Physical Load during Work and Leisure Time as Risk Factors for Back Pain

This systematic review assessed aspects of physical load during work and leisure time as risk factors for back pain. Several reviews on this topic are available, but this one is based on a strict systematic approach to identify and summarize the evidence, comparable with that applied in the clinical...

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Bibliographic Details
Published in:Scandinavian Journal of Work, Environment ＆ Health Environment ＆ Health, 1999-10, Vol.25 (5), p.387-403
Main Authors: Hoogendoorn, Wilhelmina E, van Poppel, Mireille NM, Bongers, Paulien M, Koes, Bart W, Bouter, Lex M
Format: Article
Language:English
Subjects:
Adult
Athletic Injuries - epidemiology
Athletic Injuries - etiology
Back pain
Back Pain - epidemiology
Back Pain - etiology
Case-Control Studies
Cohort Studies
Epidemiology
Exercise
Female
Health outcomes
Humans
Incidence
Leisure time
Life Style
loading
Low back pain
Male
Middle Aged
Netherlands - epidemiology
Occupational Diseases - epidemiology
Occupational Diseases - etiology
Pain
physical activity
Physical Exertion
Predisposing factors
Questionnaires
Referents
Reviews
Risk Assessment
Risk Factors
Weight-Bearing
Workload
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Summary:This systematic review assessed aspects of physical load during work and leisure time as risk factors for back pain. Several reviews on this topic are available, but this one is based on a strict systematic approach to identify and summarize the evidence, comparable with that applied in the clinical literature on the efficacy of intervention for back pain. A computerized bibliographical search was made of several data bases for studies with a cohort or casereferent design. Cross-sectional studies were excluded. A rating system was used to assess the strength of the evidence, based on the methodological quality of 28 cohort and 3 case-referent studies and the consistency of the findings. Strong evidence exists for manual materials handling, bending and twisting, and whole-body vibration as risk factors for back pain. The evidence was moderate for patient handling and heavy physical work, and no evidence was found for standing or walking, sitting, sports, and total leisure-time physical activity.
ISSN:0355-3140
1795-990X
DOI:10.5271/sjweh.451