Are forward bending of the trunk and low back pain associated among Danish blue-collar workers? A cross-sectional field study based on objective measures

Ergonomics. 2015;58(2):246-58. doi: 10.1080/00140139.2014.969783. Epub 2014 Nov 6.

Abstract

The aim of this cross-sectional study was to investigate the association between the duration of objectively measured forward bending of the trunk and low back pain (LBP) intensity among 198 Danish blue-collar workers (male = 115; female = 83). The duration of forward bending of ≥ 30°, ≥ 60° and ≥ 90° was divided into high (the highest tertile) and low-moderate (the remaining tertiles) categories. High (>5) and low ( ≤ 5) pain intensities were categorised from a self-reported 0-9 scale. Results of multi-adjusted logistic regressions indicated no significant positive associations between forward bending and LBP intensity. On the contrary, higher duration of forward bending of ≥ 30° was associated with lower LBP intensity during all day (OR = 0.40; 95% CI, 0.15-1.02; p = 0.05) and work (OR = 0.44; 95% CI, 0.17-1.15; p = 0.09). This indication of a negative association may be explained by fear-avoidance behaviour of the blue-collar worker, job crafting or healthy worker effect.

Keywords: accelerometry; body posture; diurnal measurements; inclination; musculoskeletal disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Denmark / epidemiology
  • Diagnostic Self Evaluation
  • Female
  • Humans
  • Lifting / adverse effects
  • Logistic Models
  • Low Back Pain / epidemiology
  • Low Back Pain / etiology*
  • Low Back Pain / physiopathology
  • Male
  • Middle Aged
  • Movement*
  • Occupational Diseases / epidemiology
  • Occupational Diseases / etiology*
  • Occupational Diseases / physiopathology
  • Pain Measurement
  • Posture*
  • Prevalence
  • Risk Factors
  • Torso / physiopathology
  • Work / physiology*