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Association of Low Back Pain with Shift Work: A Meta-Analysis

Author

Listed:
  • Ho-Ming Chen

    (Department of Occupational and Environmental Medicine, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung City 812, Taiwan)

  • Po-Yao Huang

    (Pharmacy Department, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung City 812, Taiwan)

  • Hung-Yi Chuang

    (Department of Occupational and Environmental Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City 807, Taiwan
    Department of Public Health and Environmental Medicine, and Research Center for Precision Environmental Medicine, Kaohsiung Medical University, Kaohsiung City 807, Taiwan)

  • Chao-Ling Wang

    (Department of Occupational and Environmental Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City 807, Taiwan)

  • Chen-Cheng Yang

    (Department of Occupational and Environmental Medicine, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung City 812, Taiwan
    Department of Occupational and Environmental Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City 807, Taiwan
    Department of Public Health and Environmental Medicine, and Research Center for Precision Environmental Medicine, Kaohsiung Medical University, Kaohsiung City 807, Taiwan)

  • Peng-Ju Huang

    (Department of Orthopaedics, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung City 812, Taiwan)

  • Chi-Kung Ho

    (Department of Occupational and Environmental Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City 807, Taiwan)

Abstract

Shift work (SW) is the main working schedule worldwide, and it may cause sleep disorders, breast cancer, and cardiovascular disease. Low back pain (LBP) is a common problem in the workplace; however, the association between LBP and SW remains unclear. Therefore, we conducted a meta-analysis to determine the association between SW and LBP. This study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The PubMed, Embase, and Web of Science databases using a set of associated keywords were queried. The inclusion criteria were as follows: (1) adult employees hired by a company or organization; (2) SW exposure; and (3) the outcome of LBP according to examination or assessment. A total of 40 studies were included that met the inclusion criteria for the meta-analysis. SW was significantly associated with LBP (odds ratio [OR]: 1.31, 95% confidence interval [CI]: 1.18–1.47, p < 0.00001). Furthermore, it was observed that LBP was significantly associated with night shift (NS) (OR: 1.49, 95% CI: 1.24–1.82, p < 0.0001) but not with rotating shift (RS) (OR: 0.96, 95% CI: 0.76–1.22, p = 0.49). Moreover, LBP was significantly associated with SW in health care workers (HCWs) (OR: 1.40, 95% CI: 1.20–1.63, p < 0.0001) but not in non-HCWs (OR: 1.19, 95% CI: 0.94–1.50, p = 0.14). SW was significantly associated with LBP. Furthermore, the subgroup analysis showed that NS, but not RS, was associated with LBP. Compared with SW in non-HCWs, SW in HCWs was significantly associated with LBP.

Suggested Citation

  • Ho-Ming Chen & Po-Yao Huang & Hung-Yi Chuang & Chao-Ling Wang & Chen-Cheng Yang & Peng-Ju Huang & Chi-Kung Ho, 2023. "Association of Low Back Pain with Shift Work: A Meta-Analysis," IJERPH, MDPI, vol. 20(2), pages 1-20, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:918-:d:1024904
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    References listed on IDEAS

    as
    1. Veruscka Leso & Ilaria Vetrani & Alessandra Sicignano & Rosaria Romano & Ivo Iavicoli, 2020. "The Impact of Shift-Work and Night Shift-Work on Thyroid: A Systematic Review," IJERPH, MDPI, vol. 17(5), pages 1-17, February.
    2. Hye-Eun Lee & Min Choi & Hyoung-Ryoul Kim & Ichiro Kawachi, 2020. "Impact of Decreased Night Work on Workers’ Musculoskeletal Symptoms: A Quasi-Experimental Intervention Study," IJERPH, MDPI, vol. 17(23), pages 1-9, December.
    3. Mohd Ismail Ibrahim & Izani Uzair Zubair & Najib Majdi Yaacob & Mohd Izmi Ahmad & Mohd Nazri Shafei, 2019. "Low Back Pain and Its Associated Factors among Nurses in Public Hospitals of Penang, Malaysia," IJERPH, MDPI, vol. 16(21), pages 1-12, November.
    4. Fangyuan Tian & Hongxia Li & Shuicheng Tian & Jiang Shao & Chenning Tian, 2022. "Effect of Shift Work on Cognitive Function in Chinese Coal Mine Workers: A Resting-State fNIRS Study," IJERPH, MDPI, vol. 19(7), pages 1-21, April.
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