ArticleInternational archives of occupational and environmental health2021
Is working in a cold environment associated with musculoskeletal complaints 7-8 years later? A longitudinal analysis from the Tromsø Study.
Article in International archives of occupational and environmental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Effect of ambient cold exposure on pain modulation: exploring individually reported thermal comfort as moderating factor in a crossover study of young adults.Scandinavian journal of pain · 2026Trial
- Construction and evaluation of a risk prediction model for work-related musculoskeletal disorders among construction workers at a hydropower station on the Qinghai-Tibet Plateau: a cross-sectional study.Frontiers in public health · 2026Article
- Musculoskeletal Disorders and Psychological and Environmental Factors Associated with Recreational and Sport Fishing: A Narrative Review.Journal of functional morphology and kinesiology · 2025Review
- Occupational cold exposure is associated with upper extremity pain.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Cold exposure and musculoskeletal conditions; A scoping review.Frontiers in physiology · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveExposure to a cold environment at work is associated with a higher prevalence of musculoskeletal pain and chronic pain in cross-sectional studies. This study aims to determine the association between working in a cold environment ≥ 25% of the time and musculoskeletal complaints (MSC) 7-8 years later.
methodsWe followed participants from the sixth survey (Tromsø 6, 2007-2008) to the seventh survey (Tromsø 7, 2015-2016) of the Tromsø Study. Analyses included 2347 men and women aged 32-60 years who were not retired and not receiving full-time disability benefits in Tromsø 6. Three different binary outcomes were investigated in Tromsø 7: any MSC, severe MSC, and MSC in ≥ 3 anatomical regions. We excluded participants with severe MSC, MSC in ≥ 3 regions, or missing values in Tromsø 6. The association between working in a cold environment and future MSC were examined using Poisson regression and adjusted for age, sex, number of moderate MSC, education, physical activity at work, smoking status, body mass index, and self-reported health in Tromsø 6.
results258 participants reported to work in a cold environment ≥ 25% of the time in Tromsø 6. They had an increased risk of having any MSC in Tromsø 7 (incidence rate ratio 1.15; 95% confidence interval 1.03-1.29). There was no significantly increased risk of severe MSC or MSC in ≥ 3 regions.
conclusionWorking in a cold environment was associated with future MSC, but not with future severe MSC or future MSC in ≥ 3 regions.
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Registered trials
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