Evidence map›Paper›PMID 41948023›Full record

SynthesisFrontiers in public health2026

Work-related musculoskeletal disorders among gig-based food delivery workers: a systematic review and meta-analysis.

Yousef Alrashidi, Shyamkumar Sriram, Mohammed A Beek, Hammad A Fadlalmola, Muayad Albadrani

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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

5 authors.

Yousef AlrashidiDepartment of General and specialized surgery, College of Medicine, Taibah University, Madinah, Saudi Arabia.
Shyamkumar SriramDepartment of Rehabilitation and Health Services, College of Health and Public Service, University of North Texas, Denton, TX, United States.
Mohammed A BeekCollege of Medicine, Taibah University, Madinah, Saudi Arabia.
Hammad A FadlalmolaDepartment of Community Health Nursing, Nursing College, Taibah University, Madinah, Saudi Arabia.
Muayad AlbadraniDepartment of Family and Community Medicine and Medical Education, College of Medicine, Taibah University, Madinah, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The digital economy has spurred gig work, especially in food delivery, which grew during COVID-19. However, gig workers face occupational hazards like traffic accidents, poor ergonomics, and unsafe conditions, leading to work-related musculoskeletal disorders (WMSDs). Studies show high rates of back and neck pain among delivery riders due to physical strain, repetitive motions, and long hours. WMSDs reduce productivity and increase healthcare costs. This review examines WMSD prevalence, risk factors, and related issues like accidents and violence among food delivery workers. Methods: We searched for relevant articles up to June 2025 from PubMed, Scopus, and Web of Science. Two independent reviewers extracted data from the selected studies, including baseline information, outcomes, and prevalence of WMSDs. All data analyses were performed using R version 4.3.3. Results: After removing 1,013 duplicate records, we retained 1,279 for screening. Following a thorough review, we identified 23 eligible entries for inclusion in our study. As per our analysis, delivery workers face high injury prevalence: lower back (43%), shoulder (39%), neck (30%), upper back (24%), and RTA (25%). Risk factors include gig economy systemic vulnerabilities, prolonged static postures, vibration exposure, open-door vehicles, and dangerous traffic practices. Different forms of violence (physical, verbal, and psychological) affected delivery workers, while exploitation and discrimination were particularly evident among minorities. Conclusion: This review demonstrated a high burden of WMSDs among delivery workers, who face serious hazards like injuries, accidents, and violence due to precarious gig economy conditions, time pressures, and poor safety measures. This study provides the first quantitative pooled estimates of WMSD prevalence among food delivery workers, along with an additional narrative synthesis of traffic accidents and workplace violence.

Indexed as

Musculoskeletal DiseasesOccupational DiseasesHumansPrevalenceRisk FactorsWorking Conditionsfood delivery workersgig economymeta-analysisoccupational hazardsoccupational medicineprevalencesystematic reviewwork-related musculoskeletal disorders

Identifiers

PMID41948023
PMCPMC13050918

What OpenQuestion holds

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LicenceCC BY
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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.