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Exposure–Response Relationship and Doubling Risk Doses—A Systematic Review of Occupational Workload and Osteoarthritis of the Hip

Author

Listed:
  • Yi Sun

    (Unit Applied Epidemiology, Institute for Occupational Safety and Health of the German Social Accident Insurance, 53757 Sankt Augustin, Germany)

  • Annette Nold

    (Unit Applied Epidemiology, Institute for Occupational Safety and Health of the German Social Accident Insurance, 53757 Sankt Augustin, Germany)

  • Ulrich Glitsch

    (Unit Musculoskeletal Workload, Institute for Occupational Safety and Health of the German Social Accident Insurance, 53757 Sankt Augustin, Germany)

  • Frank Bochmann

    (Unit Applied Epidemiology, Institute for Occupational Safety and Health of the German Social Accident Insurance, 53757 Sankt Augustin, Germany)

Abstract

In this review, we critically evaluated the evidence of exposure–response relationships between occupational workload and the risk of hip osteoarthritis. The existing evidence was evaluated in order for us to extrapolate possible doubling risk doses for hip osteoarthritis. Comprehensive searches for epidemiological studies of hip osteoarthritis and occupational workload were performed in literature databases (PubMed, EMBASE, Cochrane Work and Google Scholar) and recent reviews up to February 2019. In total, 85 papers met the preliminary inclusion criteria, and 10 studies indicating an exposure-response relationship between occupational workload and hip osteoarthritis were identified. All studies were assessed on the basis of their study design, defined quality scores and relevant confounders considered. An exposure–response relationship between heavy lifting and the risk of hip osteoarthritis is consistently observed among the male populations but not among the female populations. We quantified the doubling risk doses in two studies in which both an exposure–response relationship and cumulative exposure doses were stated. These two studies provided the highest quality level of all studies published to date. The estimated doubling risk doses in these two studies lie between 14,761 and 18,550 tons (daily lifting 2.2–2.8 tons, 220 days/year for 30 years). These results can be used for workplace interventions to prevent hip osteoarthritis.

Suggested Citation

  • Yi Sun & Annette Nold & Ulrich Glitsch & Frank Bochmann, 2019. "Exposure–Response Relationship and Doubling Risk Doses—A Systematic Review of Occupational Workload and Osteoarthritis of the Hip," IJERPH, MDPI, vol. 16(19), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3681-:d:272296
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    References listed on IDEAS

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    1. Sandra I Sulsky & Laura Carlton & Frank Bochmann & Rolf Ellegast & Ulrich Glitsch & Bernd Hartmann & Dirk Pallapies & D Seidel & Yi Sun, 2012. "Epidemiological Evidence for Work Load as a Risk Factor for Osteoarthritis of the Hip: A Systematic Review," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-13, February.
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