Pain perception of overweight forestry workers: A retrospective study on effects of an occupational training program

Sabrina Rudolph 1 , Arne Göring 1  and Malte Jetzke 1
  • 1 University Goettingen, Institute of Sports Science, 37075, Göttingen, Germany

Abstract

Objective: Forestry work is associated with intensive musculoskeletal stress. Physical exercise reduces musculoskeletal pain, especially for people with overweight. The aim of this study is to investigate the effects of a training intervention on the pain perception of overweight forestry workers. Methods: The intervention group (IG), split in an overweight (BMI (body mass index) ≥ 26 kg/m2) and a normal weight (BMI < 26 kg/m2) sample, did an occupational training intervention. The control group (CG) did no specific training program. The Nordic Questionnaire was used for ascertaining the perception of musculoskeletal pain. Results: The IG with overweight referenced a lower pain perception compared to the CG in all seven body regions. The differences in shoulder (p = 0.01, τ= 0.22) and lower back (p = 0.04, τ = 0.18) were significant. No differences could be found in the two groups with a BMI < 26 kg/m2. Conclusion: The results indicate that a specific training intervention has positive effects on the perception of pain for the workers with overweight.

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  • Abate, M. 2014. How obesity modifies tendons. – Muscles, Ligaments and Tendons Journal, 4(3), 298–302.

  • Beyer, L., Nordmeyer, V., Sief, R. 2009. Mobility of segments of the spinal column – In-situ investigation by defined mechanical test impulses. (Beweglichkeit der Wirbelsäulensegmente: In-situ-Untersuchung mittels definierter mechanischer Testimpulse). – Manuelle Medizin, 47(5), 310–324. (In German).

  • Bovenzi, M., Zadini, A., Franzinelli, A., Borgogni, F. 1991. Occupational musculoskeletal disorders in the neck and upper limbs of forestry workers exposed to hand-arm vibration. – Ergonomics, 34(5), 547–562.

  • Caberlon, C.F., Padoin, A.V., Mottin, C.C. 2013. Importance of musculoskeletal pain in work activities in obese individuals. – Obesity Surgery, 23(12), 2092–2095.

  • Curwin, S., Allt, J., Szpilfogel, C., Makrides, L. 2013. The Healthy LifeWorks project: The effect of a comprehensive workplace wellness program on the prevalence and severity of musculoskeletal disorders in a Canadian government department. – Journal of Occupational and Environmental Medicine / American College of Occupational and Environmental Medicine, 55(6), 628–633.

  • Deurenberg, P., Deurenberg-Yap, M. 2001. Validation of skinfold thickness and hand-held impedance measurements for estimation of body fat percentage among Singaporean Chinese, Malays and Indians. – Asia Pacific Journal of Clinical Nutrition, 1(11), 1–7.

  • Deurenberg, P., Yap, M., van Staveren, W. 1998. Body mass index and percent body fat: a meta-analysis among different ethnic groups. – International Journal of Obesity, 12(22), 1164–1171.

  • Habibi, E., Soury, S. 2015. The effect of three ergonomics interventions on body posture and musculoskeletal disorders among stuff of Isfahan Province Gas Company. – Journal of Education and Health Promotion, 6(4), 65.

  • Hauggaard, A., Persson, A.L. 2007. Specific spinal stabilisation exercises in patients with low back pain – a systematic review. – Physical Therapy Reviews, 12(3), 233–248.

  • Haukka, E., Ojajärvi, A., Takala, E.-P., Viikari-Juntura, E., Leino-Arjas, P. 2012. Physical workload, leisure-time physical activity, obesity and smoking as predictors of multisite musculosceletal pain. A 2-year prospective study of kitchen workers. – Occupational and Environmental Medicine, 69(7), 485–492.

  • Hayden, J.A., van Tulder, M.W., Malmivaara, A.V., Koes, B.W. 2005. Meta-analysis: exercise therapy for nonspecific low back pain. – Annals of Internal Medicine, 142(9), 765–775.

  • Heuch, I., Hagen, K., Heuch, I., Nygaard, Ø., Zwart, J.-A. 2010. The impact of body mass index on the prevalence of low back pain: the HUNT study. – Spine, 35(7), 764–768.

  • Howe, C., Harris, R., Gutin, B. 2011. A 10-month physical activity intervention improves body composition in young black boys. – Journal of Obesity, Epub 2010, 358581.

  • Kuorinka, I., Jonsson, B., Kilbom, A., Vinterberg, H., Biering-Sørensen, F., Andersson, G., Jørgensen, K. 1987. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. – Applied Ergonomics, 18(3), 233–237.

  • Lee, C., Blair, S., Jackson, A. 1999. Cardiorespiratory fitness, body composition, and all-cause and cardiovascular disease mortality in men. – The American Journal of Clinical Nutrition, 69(3), 373–380.

  • Luke, A., Durazo-Arvizzo, R., Rotimi, C., Prewitt, E., Forrester, T., Wilks, R., Cooper, R. 1997. Relation between BMI and body fat in black population samples from Nigeria, Jamaica and the United States. – American Journal of Epidemiology, 145(7), 620–628.

  • Marcus, D. 2002. Obesity and the impact of chronic pain. – The Clinical Journal of Pain, 20(3), 26–34.

  • Mayer, J., Mooney, V., Dagenais, S. 2008. Evidence-informed management of chronic low back pain with lumbar extensor strengthening exercises. – The Spine Journal: Official Journal of the North American Spine Society, 8(1), 96–113.

  • Meyer, M., Mpairaktari, P., Glushanok, I. 2013. Sick leave of the German economy in the year 2012. – Badura, B., Ducki, A., Schröder, H., Klose, J., Meyer, M. (eds.). Absence time report 2013. Springer Berlin Heidelberg, 263–445.

  • Miranda, H., Viikari-Juntura, E., Martikainen, R., Takala, E.P., Riihimäki, H. 2001. Physical exercise and musculoskeletal pain among forest industry workers. – Scandinavian Journal of Medicine & Science in Sports, 11(4), 239–246.

  • Nilsen, T.I.L., Holtermann, A., Mork, P.J. 2011. Physical exercise, body mass index, and risk of chronic pain in the low back and neck/shoulders: longitudinal data from the Nord-Trøndelag health study. – American Journal of Epidemiology, 147(3), 267–273.

  • Rudolph, S. 2013. ‘Fit im Forst’: a training program for forestry workers. (‘Fit im Forst’: eine bewegungsbezogene Intervention für Forstwirte). Universitätsverlag Göttingen. (In German).

  • Rudolph, S., Göring, A., Jetzke, M. 2016. Effects of training interventions on complaints and impairments in forestry workers. (Effekte einer Trainingsintervention auf die Beschwerden und Einschränkungen von Forstwirten. Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie). – Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie, 67(1), 8–14. (In German).

  • Smuck, M., Kao, M.-C.J., Brar, N., Martinez-Ith, A., Choi, J., Tomkins-Lane, C.C. 2014. Does physical activity influence the relationship between low back pain and obesity? – The Spine Journal: Official Journal of the North American Spine Society, 14(2), 209–216.

  • van der Windt, D., Thomas, E., Pope, D., de Winter, A., Macfarlane, G., Bouter, L., Silman, A. 2000. Occupational risk factors for shoulder pain: a systematic review. – Occupational and Environmental Medicine, 57(7), 433–442.

  • Viikari-Juntura, E., Martikainen, R., Luukkonen, R., Mutanen, P., Takala, E.-P., Riihimäki, H. 2001. Longitudinal study on work related and individual risk factors affecting radiating neck pain. – Occupational and Environmental Medicine, 58(5), 345–352.

  • Webb, R., Brammah, T., Lunt, M., Urwin, M., Allison, T., Symmons, D. 2003. Prevalence and predictors of intense, chronic, and disabling neck and back pain in the UK general population. – Spine, 28(11), 1195–1202.

  • World Health Organization (ed.). 2000. Obesity: preventing and managing the global epidemic: report of a WHO consultation. Geneva: World Health Organization.

  • Wright, L., Schur, E., Noonan, C., Ahumada, S., Buchwald, D., Afari, N. 2010. Chronic Pain, overweight and obesity: findings from a community-based twin registry. – The Journal of Pain: Official Journal of the American Pain Society, 11(7), 628–635.

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