An exploratory study on the physical activity health paradox – musculoskeletal pain and cardiovascular load during work and leisure in construction and healthcare workers

Using a novel approach, this exploratory study investigated whether the physical activity (PA) paradox extends to cardiovascular load and musculoskeletal pain. At baseline, 1-2 days of 24h heart rate was assessed in 72 workers from construction and healthcare. Workers then reported pain intensity in 9 body regions (scale 0 - 3) every 6 months for two years. Using a novel ilr structure in compositional data analysis, time spent during work and leisure above three thresholds of percentage heart rate reserve (%HRR), i.e. ≥20 %HRR, ≥30 %HRR, ≥40 %HRR, was related to the 2-year average musculoskeletal pain (sum of 9 pain scores; scale 0-27). Analyses were stratified for several important variables. Workers spending more time in physical activity at work had higher pain, while workers with more time in physical activity during leisure had less pain (i.e. the PA paradox), but none of the associations were statistically significant. Higher aerobic capacity and lower body mass index lowered the pain score among those with higher physical activity at work. This exploratory study suggests that the PA paradox may apply to musculoskeletal pain and future studies with larger sample sizes and additional exposure analyses are needed to explain why this occurs.

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsmedicin och miljömedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Health and Environmental Health hsv//eng
Cardiovascular load; Physically demanding work; Musculoskeletal disorders; Compositional data analysis; Health care sector; Construction Industry; Occupational physical activity; Leisure time physical activity
Health-Promoting Work
Hälsofrämjande arbete

Coenen, PieterAmsterdam Public Health Research Institute, Vrije Universiteit Amsterdam (författare)
Forsman, MikaelKarolinska Institutet,School of Engineering Sciences in Chemistry, Biotechnology and Health, KTH (författare)
Knardahl, SteinNational Institute of Occupational Health, Oslo (författare)
Veiersted, Kaj BoNational Institute of Occupational Health, Oslo (författare)
Mathiassen, Svend ErikHögskolan i Gävle,Arbetshälsovetenskap,Centrum för belastningsskadeforskning(Swepub:hig)smn (författare)
National Institute of Occupational Health, OsloAmsterdam Public Health Research Institute, Vrije Universiteit Amsterdam (creator_code:org_t)

Ingår i:International Journal of Environmental Research and Public Health: MDPI19:51661-78271660-4601

Av författaren/redakt...: Merkus, Suzanne; Coenen, Pieter; Forsman, Mikael; Knardahl, Stein; Veiersted, Kaj B ...; Mathiassen, Sven ...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Arbetsmedicin oc ...

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.