Evidence map›Paper›PMID 41725752›Full record

SynthesisFrontiers in public health2026

Global prevalence and associated risk factors of work-related musculoskeletal disorders among steelworkers: a systematic review and meta-analysis.

Yanxiang Lan, Xingxin Zhan, Zhimeng Wang, Dongdong Jiang, Xiaojun Li, Chenchen Peng

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Yanxiang LanSchool of Public Health, Xinyu University, Xinyu, Jiangxi, China.
Xingxin ZhanSchool of Public Health, Xinyu University, Xinyu, Jiangxi, China.
Zhimeng WangSchool of Public Health, Xinjiang Medical University, Urumqi, China.
Dongdong JiangFujian Province Key Laboratory of Environment and Health, School of Public Health, Fujian Medical University, Fuzhou, Fujian, China.
Xiaojun LiSchool of Public Health, Xinyu University, Xinyu, Jiangxi, China.
Chenchen PengSchool of Public Health, Xinyu University, Xinyu, Jiangxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The prevalence of work-related musculoskeletal disorders (WMSDs) among steelworkers is high due to occupational exposures including high temperatures, vibrating tools, and intense physical loads. Given the varying prevalence estimates and associated risk factors of WMSDs among existing studies and the lack of a meta-analysis dedicated specifically to steelworkers, this meta-analysis aimed to comprehensively evaluate the prevalence of and risk factors associated with WMSDs among steelworkers. Methods: A systematic literature search of the PubMed, Web of Science, Embase, Scopus, Ovid Medline, Wanfang Data, VIP Database, China National Knowledge Infrastructure, and China Biomedical Literature Service System (SinoMed) databases for published studies reporting the prevalence of and factors associated with WMSDs among steelworkers was performed. Two reviewers independently screened citations, extracted information, and performed quality assessment of the included studies. Results: Analysis of 35 studies comprising 38,774 participants revealed an annual prevalence of WMSDs of 69.2% (95% CI 56.7%-81.7%) among steelworkers. Subgroup analysis revealed a yearly prevalence rate of WMSDs in Asian nations of 72.1% (95% CI 53.3%-91.0%), which was greater than that for non-Asian countries. The annual prevalence rates reported for 2011-2025 differed significantly from those for 2000-2010 [78.0% (95% CI 67.1%-88.8%) vs. 55.5% (95% CI 40.3%-70.7%), respectively], with lower back injury accounting for the highest annual prevalence [57.2% (95% CI 50.0%-64.5%)], followed by the shoulders and neck [44.7% (95% CI 29.4%-60.0%) and 42.1% (95% CI 27.8%-56.4%), respectively]. At most anatomical sites, except the elbow and hip/leg, the 12-month prevalence was higher than the 7-day prevalence. Risk factors for WMSDs among steelworkers included age ≥30 years, smoking, psychosocial vulnerability, night-shift work, prolonged working hours, use of vibrating tools, lifting heavy loads, low education, high-risk jobs, and poor posture. Scheduled rest breaks were a protective factor. Conclusion: Steelworkers exhibited a substantial annual prevalence of WMSDs (69.2%), predominantly affecting the lower back, neck, shoulders, and knees. Prioritized implementation of integrated interventions is critical for ergonomic tool optimization, mechanical lifting assistance, targeted health training programs, and systematic high-risk group surveillance to reduce disease burden and safeguard worker wellbeing. Systematic review registration: [https://www.crd.york.ac.uk/prospero], identifier [CRD420251065458].

Indexed as

Metal WorkersMusculoskeletal DiseasesOccupational DiseasesHumansOccupational ExposurePrevalenceRisk FactorsSteelWorking ConditionsSteelglobal prevalencemeta-analysisrisk factorssteelworkerswork-related musculoskeletal disorders

Identifiers

PMID41725752
PMCPMC12916570

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.