Association between lifting and use of medication for low back pain: results from the backworks prospective cohort study

Details

• Personal Author:
  Bloswick D ; Boda S ; Foster JC ; Garg, Arun ; Hegmann KT ; Kapellusch JM ; Malloy EJ ; Merryweather A ; Moore, J. Steven ; Thiese MS ; Tomich S
• Description:
  Objective: To evaluate relationships between lifting and lowering of loads and risk of low back pain resulting in medication use (M-LBP). Methods: At baseline, worker demographics, psychosocial factors, hobbies, LBP history, and lifting and lowering (quantified using the Revised NIOSH Lifting Equation) were assessed. A cohort of 258 incident-eligible workers was followed up for 4.5 years to determine new M-LBP cases and changes in lifting/lowering requirements. Proportional hazards regression with time-varying covariates was used to model associations. Results: Factors predicting M-LBP included peak lifting index (PLI) and composite lifting index (PCLI), LBP history, anxiety, and housework. In adjusted models, PLI and PCLI showed exposure-response relationships with peak hazard ratios of 3.8 and 4.3, respectively (P = 0.02). Conclusions: Lifting of loads is associated with increased risk of M-LBP. The PLI and PCLI are useful metrics for estimating the risk of M-LBP from lifting. [Description provided by NIOSH]
• Subjects:
  Demography Men Musculoskeletal Diseases Musculoskeletal System Occupational Health Risk Assessment Risk Factors Safety Women
• Keywords:
  Back-injuries Demographic-characteristics Exposure-levels Humans Injuries Musculoskeletal-system Musculoskeletal-system-disorders Risk-factors Sociological-factors Workers
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Grant
• Genre:
  Journal Article
• Place as Subject:
  District of Columbia ; OSHA Region 3 ; OSHA Region 5 ; OSHA Region 6 ; OSHA Region 8 ; Texas ; Utah ; Wisconsin
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  56
• Issue:
  8
• NIOSHTIC Number:
  nn:20044834
• Citation:
  J Occup Environ Med 2014 Aug; 56(8):867-877
• Contact Point Address:
  Jay M. Kapellusch, PhD, Department of Occupational Science and Technology, University of Wisconsin-Milwaukee, PO Box 413, Milwaukee, WI 53201
• Federal Fiscal Year:
  2014
• Performing Organization:
  University of Wisconsin Milwaukee
• Peer Reviewed:
  True
• Start Date:
  20030930
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20070929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:efd5cf07b3f5485a83cdb97f7ed9792b2c4d860989d30631db04e68a80af6214893e8d3bec7aaf3bc83c665c1b4aa2410173143faed03edfa4e2ebb269367265
• Download URL:
  https://stacks.cdc.gov/view/cdc/200454/cdc_200454_DS1.pdf
• File Type:
  [PDF - 243.23 KB ]