ArticleScandinavian journal of work, environment & health2022
Does occupational forward bending of the back increase long-term sickness absence risk? A 4-year prospective register-based study using device-measured compositional data analysis.
Article in Scandinavian journal of work, environment & health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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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
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Use of Wearable Systems for Assessing Work-Related Risks Related to the Musculoskeletal System-A Systematic Review.International journal of environmental research and public health · 2024Pooled it
- Can home care work be organized to promote musculoskeletal health for workers? Results from the GoldiCare cluster randomized controlled trial.BMC health services research · 2025Trial
- Occupational physical behaviors and knee pain among eldercare workers: A prospective accelerometer study.Scandinavian journal of work, environment & health · 2026Article
- Trunk and upper arm postures and movements among older workers in physically demanding occupations.Annals of work exposures and health · 2026Article
- Article
- Prospective associations between 24-h device-measured occupational and leisure-time physical activity and register-based musculoskeletal-related primary healthcare utilization among Danish workers.Scientific reports · 2025Article
- Effects of psychosocial factors on Swedish waste collectors musculoskeletal pain through the mediating roles of occupational fatigue and physical demands: a structural equation model.BMC public health · 2025Article
- Reliability and Accuracy of Standard Reference Procedures for Measurements of Trunk and Arm Postures in Ergonomics.Bioengineering (Basel, Switzerland) · 2025Article
- Occupational Physical Activity Among Pregnant Employees in the Danish Workforce: The PRECISE Occupational Cohort Profile.Clinical epidemiology · 2025Article
- Effectiveness of Sensors-Based Augmented Feedback in Ergonomics to Reduce Adverse Biomechanical Exposure in Work-Related Manual Handling-A Rapid Review of the Evidence.Sensors (Basel, Switzerland) · 2024Review
- What have we learned about risk assessment and interventions to prevent work-related musculoskeletal disorders and support work participation?Scandinavian journal of work, environment & health · 2024Review
- Association between musculoskeletal pain and exposures to awkward postures during work: a compositional analysis approach.Annals of work exposures and health · 2024Article
- A Rapid Review on the Effectiveness and Use of Wearable Biofeedback Motion Capture Systems in Ergonomics to Mitigate Adverse Postures and Movements of the Upper Body.Sensors (Basel, Switzerland) · 2024Review
- Is patients' activities of daily living self-care score in Norwegian home care a proxy for workers standing at work?BMC health services research · 2024Article
- The impact of leisure-time physical activity and occupational physical activity on sickness absence. A prospective study among people with physically demanding jobs.Scandinavian journal of work, environment & health · 2023Article
- The association between reallocations of time and health using compositional data analysis: a systematic scoping review with an interactive data exploration interface.The international journal of behavioral nutrition and physical activity · 2023Article
- The Effect of Corrective and Encouraging Accumulated Vibrotactile Feedback on Work Technique Training and Motivation-A Pilot Study.International journal of environmental research and public health · 2023Article
- Physical Work Demands of Maintenance Workers on Onshore Petroleum Facilities in Norway: An Observational Study Utilizing Wearable Sensor Technology.Annals of work exposures and health · 2023Observational
- Does it matter for health if steps are taken during work or leisure? A prospective accelerometer study using register-based long-term sickness absence.The international journal of behavioral nutrition and physical activity · 2023Article
- Wearable Motion Capture Devices for the Prevention of Work-Related Musculoskeletal Disorders in Ergonomics-An Overview of Current Applications, Challenges, and Future Opportunities.Sensors (Basel, Switzerland) · 2023Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveForward bending of the back is common in many jobs and a risk factor for sickness absence. However, this knowledge is based on self-reported forward bending that is generally imprecise. Thus, we aimed to investigate the dose-response relation between device-measured forward bending at work and prospective register-based risk of long-term sickness absence (LTSA).
methodsAt baseline, 944 workers (93% from blue-collar jobs) wore accelerometers on their upper back and thigh over 1-6 workdays to measure worktime with forward bending (>30˚ and >60˚) and body positions. The first event of LTSA (≥6 consecutive weeks) over a 4-year follow-up were retrieved from a national register. Compositional Cox proportional hazard analyses were used to model the association between worktime with forward bending of the back in an upright body position and LTSA adjusted for age, sex, body mass index (BMI), occupational lifting/carrying, type of work, and, in an additional step, for leisure time physical activity (PA) on workdays.
resultsDuring a mean worktime of 457 minutes/day, the workers on average spent 40 and 10 minutes on forward bending >30˚ and >60˚ in the upright position, respectively. Five more minutes forward bending >30˚ and >60˚ at work were associated with a 4% [95% confidence interval (CI) 1.01-1.07] and 8% (95% CI 1.01-1.16) higher LTSA risk, respectively. Adjustment for leisure-time PA did not influence the results.
conclusionWe found a dose-response association between device-measured forward bending of the back and prospective LTSA risk. This knowledge can be integrated into available feasible methods to measure forward bending of the back for improved workplace risk assessment and prevention.
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