Contribution of occupational factors to the incidence and persistence of chronic low back pain among workers: results from the longitudinal VISAT study

Esquirol, Yolande; Niezborala, Michel; Visentin, Monique; Leguevel, Anne; Gonzalez, Ignacio; Marquié, Jean-Claude

doi:10.1136/oemed-2015-103443

Cited by 22 publications

(25 citation statements)

References 54 publications

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“…Prior studies have shown that physical work tasks increase the risk of LBP. 2,3,12 However, only few studies have explored both risk and prognostic factors in the same data. In line with a prospective cohort study, 12 we found that workload factors were weak to moderate Copyright © 2019 Wolters Kluwer Health, Inc.…”

Section: Discussionmentioning

confidence: 99%

“…In line with a recent meta-analytic review, 6 Frequency of leisure physical activity did neither not reduce the probability of recurrent LBP, which also agrees with prior findings. 12 Systematic reviews suggest that depressive symptoms act as moderately strong risk factors 8 and weak prognostic factors 16 of LBP, although original studies included in those reviews, particularly studies on prognostic factors, did not control for potential confounders.…”

Section: Discussionmentioning

confidence: 99%

“…LBP is often a recurrent condition, 10,11 but evidence of the role of workload 12,13 or health-related factors in recurrent LBP is inconsistent. For example, obesity may increase the probability of recurrent LBP, 14 but this has not been supported by all studies.…”

Section: Introduction (2700/2700)mentioning

confidence: 99%

“…For example, obesity may increase the probability of recurrent LBP, 14 but this has not been supported by all studies. 15 Likewise, no clear associations have been reported for smoking 12,14 and leisure-time physical activity. 12 Depressive symptoms may also be a prognostic factor for LBP.…”

Section: Introduction (2700/2700)mentioning

confidence: 99%

“…15 Likewise, no clear associations have been reported for smoking 12,14 and leisure-time physical activity. 12 Depressive symptoms may also be a prognostic factor for LBP. 16 Overall, it is not known whether the risk factors for the development of LBP are also prognostic factors of LBP.…”

Section: Introduction (2700/2700)mentioning

confidence: 99%

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Risk and Prognostic Factors of Low Back Pain

Halonen

Shiri

Hanson

et al. 2019

Spine

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Study Design Prospective longitudinal cohort study. Objective To determine the associations ofr workload and health-related factors with incident and recurrent low back pain (LBP), and to determine the mediating role of healthrelated factors in associations between physical workload factors and incident LBP. Summary of Background Data It is not known whether the risk factors for the development of LBP are also prognostic factors for recurrence of LBP and whether the associations between physical workload and incident LBP are mediated by health-related factors. We used data from the Swedish Longitudinal Occupational Survey of Health (SLOSH) study. Those responding to any two subsequent surveys in 2010-2016 were included for the main analyses (N=17,962). Information on occupational lifting, working in twisted positions, weight/height, smoking, physical activity, depressive symptoms, and sleep problems were self-reported. Incident LBP was defined as pain limiting daily activities in the preceding three months in participants free from LBP at baseline. Recurrent LBP was defined as having LBP both at baseline and follow-up. For the mediation analyses, those responding to three subsequent surveys were included (N=3,516). Methods Main associations were determined using generalized estimating equation models for repeated measures data. Mediation was examined with counterfactual mediation analysis. Results All risk factors at baseline but smoking and physical activity were associated with incident LBP after adjustment for confounders. The strongest associations were observed for working in twisted positions (risk ratio (RR)=1.52, 95% CI 1.37, 1.70) and occupational lifting (RR=1.52, 95% CI 1.32, 1.74). These associations were not mediated by health-related factors. The studied factors did not have meaningful effects on recurrent LBP.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introduction (2700/2700)mentioning

confidence: 99%

Section: Introduction (2700/2700)mentioning

confidence: 99%

Section: Introduction (2700/2700)mentioning

confidence: 99%

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Risk and Prognostic Factors of Low Back Pain

Halonen

Shiri

Hanson

et al. 2019

Spine

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Is occupational or leisure physical activity associated with low back pain? Insights from a cross-sectional study of 1059 participants

Amorim

Simić

Pappas

et al. 2019

Brazilian Journal of Physical Therapy

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Background: Low back pain is a highly prevalent and disabling musculoskeletal disorder. Physical activity is widely used as a prevention strategy for numerous musculoskeletal disorders; however, there is still conflicting evidence as to whether physical activity is a protective or risk factor for low back pain or whether activity levels differ between people with and without low back pain. Objective: To investigate the association between low back pain and different types (occupational and leisure) and intensities (moderate and vigorous) of physical activity. Methods: This is cross-sectional observational study. We included in this study a total of 1059 individuals recruited from a Spanish twin registry with data available on low back pain. Outcome: Self-reported leisure and occupational physical activity were the explanatory variables. The low back pain outcome used in this study was recurrent low back pain. Results: Our results indicate that leisure physical activity is associated with a lower prevalence of recurrent low back pain. In contrast, occupational physical activity, such as carrying, lifting heavy weight while inclined, awkward postures (e.g. bending, twisting, squatting, and kneeling) are associated with a higher prevalence of recurrent low back pain. There was no statistically significant association between other occupational physical activities, such as sitting or standing, and low back pain. Conclusion: Leisure and occupational physical activity are likely to have an opposed impact on low back pain. While leisure physical activity appears to be protective, occupational physical activity appears to be harmful to low back pain. Future longitudinal studies should assist

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Modifiable lifestyle-related prognostic factors for the onset of chronic spinal pain: A systematic review of longitudinal studies

Manderlier

Fooz

Patris

et al. 2022

Annals of Physical and Rehabilitation Medicine

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Contribution of occupational factors to the incidence and persistence of chronic low back pain among workers: results from the longitudinal VISAT study

Abstract: Occupational factors played a pivotal role in the incidence of CLBP, while individual factors were the main determinants of persistence of CLBP.

Cited by 22 publications

References 54 publications

Risk and Prognostic Factors of Low Back Pain

Risk and Prognostic Factors of Low Back Pain

Is occupational or leisure physical activity associated with low back pain? Insights from a cross-sectional study of 1059 participants

Modifiable lifestyle-related prognostic factors for the onset of chronic spinal pain: A systematic review of longitudinal studies

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