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    Associations of occupational standing with musculoskeletal symptoms: A systematic review with meta-analysis

    247228.pdf (1.346Mb)
    Access Status
    Open access
    Authors
    Coenen, Pieter
    Willenberg, L.
    Parry, Sharon
    Shi, J.
    Romero, L.
    Blackwood, Diana
    Maher, C.
    Healy, Genevieve
    Dunstan, D.
    Straker, Leon
    Date
    2016
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Coenen, P. and Willenberg, L. and Parry, S. and Shi, J. and Romero, L. and Blackwood, D. and Maher, C. et al. 2016. Associations of occupational standing with musculoskeletal symptoms: A systematic review with meta-analysis. British Journal of Sports Medicine. 52 (3): pp. 174-181.
    Source Title
    British Journal of Sports Medicine
    DOI
    10.1136/bjsports-2016-096795
    ISSN
    0306-3674
    School
    School of Physiotherapy and Exercise Science
    Remarks

    This article has been accepted for publication in British Journal of Sports Medicine following peer review. The definitive copyedited, typeset version Coenen, P. and Willenberg, L. and Parry, S. and Shi, J. and Romero, L. and Blackwood, D. and Maher, C. et al. 2016. Associations of occupational standing with musculoskeletal symptoms: A systematic review with meta-analysis. British Journal of Sports Medicine. [In Press]. Available at www.http://bjsm.bmj.com/.com

    URI
    http://hdl.handle.net/20.500.11937/7878
    Collection
    • Curtin Research Publications
    Abstract

    Objective Given the high exposure to occupational standing in specific occupations, and recent initiatives to encourage intermittent standing among white-collar workers, a better understanding of the potential health consequences of occupational standing is required. We aimed to review and quantify the epidemiological evidence on associations of occupational standing with musculoskeletal symptoms. Design A systematic review was performed. Data from included articles were extracted and described, and meta-analyses conducted when data were sufficiently homogeneous. Data sources Electronic databases were systematically searched. Eligibility criteria Peer-reviewed articles on occupational standing and musculoskeletal symptoms from epidemiological studies were identified. Results Of the 11 750 articles screened, 50 articles reporting 49 studies were included (45 cross-sectional and 5 longitudinal; n=88 158 participants) describing the associations of occupational standing with musculoskeletal symptoms, including low-back (39 articles), lower extremity (14 articles) and upper extremity (18 articles) symptoms. In the meta-analysis, 'substantial' (>4 hours/workday) occupational standing was associated with the occurrence of low-back symptoms (pooled OR (95% CI) 1.31 (1.10 to 1.56)). Evidence on lower and upper extremity symptoms was too heterogeneous for meta-analyses. The majority of included studies reported statistically significant detrimental associations of occupational standing with lower extremity, but not with upper extremity symptoms. Conclusions The evidence suggests that substantial occupational standing is associated with the occurrence of low-back and (inconclusively) lower extremity symptoms, but there may not be such an association with upper extremity symptoms. However, these conclusions are tentative as only limited evidence was found from high-quality, longitudinal studies with fully adjusted models using objective measures of standing.

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