Deployment-Related Risk Factors of Low Back Pain: A Study Among Danish Soldiers Deployed to Iraq

Nissen, Lars Ravnborg; Marott, Jacob Louis; Gyntelberg, Finn; Guldager, B

doi:10.7205/milmed-d-13-00317

Cited by 11 publications

(11 citation statements)

References 19 publications

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“…They reported individuals who perceived the work situation as stressful (OR = 3.47, CI = 1.24 -9.74, p<0.05) has the strongest psychosocial association to LBP. This finding was supported by Nissen et al [7] in which they discovered that there is moderate association between psychological stress and LBP (OR = 1.71, p = 0.009). According to Nissen et al [7], studies in civilian cohorts, also shows similar findings in which there is strong relationship between self-reported stress and LBP.…”

Section: Psychosocial Risk Factors Of Lbp In the Militarysupporting

confidence: 61%

“…This finding was supported by Nissen et al [7] in which they discovered that there is moderate association between psychological stress and LBP (OR = 1.71, p = 0.009). According to Nissen et al [7], studies in civilian cohorts, also shows similar findings in which there is strong relationship between self-reported stress and LBP. Feuerstein et al [17] developed a model which suggested ergonomic exposure (heavy lifting & carrying, prolonged sitting & standing, repetitive bending, pushing & pulling) does not directly influence LBP clinic visits but affects the military personnel work environment perception which are related to LBP clinic visits.…”

Section: Psychosocial Risk Factors Of Lbp In the Militarysupporting

confidence: 61%

“…Individuals mental health is a risk factor for musculoskeletal injuries particularly LBP which is often overlooked by medical practitioners. Previous studies have shown that psychiatric comorbidity increases LBP in military population [7]. Feuerstein et al [16] conducted a case-control study (n = 421) investigating the association of sociodemographic factors, health behaviour, ergonomic, workplace and individual psychosocial factors with lost time in soldiers with LBP.…”

Section: Psychosocial Risk Factors Of Lbp In the Militarymentioning

confidence: 99%

“…The overall incidence rate of LBP incidence was 27.0 per 1000 person-years (95%, CI = 25.7 -28.2). A retrospective cohort study on the risk factors of low back pain among Danish soldiers from 2003 to 2005 was conducted by Nissen et al [7]. A total of 175 soldiers (26%) have been reported to have LBP.…”

Section: Introductionmentioning

confidence: 99%

“…A total of 175 soldiers (26%) have been reported to have LBP. The risk factors for LBP identified was older age (p = 0.016), less support from leaders (odds ratio [OR] = 1.69, p = 0.019), psychological stress (OR = 1.71, p = 0.009), awkward working positions (OR = 1.98, p = 0.001), and working in depots or storehouses (OR = 2.60, p = 0.041) (Nissen, 2014). Monnier et al [8] also reported that low back pain (36%) as one of the most common musculoskeletal pain among Swedish armed forces (SAF) marines.…”

Section: Introductionmentioning

confidence: 99%

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A Narrative Review: Risk Factors of Low Back Pain in Military Personnel/Recruits

Waqqash¹,

Hafiz²,

Hamid³

et al. 2018

IJET

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Military personnel are one of the occupations at high risk of developing low back pain (LBP) due to its job demands. Low back pain (LBP) is a major cause of morbidity and lost from work among military personnel. This narrative review was conducted to determine the risk factors of LBP in military personnel/recruits. Searches focusing on causal comparative and epidemiology studies using OVIDMedline, CINAHL, SPORTDiscus, PubMed, and Scopus databases from year January 1950 to April 2018. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines was used to select and synthesis of studies. The strongest personal risk factors identified were history of LBP (OR = 8.91, CI = 1.71 -46.5), female gender (OR: 6.59, CI 1.79 – 24.24), aerobic exercise involvement (OR = 4.39, CI 1.53- 12.57) and older age (OR 4.16). The strongest occupational risk factors identified were prolonged hours of flight per day (OR=11.3, CI 5.2 -24.8), driving in forward bending posture (OR = 3.63, CI 1.06 – 12.42), branch of services (Army; OR 2.74, CI 2.60-2.89 & Air Force; 1.98, CI 1.84 -2.14), Night training (OR = 1.8-2.0, CI 1.1 – 3.1) and whole-body vibration exposure (OR 1.94, CI 1.02 -3.69). The strongest psychosocial risk factors identified were worries (OR = 5.47, CI 1.70- 17.62), no support from others (OR = 4.0, CI 1.31 -12.34) high work stress (OR = 3.47, CI 1.31 – 12.34), depression (OR = 1.75, CI 1.08 -2.83), and psychological stress (OR 1.71). This review summarizes the personal, occupational and psychosocial risk factors associated with LBP among military personnel/ recruits. LBP risk factors differs based on the military branch of services and job scope. Primary LBP risk factor for Air Force pilots, helicopter pilots and military vehicle drivers LBP is sitting ergonomics. Primary LBP risk factor for army (i.e. combat infantry) identified are occupational physical exposure (military training, heavy lifting and carrying, patrol durations.) Further studies are required to verify if there is any interaction between personal, occupational, and psychosocial LBP risk factor categories among military personnel/recruits.

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Section: Psychosocial Risk Factors Of Lbp In the Militarysupporting

confidence: 61%

Section: Psychosocial Risk Factors Of Lbp In the Militarysupporting

confidence: 61%

Section: Psychosocial Risk Factors Of Lbp In the Militarymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Narrative Review: Risk Factors of Low Back Pain in Military Personnel/Recruits

Waqqash¹,

Hafiz²,

Hamid³

et al. 2018

IJET

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show abstract

Association Between Body Mass Index and Nonspecific Recurrent Low Back Pain in Over 600,000 Healthy Young Adults

Nitecki

Shapiro

Orr

et al. 2023

American Journal of Epidemiology

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Association between body mass index (BMI) and low back pain (LBP) has long been debated, however inconsistent measurements of BMI and varying definition of LBP have produced conflicting findings. We explored this association using measured BMI and a physician documentation of recurrent-LBP among healthy young adults. Data were extracted from the electronic-medical-record system (EMRS) of the Israel-defense-forces (IDF). All compulsory military servants between 2008-2019 were included (n=705,840). Exclusion criteria were spine deformities, disc pathologies, spinal surgery, arthropathies, connective tissue diseases, pain syndromes, low bone density disorders, cancer, and psychiatric diseases. LBP was defined as IDF-EMRS documentation of: 1) two medical visits, at least 6 weeks apart, with a diagnosis of LBP or "LBP with radiation"; or 2) one visit resulting in referral to an orthopedic surgeon. Logistic regression models were used to explore the association between BMI category and LBP, 619,969 (87.8%) individuals (mean 18.9 [SD=0.97] years, 56.9% male) were included. LBP prevalence was 9.2% (n=56,918), higher among males (9.7%) than females (8.5%). Having overweight and obesity was associated with LBP (OR 1.123 [1.096-1.151] and 1.137 [1.096-1.179], respectively). Association remained significant when accounting for various sociodemographic factors. Maintaining healthy BMI may aid in the prevention of LBP in young adults.

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The Impact of Deployment and Combat Exposure on Physical Health Among Military Personnel: A Systematic Review of Incidence, Prevalence, and Risks

Teplova

Bakker²,

Perry

et al. 2021

Military Medicine

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Objectives The impact of deployment and combat on mental health of military personnel is well described. Less evidence is available to demonstrate and summarize the incidence, prevalence, and risks of these exposures on physical health. This study aims to (1) systematically review the available literature to determine the incidence and prevalence of physical health conditions among military personnel during and after deployment and (2) investigate the risks of deployment and combat exposure on physical health. Methods A systematic review using the PubMed and EMBASE databases was performed. The literature search was limited to articles written in English, published from 2000 through 2019. The quality of studies was assessed with the Joanna Briggs Institute Appraisal Checklist. The results were grouped per system or condition of physical health and presented by forest plots without a combined effect size estimate. Results Thirty-two studies were found eligible for this review. We identified a wide variety of incidence and prevalence rates of numerous physical health conditions and a high heterogeneity across the included studies. Acute respiratory symptoms, diarrhea, musculoskeletal injuries, pain, and tinnitus were found to be the most incident or prevalent conditions. Except for hearing loss, no associations with deployment and physical health problems were observed. An increased risk for asthma, headache, hearing loss, and pain was reported in relation to the combat exposure. Conclusion Given the characteristics of included studies and extracted data, the magnitude of the found differences in incidence and prevalence rates is most likely to be due to methodological heterogeneity. The specific exposures (e.g., infrastructure, environmental conditions, and activities during deployment) are suggested to be the determinants of (post) deployment physical health problems and need to be addressed to decrease the impact of deployment. Findings from this systematic review highlight which conditions should be addressed in response to service members’ health and wellness needs in the (post)deployment phase and may be used by clinicians, researchers, and policy-makers. However, knowledge gaps regarding the potential risk factors during deployment and combat still exist. Studies using consistent methods to define and measure the physical health conditions and specific exposures are needed.

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Deployment-Related Risk Factors of Low Back Pain: A Study Among Danish Soldiers Deployed to Iraq

Cited by 11 publications

References 19 publications

A Narrative Review: Risk Factors of Low Back Pain in Military Personnel/Recruits

A Narrative Review: Risk Factors of Low Back Pain in Military Personnel/Recruits

Association Between Body Mass Index and Nonspecific Recurrent Low Back Pain in Over 600,000 Healthy Young Adults

The Impact of Deployment and Combat Exposure on Physical Health Among Military Personnel: A Systematic Review of Incidence, Prevalence, and Risks

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