26
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Factors associated with musculoskeletal symptoms in professionals working in sitting position

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          ABSTRACT

          OBJECTIVE

          To estimate the prevalence of musculoskeletal symptoms and analyze their associated factors in professionals from administrative sectors working predominantly in sitting position.

          METHODS

          This is a cross-sectional study with data obtained from 451 workers from a federal public institution in Southern Brazil. The dependent variable was the number of musculoskeletal symptoms in the prior 12 months, measured using the Nordic Musculoskeletal Questionnaire. In the analyses, 19 independent variables were investigated, divided into four categories: sociodemographic, behavioral, occupational and health characteristics. Univariate analysis and multiple Poisson regression with robust variance were performed. The independent variables were inserted into blocks with stepwise backward criterion, considering the value for Wald statistics equal to 0.20. The effect measures were expressed in a relative increase (RI) in the mean value, and the data were analyzed for a 5% significance level.

          RESULTS

          The estimated prevalence of musculoskeletal symptoms in the prior 12 months was 90% (confidence interval – 95%CI 87–93). In the final model of regression analysis, the variables female gender (RI = 14.75%), low (RI = 100.02%) and moderate (RI = 64.06%) work ability index, use of medications (RI = 48.06%) and waist circumference at risk (RI = 15.59%) had a significant association with the increase in the mean number of symptoms; schooling with technical education acted as a protective factor, reducing the mean by 36.46%.

          CONCLUSIONS

          The high prevalence of musculoskeletal symptoms found and the associated factors indicate the need to propose specific actions and care for this population, such as immediate treatment of symptoms and changes in the organization and work environment, to achieve balance and harmony in the demands of prolonged sitting work and avoid its impact effect of this condition on public health.

          Related collections

          Most cited references34

          • Record: found
          • Abstract: found
          • Article: not found

          Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio

          Background Cross-sectional studies with binary outcomes analyzed by logistic regression are frequent in the epidemiological literature. However, the odds ratio can importantly overestimate the prevalence ratio, the measure of choice in these studies. Also, controlling for confounding is not equivalent for the two measures. In this paper we explore alternatives for modeling data of such studies with techniques that directly estimate the prevalence ratio. Methods We compared Cox regression with constant time at risk, Poisson regression and log-binomial regression against the standard Mantel-Haenszel estimators. Models with robust variance estimators in Cox and Poisson regressions and variance corrected by the scale parameter in Poisson regression were also evaluated. Results Three outcomes, from a cross-sectional study carried out in Pelotas, Brazil, with different levels of prevalence were explored: weight-for-age deficit (4%), asthma (31%) and mother in a paid job (52%). Unadjusted Cox/Poisson regression and Poisson regression with scale parameter adjusted by deviance performed worst in terms of interval estimates. Poisson regression with scale parameter adjusted by χ2 showed variable performance depending on the outcome prevalence. Cox/Poisson regression with robust variance, and log-binomial regression performed equally well when the model was correctly specified. Conclusions Cox or Poisson regression with robust variance and log-binomial regression provide correct estimates and are a better alternative for the analysis of cross-sectional studies with binary outcomes than logistic regression, since the prevalence ratio is more interpretable and easier to communicate to non-specialists than the odds ratio. However, precautions are needed to avoid estimation problems in specific situations.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Sitting time and all-cause mortality risk in 222 497 Australian adults.

            Prolonged sitting is considered detrimental to health, but evidence regarding the independent relationship of total sitting time with all-cause mortality is limited. This study aimed to determine the independent relationship of sitting time with all-cause mortality. We linked prospective questionnaire data from 222 497 individuals 45 years or older from the 45 and Up Study to mortality data from the New South Wales Registry of Births, Deaths, and Marriages (Australia) from February 1, 2006, through December 31, 2010. Cox proportional hazards models examined all-cause mortality in relation to sitting time, adjusting for potential confounders that included sex, age, education, urban/rural residence, physical activity, body mass index, smoking status, self-rated health, and disability. During 621 695 person-years of follow-up (mean follow-up, 2.8 years), 5405 deaths were registered. All-cause mortality hazard ratios were 1.02 (95% CI, 0.95-1.09), 1.15 (1.06-1.25), and 1.40 (1.27-1.55) for 4 to less than 8, 8 to less than 11, and 11 or more h/d of sitting, respectively, compared with less than 4 h/d, adjusting for physical activity and other confounders. The population-attributable fraction for sitting was 6.9%. The association between sitting and all-cause mortality appeared consistent across the sexes, age groups, body mass index categories, and physical activity levels and across healthy participants compared with participants with preexisting cardiovascular disease or diabetes mellitus. Prolonged sitting is a risk factor for all-cause mortality, independent of physical activity. Public health programs should focus on reducing sitting time in addition to increasing physical activity levels.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              The evolving definition of "sedentary".

              Studies that did not directly measure sedentary behavior often have been used to draw conclusions about the health effects of sedentariness. Future claims about the effects of sedentary, light, and moderate-to-vigorous activities on health outcomes should be supported by data from studies in which all levels of physical activity are differentiated clearly and measured independently.
                Bookmark

                Author and article information

                Journal
                Rev Saude Publica
                Rev Saude Publica
                rsp
                Revista de Saúde Pública
                Faculdade de Saúde Pública da Universidade de São Paulo
                0034-8910
                1518-8787
                26 March 2021
                2021
                : 55
                : 2
                Affiliations
                [I ] orgnameUniversidade Federal da Integração Latino-Americana orgdiv1Instituto Latino-Americano de Ciências da Vida e da Natureza Foz do Iguaçu PR Brasil originalUniversidade Federal da Integração Latino-Americana. Instituto Latino-Americano de Ciências da Vida e da Natureza. Curso de Medicina. Foz do Iguaçu, PR, Brasil
                [II ] orgnameUniversidade Estadual de Londrina orgdiv1Departamento de Fisioterapia Londrina PR Brasil originalUniversidade Estadual de Londrina. Departamento de Fisioterapia. Londrina, PR, Brasil
                [III ] orgnameUniversidade de São Paulo orgdiv1Escola de Enfermagem de Ribeirão Preto orgdiv2Departamento de Enfermagem Geral e Especializada Ribeirão Preto SP Brasil originalUniversidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Geral e Especializada. Ribeirão Preto, SP, Brasil
                [IV ] orgnameUniversidade Federal do Rio Grande do Sul orgdiv1Faculdade de Odontologia orgdiv2Departamento de Odontologia Preventiva e Social Porto Alegre RS Brasil originalUniversidade Federal do Rio Grande do Sul. Faculdade de Odontologia. Departamento de Odontologia Preventiva e Social. Porto Alegre, RS, Brasil
                [V ] orgnameUniversidade de Ribeirão Preto orgdiv1Programa de Mestrado Profissional Educação em Saúde Ribeirão Preto SP Brasil originalUniversidade de Ribeirão Preto Campus Ribeirão. Programa de Mestrado Profissional Educação em Saúde. Ribeirão Preto, SP, Brasil
                [VI ] orgnameUniversidade de São Paulo orgdiv1Escola de Enfermagem de Ribeirão Preto orgdiv2Departamento de Enfermagem Materno Infantil e Saúde Pública Ribeirão Preto SP Brasil originalUniversidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Materno Infantil e Saúde Pública. Ribeirão Preto, SP, Brasil
                [I ] Brasil originalUniversidade Federal da Integração Latino-Americana. Instituto Latino-Americano de Ciências da Vida e da Natureza. Curso de Medicina. Foz do Iguaçu, PR, Brasil
                [II ] Brasil original Universidade Estadual de Londrina. Departamento de Fisioterapia. Londrina, PR, Brasil
                [III ] Brasil originalUniversidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Geral e Especializada. Ribeirão Preto, SP, Brasil
                [IV ] Brasil original Universidade Federal do Rio Grande do Sul. Faculdade de Odontologia. Departamento de Odontologia Preventiva e Social. Porto Alegre, RS, Brasil
                [V ] Brasil originalUniversidade de Ribeirão Preto Campus Ribeirão. Programa de Mestrado Profissional Educação em Saúde. Ribeirão Preto, SP, Brasil
                [VI ] Brasil originalUniversidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Materno Infantil e Saúde Pública. Ribeirão Preto, SP, Brasil
                Author notes
                Correspondence: Anália Rosário Lopes Universidade Federal da Integração Latino-Americana Av. Tarquínio Joslin dos Santos, n.1000, Jardim Universitário. 85870-901, Foz do Iguaçu, PR, Brasil E-mail: analia.lopes@ 123456unila.edu.br

                Authors’ Contribution: Study conception and planning: ARL, CBS, CST, MLCCR. Data collection, analysis, and interpretation: ARL, CBS, CST, MLCCR, RAR, MJBP. Writing and revision of the manuscript: ARL, CBS, CST, MLCCR, RAR, MJBP. All authors approved the final version and take public responsibility for its content.

                Conflict of Interest: The authors declare no conflict of interest.

                Correspondência: Anália Rosário Lopes Universidade Federal da Integração Latino-Americana Av. Tarquínio Joslin dos Santos, n.1000, Jardim Universitário. 85870-901, Foz do Iguaçu, PR, Brasil E-mail: analia.lopes@unila.edu.br

                Contribuição dos Autores: Concepção e planejamento do estudo: ARL, CBS, CST, MLCCR. Coleta, análise e interpretação dos dados: ARL, CBS, CST, MLCCR, RAR, MJBP. Elaboração e revisão do manuscrito: ARL, CBS, CST, MLCCR, RAR, MJBP. Aprovação da versão final e responsabilidade pública pelo conteúdo do artigo: todos os autores.

                Conflito de Interesses: Os autores declaram não haver conflito de interesses.

                Author information
                https://orcid.org/0000-0002-3822-6107
                https://orcid.org/0000-0001-5643-9002
                https://orcid.org/0000-0003-2364-5787
                https://orcid.org/0000-0003-3286-6071
                https://orcid.org/0000-0002-6240-0048
                https://orcid.org/0000-0001-7241-7508
                Article
                00200
                10.11606/s1518-8787.2021055002617
                8009318
                33825797
                6441e04f-1479-4740-ab76-3b55ffdcba61

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 6 May 2020
                : 1 July 2020
                Page count
                Figures: 0, Tables: 10, Equations: 0, References: 30
                Funding
                Funded by: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
                Award ID: 001
                Funding: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes – Doctoral grant to ARL – Financing code 001).
                Categories
                Original Article

                occupational health,measures of association, exposure, risk or outcome,cumulative trauma disorders,posture,sedentary lifestyle

                Comments

                Comment on this article

                scite_
                0
                0
                0
                0
                Smart Citations
                0
                0
                0
                0
                Citing PublicationsSupportingMentioningContrasting
                View Citations

                See how this article has been cited at scite.ai

                scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.

                Similar content304

                Cited by3

                Most referenced authors414