How does accelerometry-measured arm elevation at work influence prospective risk of long-term sickness absence?

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Fältnamn	Indikatorer	Metadata
000		03904naa a2200421 4500
001		oai:DiVA.org:kth-313462
003		SwePub
008		220603s2022 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:prod.swepub.kib.ki.se:151126350
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-3134622 URI
024	7	a https://doi.org/10.5271/sjweh.40002 DOI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1511263502 URI
040		a (SwePub)kthd (SwePub)ki
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Gupta, Nidhi4 aut
245	1 0	a How does accelerometry-measured arm elevation at work influence prospective risk of long-term sickness absence?
264		c 2021-11-28
264	1	b Scandinavian Journal of Work, Environment and Health,c 2022
338		a print2 rdacarrier
500		a QC 20220621
520		a Objective Elevated arm work is prevalent in many jobs. Feasible device-based methods are available to measure elevated arm work. However, we lack knowledge on the association between device-measured elevated arm work and prospective risk of long-term sickness absence (LTSA). We aimed to investigate this association.Methods At baseline, 937 workers wore accelerometers on the right arm and thigh over 1–5 workdays to measure work time spent with elevated arms in an upright position. Between baseline and 4-year prospective follow-up in the national registers, we obtained information on the individuals` first event of LTSA (≥6 consecutive weeks). We performed compositional Cox proportional hazard analyses to model the association between work time with arm elevation >30˚, >60˚, or >90˚ and the probability of LTSA.Results Workers spent 21% of their work time with >30˚ arm elevation, 4% with >60˚arm elevation, and 1% with >90˚ arm elevation; in the upright body position. We found a positive dose–response association between work time spent with elevated arm work and the risk of LTSA. Specifically, we found that increasing two minutes of work time spent with arm elevation at (i) >90˚ increased the risk of LTSA by 14% [hazard ratio (HR) 1.14, 95% confidence intervals (95% CI 1.04–1.25)] (ii) >60˚increased the LTSA risk by 3% (HR 1.03, 95% CI 1.03–1.06), and (iii) >30˚ increased the LTSA risk by 1% (HR 1.01, 95% CI 1.00–1.02).Conclusion Device-measured elevated arm work is associated with increased prospective LTSA. This information ought to be brought into preventive workplace practice by accessible and feasible device-based methods of elevated arm work.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Arbetsmedicin och miljömedicin0 (SwePub)303032 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Occupational Health and Environmental Health0 (SwePub)303032 hsv//eng
653		a accelerometry; arm elevation; compositional data analysis; dose-response; elevated arm work; long-term sickness absence; prevention; sickness absence
700	1	a Rasmussen, Charlotte Lund4 aut
700	1	a Forsman, Mikael,c Professoru Karolinska Institutet,KTH,Ergonomi,IMM Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden4 aut0 (Swepub:kth)u1iq0ct2
700	1	a Søgaard, Karen4 aut
700	1	a Holtermann, Andreas4 aut
710	2	a KTHb Ergonomi4 org
773	0	t Scandinavian Journal of Work, Environment and Healthd : Scandinavian Journal of Work, Environment and Healthg 48:2, s. 137-147q 48:2<137-147x 0355-3140x 1795-990X
856	4	u https://doi.org/10.5271/sjweh.4000y Fulltext
856	4	u https://www.sjweh.fi/download.php?abstract_id=4000&file_nro=1
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-313462
856	4 8	u https://doi.org/10.5271/sjweh.4000
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:151126350

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Av författaren/redakt...: Gupta, Nidhi; Rasmussen, Charl ...; Forsman, Mikael, ...; Søgaard, Karen; Holtermann, Andr ...

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