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015

Kassebaum¹,

Arora²,

Barber³

et al. 2016

The Lancet

1,700

937

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SummaryBackgroundHealthy life expectancy (HALE) and disability-adjusted life-years (DALYs) provide summary measures of health across geographies and time that can inform assessments of epidemiological patterns and health system performance, help to prioritise investments in research and development, and monitor progress toward the Sustainable Development Goals (SDGs). We aimed to provide updated HALE and DALYs for geographies worldwide and evaluate how disease burden changes with development.MethodsWe used results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015) for all-cause mortality, cause-specific mortality, and non-fatal disease burden to derive HALE and DALYs by sex for 195 countries and territories from 1990 to 2015. We calculated DALYs by summing years of life lost (YLLs) and years of life lived with disability (YLDs) for each geography, age group, sex, and year. We estimated HALE using the Sullivan method, which draws from age-specific death rates and YLDs per capita. We then assessed how observed levels of DALYs and HALE differed from expected trends calculated with the Socio-demographic Index (SDI), a composite indicator constructed from measures of income per capita, average years of schooling, and total fertility rate.FindingsTotal global DALYs remained largely unchanged from 1990 to 2015, with decreases in communicable, neonatal, maternal, and nutritional (Group 1) disease DALYs offset by increased DALYs due to non-communicable diseases (NCDs). Much of this epidemiological transition was caused by changes in population growth and ageing, but it was accelerated by widespread improvements in SDI that also correlated strongly with the increasing importance of NCDs. Both total DALYs and age-standardised DALY rates due to most Group 1 causes significantly decreased by 2015, and although total burden climbed for the majority of NCDs, age-standardised DALY rates due to NCDs declined. Nonetheless, age-standardised DALY rates due to several high-burden NCDs (including osteoarthritis, drug use disorders, depression, diabetes, congenital birth defects, and skin, oral, and sense organ diseases) either increased or remained unchanged, leading to increases in their relative ranking in many geographies. From 2005 to 2015, HALE at birth increased by an average of 2·9 years (95% uncertainty interval 2·9–3·0) for men and 3·5 years (3·4–3·7) for women, while HALE at age 65 years improved by 0·85 years (0·78–0·92) and 1·2 years (1·1–1·3), respectively. Rising SDI was associated with consistently higher HALE and a somewhat smaller proportion of life spent with functional health loss; however, rising SDI was related to increases in total disability. Many countries and territories in central America and eastern sub-Saharan Africa had increasingly lower rates of disease burden than expected given their SDI. At the same time, a subset of geographies recorded a growing gap between observed and expected levels of DALYs, a trend driven mainly by rising burden due to war, interpersonal violen...

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Section: Discussionmentioning

confidence: 99%

Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015

Kassebaum¹,

Arora²,

Barber³

et al. 2016

The Lancet

1,700

937

View full text Add to dashboard Cite

show abstract

“…First, because of the variability of estimates and their high sensitivity to various factors, such as inquiry phrasing, setting and cultural differences, comparison of prevalence rates of back pain among various populations and countries can be problematic. 3,30 In future studies, standard definitions of back pain for use in epidemiological studies developed and agreed upon by a group of international experts should be used. 31 Their use will facilitate comparisons among back pain studies internationally.…”

Section: Discussionmentioning

confidence: 99%

“…The risk of back and joint pain has been found to be higher among farmers when compared with workers from other occupational sectors, including manual workers. 3 …”

Section: Introductionmentioning

confidence: 99%

Back Pain Among Farmers in a Northern Area of China

Liu

Wang

Stallones

et al. 2012

Spine

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Study Design This was a population-based survey conducted in 2008 in a northern area of China. Objective To investigate back pain prevalence and to examine the associations between potential risk factors and back pain among Chinese farmers. Summary of Background Data Few studies have investigated back pain and its associated risk factors among farmers in low-income and developing nations. Methods Farmers ages 15 years and older were chosen from 800 families in Heilongjiang Province of People’s Republic of China using cluster sampling methods. Complete survey data were obtained from 2045 farmers. The prevalence of self-reported back pain during the previous three-months was reported. Associations between back pain and potential risk factors were examined in logistic regression models which included age, gender, education levels, perceived stress, main farm activities, smoking, and drinking status. Results A total of 786 (38.4%) farmers reported back pain. Two-thirds of those with back pain (66.0%) reported that back pain affected work quantity and quality. The adjusted odds ratios of reporting back pain increased with advancing age. Females and farmers who experienced stress regularly were also more likely to report back pain. Conclusion Back pain is a common problem among Chinese farmers and is reported more frequently by females. Significant positive associations of gender, age, and perceived stress with back pain warrant additional study.

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“…Similar to our study, there was articles using “office worker” as a control. The office workers had sedentary work but were free to change posture and move around [25, 26]. So we selected hospital office workers as control group.…”

Section: Methodsmentioning

confidence: 99%

Comparison of facet joint degeneration in firefighters and hospital office workers

Kim¹,

An²,

Kim³

et al. 2017

Ann of Occup and Environ Med

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BackgroundThere are few published studies on the relationship between occupational lumbar load and facet joint degeneration (FJD). This cross-sectional study was conducted to evaluate the effect of physical lumbar load on FJD by comparing magnetic resonance imaging (MRI) findings of firefighters (FFs) and hospital office workers (HOWs).MethodsWe randomly sampled 341 male FFs and 80 male HOWs by age stratification. A questionnaire and clinical examination, including MRI of the lumbar spine (T12-S1), were conducted. FJD was diagnosed and graded by using the classification of Pathria et al., and reclassified into two groups as follows: no FJD (grade 0) and FJD (grades 1, 2, and 3). The prevalence of FJD was analyzed according to occupational group.ResultsThe prevalence of FJD ranged from 31% (L1–L2) to 75% (L4–L5) in the FFs, and from 18% (L1–L2) to 69% (L4–L5) in the HOWs. After adjustment for age, body mass index, and frequency of physical exercise, the adjusted odds ratios (OR) for FJD in the FFs were significantly higher than those in the HOWs at all lumbar spinal levels, except for L3–L4 (L1–L2: OR, 2.644; 95% confidence interval [CI], 1.317–5.310; L2–L3: OR, 2.285; 95% CI, 1.304–4.006; L4–L5: OR, 1.918; 95% CI, 1.037–3.544; L5–S1: OR, 1.811; 95% CI, 1.031–3.181).ConclusionThis study shows that FFs exhibit a greater likelihood of having FJD than HOWs after controlling for other risk factors of FJD. This suggests that the physical occupational demands of FFs affect their risk of developing FJD.

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Abstract: Obvious differences occurred in back and joint pain by indicators of social class that were not due to socioeconomic differences in lifestyle, height or mental distress.

Cited by 69 publications

References 33 publications

Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015

Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015

Back Pain Among Farmers in a Northern Area of China

Comparison of facet joint degeneration in firefighters and hospital office workers

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