ArticleInternational journal of environmental research and public health2020
Poor Sleep Is a Risk Factor for Low-Back Pain among Healthcare Workers: Prospective Cohort Study.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 29 citations in OpenAlex.
- Work-Related Fear-Avoidance Beliefs and Risk of Low-Back Pain: Prospective Cohort Study Among Healthcare Workers.Journal of occupational rehabilitation · 2025Article
- Risk Factors for Chronic Lower Back Pain among Older Workers: A Prospective Cohort Study.Physical therapy research · 2024Article
- Bidirectional relationship between pain and sleep disturbance in middle-aged and older adults: evidence from the China health and retirement longitudinal study.Frontiers in psychiatry · 2024Article
- A scoping review of sleep education and training for nurses.International journal of nursing studies · 2023Article
- An Exploration of the Influence of Non-Biomechanical Factors on Lifting-Related LBP.International journal of environmental research and public health · 2023Article
- Prevalence of low back pain among medical doctors of the teaching hospitals in Karachi, Pakistan: A cross-sectional survey.SAGE open medicine · 2023Article
- Article
- Low back pain and its correlations with poor sleep quality among health care providers.Journal of Taibah University Medical Sciences · 2022Article
- Effects of Mobile App-Based Mindfulness Practice on Healthcare Workers: a Randomized Active Controlled Trial.Mindfulness · 2022Article
- Physical exposure during patient transfer and risk of back injury & low-back pain: prospective cohort study.BMC musculoskeletal disorders · 2020Article
- Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study.Frontiers in public health · 2020Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aimed to investigate the association between poor sleep and risk of low-back pain (LBP) in healthcare workers. Using a prospective cohort design with 1-year follow-up, a total of 1955 healthcare workers (60% nurses) from 389 departments at 19 hospitals responded to questionnaires containing items related to lifestyle, health, and working environment. Associations between sleep scores (0-100) at baseline and LBP intensity (0-10) at follow-up were modelled using cumulative logistic regression accounting for clustering at the department level and adjusted for lifestyle and psychosocial confounders. In the full population of healthcare workers, 43.9% and 24.4% experienced moderate and poor sleep, respectively. In the fully adjusted model with good sleep as reference, moderate, and poor sleep increased the risk of LBP at follow-up, with odds ratios (OR's) of 1.66 (95% confidence interval (CI) 1.35-2.04) and 2.05 (95% CI 1.57-2.69), respectively. Three sensitivity analyses including healthcare workers free from LBP, nurses, and nurses free from LBP at baseline, respectively, yielded similar results. In conclusion, poor sleep constitutes a potent risk factor for LBP among healthcare workers. The presented results provide strong incentives to evaluate and weigh current prevention policies against an updated biopsychosocial framework.
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