scholarly journals Hubungan Aktivitas Fisik Berat dengan Back Pain pada Penduduk Usia Kerja di Jawa dan Bali

2008 ◽  
Vol 2 (4) ◽  
pp. 186
Author(s):  
Achmad Zaki

Penelitian ini bertujuan mengetahui hubungan lama aktivitas fisik berat dengan Gejala Back pain pada penduduk usia kerja 18 – 55 tahun di wilayah Pulau Jawa dan Bali. Penelitian ini menggunakan data sekunder Survei Kesehatan Nasional Tahun 2001. Penelitian ini menggunakan desain potong-lintang dengan metode analisis regresi logistik ganda. Hasil penelitian mendapatkan ada hubungan antara aktivitas fisik berat dengan gejala back pain, setelah dikontrol oleh variabel-variabel confounding seperti lama aktivitas fisik duduk atau sedikit berjalan (terkait pekerjaan ataupun tidak), jenis kelamin, dan pendidikan. Responden dengan lama aktivitas fisik berat (bekerja 1-5 jam) memiliki risiko 2,03 kali untuk mengalami gejala back pain dibandingkan kelompok yang tidak melakukan aktifitas fisik berat (95% CI 1,34-3,08). Responden dengan lama aktivitas fisik berat (bekerja >5 jam) memiliki risiko 1,60 kali untuk mengalami gejala back pain dibandingkan kelompok yang tidak melakukan aktifitas fisik berat (95% CI 0,55 - 4,63). Disarankan untuk pemberlakuan regulasi waktu kerja menggunakan metode waktu rehat pendek (short rest break), dimana pekerja yang harus bekerja selama 5-6 jam terus menerus perlu diistirahatkan di pertengahan waktu tersebut selama sekitar 20 menit.Kata kunci: Aktivitas fisik, back painAbstractThe objective of this research is to investigate the relationship between high occupational physical activity with back pain symptoms among working age population (18—55 years olds) in Java and Bali islands. This research used secondary data from National Health Survey 2001. This research was using the crosssectional design and was analyzed by multiple logistic regression. The study result shows that there are a relationship between high occupational physical activity with back pain symptoms after controlled with confounding variables such as: duration of occupational sitting and short walk activity, duration of nonoccupational sitting and short walk, gender and educational status. Respondents with duration of heavy occupational activity of 1-5 hours have 2,03 higher risk to get back pain symptoms compared to those not doing it (95% CI 1,34-3,08). Respondents with duration of heavy occupational activity of >5 hours have 1,60 risk to get back pain symptoms compared to those not doing it (95% CI 0,55 - 4,63).Keywords : Physical activity, back pain

2005 ◽  
Vol 2 (3) ◽  
pp. 358-365 ◽  
Author(s):  
Michelle M. Yore ◽  
Sandra A. Ham ◽  
Barbara E. Ainsworth ◽  
Caroline A. Macera ◽  
Deborah A. Jones ◽  
...  

Background:In 2001, the Behavioral Risk Factor Surveillance System (BRFSS) included a new occupational physical activity (PA) question. This article evaluates the reliability of this survey question.Methods:Forty-six subjects were followed for 3 wk, answered 3 PA surveys by telephone, and completed daily PA logs for 1 wk. Kappa statistics determined the reliability of occupational activities (sitting/standing, walking, and heavy lifting). A descriptive analysis compared the time in specific occupational activities.Results:Eighty percent of the respondents reported “mostly sitting or standing” at work; and test–retest reliability was moderate (k = 0.40 to 0.45). The occupationally inactive sat/stood for 85% (mean hours = 5.6) of the workday, whereas the occupationally active sat/stood for 53% (mean hours = 3.9) of the workday.Conclusions:The BRFSS occupational activity question has moderate reliability, distinguishes between occupationally active and inactive persons, and can be used in surveillance systems to estimate adult occupational PA.


Sigurnost ◽  
2021 ◽  
Vol 63 (4) ◽  
pp. 363-372
Author(s):  
Selma Cvijetić ◽  
Milica Gomzi ◽  
Jelena Macan

A small number of studies have examined the relationship between bone health and level of physical load. We explored the effect of occupational physical activity on skeletal status in younger sawmill workers using ultrasonic indices of bone density. In a cross-sectional study, we measured bone density with quantitative ultrasound (QUS) in 128 sawmill workers (89 men and 39 women), mean age 39.1 +/- 10.8 years. Back strength was measured by dynamometry. Information on occupational and leisure physical activity, joint pain, education and smoking were obtained with the questionnaire. All QUS bone parameters and back strength were significantly higher in men than in women. A T score for quantitative ultrasound index (QUI) of − 2.2 or lower was found only in two men and one women. QUI did not significantly differ based on presence of parameters of physical occupational activity (carrying loads exceeding 5 kg, repetitive movements, physical exertion while working and non-sitting position at work). When controlling for age, gender and body mass index, participants with higher smoking index had significantly lower QUI (p=0.004). Physical workload was not significantly associated with QUI. In our working population, some lifestyle habits, such as smoking, had a greater impact on bone health than physical occupational activity.


Physiotherapy ◽  
2015 ◽  
Vol 23 (1) ◽  
Author(s):  
Urszula Żywień ◽  
Tomasz Sipko

AbstractProfessional work in a sitting position and the low level of physical activity could be an important cause of overload symptoms formation in the lumbar spine.Objective of the work: The evaluation quantity of the low back pain threshold in patients without pain symptoms, with diversified level of physical activity.The research was conducted in group 40 subjects at the age of 20 to 25, IT specialists and physiotherapists. The participants could participate in the study under the condition that they have never had low back pain before. Patients from the experimental group were divided into 3 categories: active (13 patients), minimally active (18 patients) and inactive (9 patients). The division was made on the basis of The International Physical Activity Questionnaire – Short Form. The pain threshold was determined by an algometer, every time, on both sides of the spine at the level of L3 and in neutral point on hand, the test was performed twice.Analysis of variance ANOVA showed a main effect of level of physical activity for the pain threshold results on the pine left (F = 8.01; p < 0.05) and right site (F = 9.77; p < 0.05). There has not been demonstrated such effect for the pain threshold results around hand (F = 0.62, p > 0.05).Lower quantity of low back pain threshold occurs in the patients with inactive and minimal active declared physical activity level. This indicates the need of low back pain prevention, which could be achieved by increasing physical activity level. The people without pain symptoms do not show asymmetry of the pain threshold between the right and the left side.


2017 ◽  
Vol 20 ◽  
pp. S20-S21
Author(s):  
Andreas Monnier ◽  
Helena Larsson ◽  
Håkan Nero ◽  
Mats Djupsjöbacka ◽  
Björn O. Äng

2021 ◽  
pp. oemed-2020-106948
Author(s):  
Tyler D. Quinn ◽  
Patrick L. Yorio ◽  
Peter M. Smith ◽  
Yongsuk Seo ◽  
Geoffrey P. Whitfield ◽  
...  

BackgroundEmerging evidence, predominately from European and Asian countries, describes opposing effects of occupational physical activity (OPA) and leisure-time physical activity (LTPA) on cardiovascular health. This analysis examined cardiovascular disease (CVD) prevalence associated with OPA and LTPA.MethodsThis cross-sectional analysis of 2015 National Health Interview Survey data (n=16 974) employed logistic regression to estimate odds (OR) of self-reported CVD (coronary heart disease, heart attack, stroke or angina) with self-reported total occupational activity (TOA), occupational exertion (OE), occupational standing and walking (OSW) and LTPA. OPA was measured using two questions: ‘How often does your job involve…’ (1) ‘repeated lifting, pushing, pulling or bending?’ (OE) and (2) ‘standing or walking around?’ (OSW) with responses on a 5-item Likert scale (0=never, 4=always). TOA was categorised similarly after summing OE and OSW scores. LTPA was defined as 0, 1–149 or ≥150 min/week of moderate-to-vigorous activity. All models adjusted for common socioeconomic variables and additional analyses were stratified by sex, smoking status and LTPA.ResultsOdds for CVD were higher when ‘always’ performing TOA (OR 1.99 95% CI 1.12 to 3.53), OE (OR 2.15, 95% CI 1.45 to 3.19) or OSW (OR 1.84, 95% CI 1.07 to 3.17) compared with ‘never’. When restricting to never-smokers, odds for CVD were higher when ‘always’ performing TOA (OR 3.00, 95% CI 1.38 to 6.51) and OE (OR 3.00, 95% CI 1.80 to 5.02) versus ‘never’.ConclusionAssociations of high OPA with CVD were equally apparent across sexes, stronger in lower LTPA levels and stronger in never-smokers. While uncontrolled confounding is still possible, even after extensive adjustment, the seemingly paradoxical adverse associations with OPA and CVD should be investigated further.


2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Thomas Rehling ◽  
Anne-Sofie Dam Bjørkman ◽  
Marie Borring Andersen ◽  
Ola Ekholm ◽  
Stig Molsted

Aim. To investigate the associations between diabetes and musculoskeletal pain, osteoarthritis, osteoporosis, and rheumatoid arthritis. Methods. Self-reported data were provided by the nationwide Danish National Health Survey 2013. Inclusion criteria were age≥40 years and known diabetes status. The exposure variable was diabetes, and the outcome variables included musculoskeletal pain during the last 14 days in three body sites (back/lower back, limbs, and shoulder/neck), osteoarthritis, osteoporosis, and rheumatoid arthritis. Logistic regression analyses adjusted for age, gender, BMI, education, marital status, and physical activity were performed. Results. 9,238 participants with diabetes were 65.6±11.0 (mean±SD) years old; 55.6% were males. 99,980 participants without diabetes were 59.2±11.8 years old; 46.7% were males. Diabetes was associated with back/lower back pain (OR 1.2 (CI 95% 1.1-1.2), p<0.001), pain in the limbs (1.4 (1.3-1.4), p<0.001), shoulder/neck pain (1.2 (1.1-1.3), p<0.001), osteoarthritis (1.3 (1.2-1.4), p<0.001), osteoporosis (1.2 (1.1-1.4), p=0.010), and rheumatoid arthritis (1.6 (1.4-1.7), p<0.001). In participants with diabetes, physical activity was associated with reduced pain (e.g., back/lower back pain (0.7 (0.6-0.7), p<0.001)). Conclusion. Diabetes was associated with elevated odds of having musculoskeletal pain. Diabetes was also associated with elevated odds of having osteoarthritis, osteoporosis, and rheumatoid arthritis. The most frequent disease in individuals with diabetes was osteoarthritis. The reported pain may have negative impacts on the level of physical activity. Health-care professionals should remember to inform patients with diabetes that musculoskeletal pain, osteoarthritis, osteoporosis, and rheumatoid arthritis are not contraindications to exercise training.


Author(s):  
Elena Strippoli ◽  
Amanda Hughes ◽  
Gabriella Sebastiani ◽  
Paola Di Filippo ◽  
Angelo d’Errico

Abstract Purpose Several recent studies have suggested a ‘physical activity paradox’ whereby leisure-time physical activity benefits health, but occupational physical activity is harmful. However, other studies imply that occupational physical activity is beneficial. Using data from a nationally representative Italian sample, we investigate if the context, or domain, of physical activity matters for mortality and coronary heart disease (CHD) events. Methods Among 40,220 men and women aged 40–55 at baseline, we used Cox models to compare associations of occupational, domestic and leisure-time physical activity with risk of mortality and CHD events over a follow-up period of up to 14 years. We accounted for sociodemographic factors, smoking, body mass index (BMI), physical and mental health, and educational qualifications. Results Occupational physical activity was not significantly associated with risk of mortality or CHD events for women, or with CHD events for men. In crude models, risk of mortality was higher for men in the highest occupational activity group, compared to the lowest (HR 1.26, 95% CI 1.01, 1.57). This attenuated with adjustment for health-related behaviours, health, and education (HR 1.03, 95% CI 0.77, 1.38). In crude models, leisure-time physical activity was significantly associated with decreased mortality and CHD risk only for men. Domestic physical activity was not associated with either outcome for either gender. Conclusion In a large sample of middle-aged Italian workers, we found limited evidence of harmful or beneficial effects of occupational physical activity on mortality or CHD events. However, confidence intervals were wide, and results consistent with a range of effects in both directions.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e025150 ◽  
Author(s):  
Andreas Monnier ◽  
Helena Larsson ◽  
Håkan Nero ◽  
Mats Djupsjöbacka ◽  
Björn O Äng

ObjectivesTo evaluate the occurrence of low back pain (LBP) and LBP that limits work ability, to identify their potential early risks and to quantify occupational physical activity in Swedish Armed Forces (SwAF) marines during their basic 4 month marine training course.DesignProspective observational cohort study with weekly follow-ups.ParticipantsFifty-three SwAF marines entering the training course.OutcomesIncident of LBP and its related effect on work-ability and associated early risks. Occupational physical activity, as monitored using accelerometers and self-reports.ResultsDuring the training course, 68% of the marines experienced at least one episode of LBP. This yielded a LBP and LBP limiting work ability incidence rate of 13.5 (95% CI 10.4 to 17.8) and 6.3 (95% CI 4.2 to 10.0) episodes per 1000 person-days, respectively. Previous back pain and shorter body height (≤1.80 m) emerged as independent risks for LBP (HR 2.5, 95% CI 1.4 to 4.3; HR 2.0, 95% CI 1.2 to 3.3, respectively), as well as for LBP that limited work ability (HR 3.6, 95% CI 1.4 to 8.9; HR 4.5, 95% CI 2.0 to 10.0, respectively). Furthermore, managing fewer than four pull-ups emerged as a risk for LBP (HR 1.9, 95% CI 1.2 to 3.0), while physical training of fewer than three sessions per week emerged as a risk for LBP that limited work ability (HR 3.0, 95% CI 1.2 to 7.4). More than 80% of the work time measured was spent performing low levels of ambulation, however, combat equipment (≥17.5 kg) was carried for more than half of the work time.ConclusionsIncidents of LBP are common in SwAF marines’ early careers. The link between LBP and previous pain as well as low levels of exercise highlights the need for preventive actions early on in a marine’s career. The role of body height on LBP needs further investigation, including its relationship with body-worn equipment, before it can effectively contribute to LBP prevention.


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