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A longitudinal obse...
A longitudinal observational study of back pain incidence, risk factors and occupational physical activity in Swedish marine trainees
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- Monnier, Andreas (författare)
- Karolinska Institutet,Karolinska Institute,Dalarna University College,Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden;Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden;Mil Acad Karlberg, Swedish Armed Forces, Stockholm, Sweden
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- Larsson, Helena (författare)
- Karolinska Institutet,Karolinska Institute,Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden;Swedish Armed Forces, Med Serv, Stockholm, Sweden
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- Nero, Hakan (författare)
- Lund University,Lunds universitet,Lund OsteoArthritis Division - From molecule to clinical implementation,Forskargrupper vid Lunds universitet,Lund University Research Groups,Lund Univ, Dept Orthoped, Fac Med, Lund, Sweden
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- Djupsjöbacka, Mats (författare)
- University of Gävle,Högskolan i Gävle,Arbetshälsovetenskap,Centrum för belastningsskadeforskning,Univ Gavle, Dept Occupat Hlth Sci & Psychol, Ctr Musculoskeletal Res, Gavle, Sweden
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- Äng, Björn (författare)
- Karolinska Institutet,Uppsala universitet,Uppsala University,Karolinska Institute,Dalarna University College,Högskolan Dalarna,Medicinsk vetenskap,Karolinska institutet; Uppsala universitet,Centrum för klinisk forskning Dalarna,Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden;Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden
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(creator_code:org_t)
- 2019-05-14
- 2019
- Engelska.
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 9:5
- Relaterad länk:
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https://doi.org/10.1...
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https://bmjopen.bmj....
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https://du.diva-port... (primary) (Raw object)
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http://dx.doi.org/10... (free)
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://lup.lub.lu.s...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- OBJECTIVES: To evaluate the occurrence of low back pain (LBP) and LBP that limits work ability, to identify their potential early risks and to quantify occupational physical activity in Swedish Armed Forces (SwAF) marines during their basic 4 month marine training course.DESIGN: Prospective observational cohort study with weekly follow-ups.PARTICIPANTS: Fifty-three SwAF marines entering the training course.OUTCOMES: Incident of LBP and its related effect on work-ability and associated early risks. Occupational physical activity, as monitored using accelerometers and self-reports.RESULTS: During the training course, 68% of the marines experienced at least one episode of LBP. This yielded a LBP and LBP limiting work ability incidence rate of 13.5 (95% CI 10.4 to 17.8) and 6.3 (95% CI 4.2 to 10.0) episodes per 1000 person-days, respectively. Previous back pain and shorter body height (≤1.80 m) emerged as independent risks for LBP (HR 2.5, 95% CI 1.4 to 4.3; HR 2.0, 95% CI 1.2 to 3.3, respectively), as well as for LBP that limited work ability (HR 3.6, 95% CI 1.4 to 8.9; HR 4.5, 95% CI 2.0 to 10.0, respectively). Furthermore, managing fewer than four pull-ups emerged as a risk for LBP (HR 1.9, 95% CI 1.2 to 3.0), while physical training of fewer than three sessions per week emerged as a risk for LBP that limited work ability (HR 3.0, 95% CI 1.2 to 7.4). More than 80% of the work time measured was spent performing low levels of ambulation, however, combat equipment (≥17.5 kg) was carried for more than half of the work time.CONCLUSIONS: Incidents of LBP are common in SwAF marines' early careers. The link between LBP and previous pain as well as low levels of exercise highlights the need for preventive actions early on in a marine's career. The role of body height on LBP needs further investigation, including its relationship with body-worn equipment, before it can effectively contribute to LBP prevention.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Idrottsvetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Sport and Fitness Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- back pain
- epidemiology
- preventive medicine
- Health-Promoting Work
- Hälsofrämjande arbete
- Hälsa och välfärd
- Back pain
- Epidemiology
- Preventive medicine
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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