Factors associated with musculoskeletal symptoms in professionals working in sitting position

Authors

  • Anália Rosário Lopes Universidade Federal da Integração Latino-Americana. Instituto Latino-Americano de Ciências da Vida e da Natureza. Curso de Medicina. Foz do Iguaçu, PR, Brasil https://orcid.org/0000-0002-3822-6107
  • Celita Salmaso Trelha Universidade Estadual de Londrina. Departamento de Fisioterapia. Londrina, PR, Brasil https://orcid.org/0000-0001-5643-9002
  • Maria Lúcia do Carmo Cruz Robazzi Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Geral e Especializada. Ribeirão Preto, SP, Brasil https://orcid.org/0000-0003-2364-5787
  • Roberta Alvarenga Reis Universidade Federal do Rio Grande do Sul. Faculdade de Odontologia. Departamento de Odontologia Preventiva e Social. Porto Alegre, RS, Brasil https://orcid.org/0000-0003-3286-6071
  • Maria José Bistafa Pereira Universidade de Ribeirão Preto Campus Ribeirão. Programa de Mestrado Profissional Educação em Saúde. Ribeirão Preto, SP, Brasil https://orcid.org/0000-0002-6240-0048
  • Claudia Benedita dos Santos Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Materno Infantil e Saúde Pública. Ribeirão Preto, SP, Brasil https://orcid.org/0000-0001-7241-7508

DOI:

https://doi.org/10.11606/s1518-8787.2021055002617

Keywords:

Sedentary Lifestyle, Occupational health, Measures of association, exposure, risk or outcome, Cumulative trauma disorders, Posture, Sedentary lifestyle

Abstract

OBJECTIVE: To estimate the prevalence of musculoskeletal symptoms and analyze their associated factors in professionals from administrative sectors working predominantly in sitting position. METHODS: This is a cross-sectional study with data obtained from 451 workers from a federal public institution in Southern Brazil. The dependent variable was the number of musculoskeletal symptoms in the prior 12 months, measured using the Nordic Musculoskeletal Questionnaire. In the analyses, 19 independent variables were investigated, divided into four categories: sociodemographic, behavioral, occupational and health characteristics. Univariate analysis and multiple Poisson regression with robust variance were performed. The independent variables were inserted into blocks with stepwise backward criterion, considering the value for Wald statistics equal to 0.20. The effect measures were expressed in a relative increase (RI) in the mean value, and the data were analyzed for a 5% significance level. RESULTS: The estimated prevalence of musculoskeletal symptoms in the prior 12 months was 90% (confidence interval – 95%CI 87–93). In the final model of regression analysis, the variables female gender (RI = 14.75%), low (RI = 100.02%) and moderate (RI = 64.06%) work ability index, use of medications (RI = 48.06%) and waist circumference at risk (RI = 15.59%) had a significant association with the increase in the mean number of symptoms; schooling with technical education acted as a protective factor, reducing the mean by 36.46%. CONCLUSIONS: The high prevalence of musculoskeletal symptoms found and the associated factors indicate the need to propose specific actions and care for this population, such as immediate treatment of symptoms and changes in the organization and work environment, to achieve balance and harmony in the demands of prolonged sitting work and avoid its impact effect of this condition on public health. DESCRIPTORS: Occupational Health. Measures of Associat

References

Gomez CM, Vasconcellos LCF, Machado JMH. A brief history of worker’s health in Brazil’s Unified Health System: progress and challenges. Ciênc Saúde Colet. 2018;23(6):1963-70. https://doi.org/10.1590/1413-81232018236.04922018 [ Links ]

Jackson JM Filho, Pina JA, Vilela RGA, Souza KR. Desafios para a intervenção em saúde do trabalhador. Rev Bras Saúde Ocup. 2018;43(Supl 1):e13s. https://doi.org/10.1590/2317-6369ap0141218 [ Links ]

Campbell PT, Patel AV, Newton CC, Jacobs EJ, Gapstur SM. Associations of recreational physical activity and leisure time spent sitting with colorectal cancer survival. J Clin Oncol. 2013;31(7):876-85. https://doi.org/10.1200/JCO.2012.45.9735 [ Links ]

Chomistek AK, Manson JE, Stefanick ML, Lu B, Sands-Lincoln M, Going SB, et al. Relationship of sedentary behavior and physical activity to incident cardiovascular disease: results from the Women’s Health Initiative. J Am Coll Cardiol. 2013;61(23):2346-54. https://doi.org/10.1016/j.jacc.2013.03.031 [ Links ]

George ES, Rosenkranz RR, Kolt GS. Chronic disease and sitting time in middle-aged Australian males: findings from the 45 and Up Study. Int J Behav Nutr Phys Act. 2013;10:20. https://doi.org/10.1186/1479-5868-10-20 [ Links ]

van der Ploeg HP, Chey T, Korda RJ, Banks E, Bauman A. Sitting time and all-cause mortality risk in 222 497 Australian adults. Arch Intern Med. 2012;172(6):494-500. https://doi.org/10.1001/archinternmed.2011.2174 [ Links ]

Chau JY, Daley M, Srinivasan A, Dunn S, Bauman AE, van der Ploeg HP. Desk-based workers’ perspectives on using sit-stand workstations: a qualitative analysis of the Stand@Work study. BMC Public Health. 2014;14:752. https://doi.org/10.1186/1471-2458-14-752 [ Links ]

World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization; 2010 [cited 2020 Nov 27]. Available from: http://apps.who.int/iris/bitstream/10665/44399/1/ 9789241599979_eng.pdf [ Links ]

Pate RR, O’neill JR, Lobelo F. The evolving definition of “sedentary”. Exerc Sport Sci Rev. 2008;36(4):173-8. https://doi.org/10.1097/JES.0b013e3181877d1a [ Links ]

Mohammadipour F, Pourranjbar M, Naderi S, Rafie F. Work-related musculoskeletal disorders in Iranian office workers: prevalence and risk factors. J Med Life. 2018;11(4):328-33. https://doi.org/10.25122/jml-2018-0054 [ Links ]

Elshaer N. Prevalence and associated factors related to arm, neck and shoulder complaints in a selected sample of computer office workers. J Egypt Public Health Assoc. 2017;92(4):203-11. https://doi.org/10.21608/EPX.2018.22041 [ Links ]

Scopel J, Oliveira PAB, Wehrmeister FC. LER/DORT na terceira década da reestruturação bancária: novos fatores associados? Rev Saúde Pública. 2012;46(5):875-85. https://doi.org/10.1590/S0034-89102012000500015 [ Links ]

Pinheiro FA, Tróccoli BT, Carvalho CV. Validação do Questionário Nórdico de Sintomas Osteomusculares como medida de morbidade. Rev Saúde Pública. 2002;36(3):307-12. https://doi.org/10.1590/S0034-89102002000300008 [ Links ]

Couto HA. Ergonomia do corpo e do cérebro no trabalho. Belo Horizonte: Ergo; 2014. [ Links ]

Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A. Índice de capacidade para o trabalho. São Carlos: EdUFSCar; 2005. [ Links ]

Lima CG, Basile LG, Silveira JQ, Vieira PM, Oliveira MRM. Circunferência da cintura ou abdominal? Uma revisão crítica dos referenciais metodológicos. Rev Simbio-Logias. 2011;4(6):108-31. [ Links ]

International Diabetes Federation. The IDF consensus worldwide definition of the metabolic syndrome [Internet]. Brussels: International Diabetes Federation; 2006 [cited 2020 Jan 10]. Available from: https://www.idf.org/e-library/consensus-statements/60-idfconsensus-worldwide-definitionof-the-metabolic-syndrome.html [ Links ]

Kendall FP, McCreary EK, Provance PG. Músculos: provas e funções com postura e dor. 5a ed. São Paulo: Manole; 2007. [ Links ]

Magee DJ. Avaliação musculoesquelética. 5a ed. Barueri: Manole; 2010. [ Links ]

Lima POP, Lima AA, Coelho ACS, Lima YL, Almeida GPLA, Bezerra MA, et al. Biomechanical differences in Brazilian jiu-jitsu athletes: the role of combat style. Int J Sports Phys Ther. 2017;12(1):67-74. [ Links ]

Pollock ML, Wilmore JH. Exercícios na saúde e na doença: avaliação e prescrição para prevenção e reabilitação. 2a ed. Rio de Janeiro: Medsi; 1993. [ Links ]

Barros AJD, Hirakata V. Alternatives for logistic regression in cross sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;3:21. https://doi.org/10.1186/1471-2288-3-21 [ Links ]

Cardoso RK, Rombaldi AJ, Silva MC. Osteomuscular disorders and associated factors among solid waste collectors of two middle-sized cities from the South of Brazil. Rev Dor. 2014;15(1):13-6. https://doi.org/10.5935/1806-0013.20140004 [ Links ]

Vitta A, Canocini AA, Conti MHS, Simeão SFAP. Prevalência e fatores associados à dor musculoesquelética em profissionais de atividades sedentárias. Fisioter Mov. 2012;25(2):273-80. https://doi.org/10.1590/S0103-51502012000200004 [ Links ]

Magnago TSBS, Lisboa MTL, Griep RH, Kirchhof ALC, Camponogara S, Nonnenmacher CQ, Vieira LB. Condições de trabalho, características sociodemográficas e distúrbios musculoesqueléticos em trabalhadores de enfermagem. Acta Paul Enferm. 2010;23(2):187-93. https://doi.org/10.1590/S0103-21002010000200006 [ Links ]

Iunes DH, Duarte ML, Pereira LV, Nascimento MC, Dionisio VC. Evaluation of musculoskeletal symptoms and of work ability in a higher education institution. Fisioter Mov. 2015;28(2):297-306. https://doi.org/10.1590/0103-5150.028.002.AO10 [ Links ]

Walsh IAP, Corral S, Franco RN, Canetti EEF, Alem MER, Coury HJCG. Capacidade para o trabalho em indivíduos com lesões músculo-esqueléticas crônicas. Rev Saúde Pública. 2004;38(2):149-56. https://doi.org/10.1590/S0034-89102004000200001 [ Links ]

Martinez MC, Latorre MRDO. Saúde e capacidade para o trabalho em trabalhadores de área administrativa. Rev Saúde Pública. 2006;40(5):851-8. https://doi.org/10.1590/S0034-89102006000600015 [ Links ]

Souza DBO, Martins LV, Marcolino AM, Barbosa RI, Tamanini G, Fonseca MCR. Capacidade para o trabalho e sintomas osteomusculares em trabalhadores de um hospital público. Fisioter Pesqui. 2015;22(2):182-90. https://doi.org/10.590/1809-2950/14123722022015 [ Links ]

Sá K, Baptista AF, Matos MA, Lessa I. Prevalência de dor crônica e fatores associados na população de Salvador, Bahia. Rev Saúde Pública. 2009;43(4):622-30. https://doi.org/10.1590/S0034-89102009005000032 [ Links ]

Published

2021-04-02

Issue

Section

Original Articles

How to Cite

Lopes, A. R., Trelha, C. S. ., Robazzi, M. L. do C. C., Reis, R. A., Pereira, M. J. B., & Santos, C. B. dos. (2021). Factors associated with musculoskeletal symptoms in professionals working in sitting position. Revista De Saúde Pública, 55, 2. https://doi.org/10.11606/s1518-8787.2021055002617