Evidence map›Paper›PMID 40289235›Full record

ArticleScientific reports2025

Mixed adverse ergonomic factors exposure in relation to work-related musculoskeletal disorders: a multicenter cross-sectional study of Chinese medical personnel.

Fei Liu, Yongxian Duan, Zhongxu Wang, Ruijie Ling, Qing Xu, Jingzhi Sun, Yimin Liu, Yan Yang, Gang Li, Huadong Zhang and 10 more

Abstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Fei Liu *Hubei Provincial Hospital of Integrated Chinese and Western Medicine (Hubei Provincial Hospital of Occupational Diseases), Wuhan, 430015, China.
Yongxian Duan *Department of Environmental Hygiene and Occupational Medicine, School of Public Health, Wuhan University of Science and Technology, Wuhan, 430065, China.
Zhongxu WangNational Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, 102206, China.
Ruijie LingHubei Provincial Hospital of Integrated Chinese and Western Medicine (Hubei Provincial Hospital of Occupational Diseases), Wuhan, 430015, China.
Qing XuNational Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, 102206, China.
Jingzhi SunHubei Provincial Hospital of Integrated Chinese and Western Medicine (Hubei Provincial Hospital of Occupational Diseases), Wuhan, 430015, China.
Yimin LiuGuangzhou Twelfth People's Hospital Affiliated to Guangzhou Medical University, Guangzhou, 510620, China.
Yan YangGuangzhou Twelfth People's Hospital Affiliated to Guangzhou Medical University, Guangzhou, 510620, China.
Gang LiLiaoning Provincial Health Service Center, Shenyang, 110023, China.
Huadong ZhangChongqing Center for Disease Control and Prevention, Chongqing, 400042, China.
Dongxia LiGuizhou Prevention and Treatment Institute for Occupational Disease, Guiyang, 550008, China.
Rugang WangBeijing Center for Disease Control and Prevention, Beijing, 100050, China.
Jing LiuTianjin Center for Disease Control and Prevention, Tianjin, 300022, China.
Tianlai LiShaanxi Provincial Center for Disease Control and Prevention, Xian, 710054, China.
Jixiang LiuNingxia Provincial Center for Disease Control and Prevention, Yinchuan, 750003, China.
Xingyue GengDepartment of Environmental Hygiene and Occupational Medicine, School of Public Health, Wuhan University of Science and Technology, Wuhan, 430065, China.
Wenxuan XiongDepartment of Environmental Hygiene and Occupational Medicine, School of Public Health, Wuhan University of Science and Technology, Wuhan, 430065, China.
Zhuoya LiDepartment of Environmental Hygiene and Occupational Medicine, School of Public Health, Wuhan University of Science and Technology, Wuhan, 430065, China.
Ning JiaNational Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, 102206, China. jianing@niohp.chinacdc.cn.
Chuansha WuDepartment of Environmental Hygiene and Occupational Medicine, School of Public Health, Wuhan University of Science and Technology, Wuhan, 430065, China. wuchuansha@wust.edu.cn.

Funding

Joint Foundation of Hubei Provincial Key Laboratory of Occupational Hazard Identification and Control JF2024-Y25National Key R&D Program - Research on Key Technologies and Intervention Strategies for the Prevention and Control of Work-related Diseases and Occupational Injuries 2022YFC2503205Occupational Health Risk Assessment and National Occupational Health Standard Formulation of National Institute of Occupational Health and Poison Control 131031109000150003Occupational Health Risk Assessment and the National Occupational Health Standard Formulation of the National Institute of Occupational Health and Poison Control 102393220020090000020Open Fund Project of Hubei Provincial Key Laboratory of Occupational Hazard Identification and Control OHIC2023Y06
6 · The paper itself

Abstract

Exposure to adverse ergonomic factors is associated with elevated risk of work-related musculoskeletal disorders (WMSDs) in medical personnel. We aimed to reveal how different adverse ergonomic factors act individually and in combination to influence the risk of WMSDs in medical personnel. From June 2018 to December 2020, we applied multistage cluster random sampling to select a total of 6,099 medical personnel from 54 hospitals in 12 cities in China. All participants were aged over 18 years and had at least one year of hospital working experience. The weighted quantile sum (WQS) model was employed to evaluate the effect of mixed exposures of multiple adverse ergonomic factors on the risk of WMSDs. Compared to a single factor, multiple adverse ergonomic factors significantly increased the risk of WMSDs across body parts, with an OR ranging from 2.83 (95% CI: 2.33, 3.43) to 6.92 (95% CI: 4.91, 9.74). "Working in awkward positions" had the greatest impact on the risk of WMSDs in the neck, shoulder, upper back, and lower back, while "standing for prolonged periods of time" mostly affected the risk of WMSDs in the foot, leg, and knee. Compared with single factor exposure, mixed exposure resulted in a higher risk of WMSDs.

Indexed as

ErgonomicsHealth PersonnelMusculoskeletal DiseasesOccupational DiseasesOccupational ExposureAdultChinaCross-Sectional StudiesEast Asian PeopleFemaleHumansMaleMiddle AgedRisk FactorsAdverse ergonomic factorsMedical personnelMixed exposureWMSDs

Identifiers

PMID40289235
PMCPMC12034785

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.