The role of physical overstrain and hypodynamia in the development of the low back pain

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Introduction. The pain in the lower back (BCC) has a wide distribution among the working people’s age and is a frequent cause of temporary disability. The identification of risk factors for the back pain is necessary to address expert issues and developing measures for prevention of incidence.

Materials and methods. There were studied prevalence odds ratio (OR) for the development of the low back pain (LBP) in two thousand nine hundred fifteen working patients with different indicators of hardness of the labour process and levels of physical activity (PA).

Results. According to the special assessment of the working conditions, the harmful (3rd) class of hardness of the labour process in comparison with the 1st and 2nd classes (optimal and permissible) increased the LBP prevalence from 31.6 to 37.1% with OR = 1.27 at 95% Ci (1.03–1.43), p < 0.05. No reliable differences were obtained under comparing classes separately with the 1st class. According to the International questionnaire of physical activity, the LBP prevalence under an intensive PA is 29.3% with OR = 1.5 at 95% CI (1.6–2.11), at a low PA — 37.2% with OR = 2.15 at 95% Ci (1.07–4.3). The smallest LBP prevalence was revealed in a moderate PA mode throughout the day (21.6%).

Limitations. The present study has a limitation associated with the inconsistency of cards for special assessment of working conditions and the International questionnaire cards.

Conclusion. Data were obtained about the absence of reliable differences in the distribution and odds ratio for the development of LBP between workers by classes of hardness of the labour process. Workers with moderate and low PA have reliably low LBP prevalence.

Compliance with ethical standards. The study is approved by the local ethical committee of Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing, Mytishchi, 141014, Russian Federation, was carried out in accordance with the European Convention on Clinical Research (Protocol No. 1 of June 18, 2018).

Contribution:
Shirokov V.A. — concept and design of research, material collection and data processing, statistical processing, writing text;
Terekhov N.L. — collection of material and data processing, writing text;
Potaturko A.V. — collecting material and data processing, writing text.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Conflict of interest. The authors declare no conflict of interest.

Acknowledgement. The study had no sponsorship.

Received: October 30, 2023 / Accepted: November 15, 2023 / Published: December 28, 2023

Sobre autores

Vasily Shirokov

Yekaterinburg Medical-the Scientific Center for Prevention and Health Care for Plants Employees; Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing

Autor responsável pela correspondência
Email: vashirokov@gmail.com
ORCID ID: 0000-0003-1461-1761

Д-р мед. наук, профессор, ведущий научный сотрудник НПО «Клиника неврологии», ФБУН Екатеринбургский медицинский-научный центр профилактики и охраны здоровья рабочих промпредприятий; научный руководитель, ФБУН Федеральный научный центр гигиены им. Ф.Ф. Эрисмана; 141014, г. Мытищи, ул. Семашко, д. 2

e-mail: vashirokov@gmail.com

Rússia

Nikita Terekhov

Yekaterinburg Medical-the Scientific Center for Prevention and Health Care for Plants Employees

Email: terehovnl@ymrc.ru
ORCID ID: 0000-0001-7527-8099

MD, PhD, senior researcher of the “Clinic of Neurology of the Yekaterinburg Medical-Scientific Center for Prevention and Health Care for Plants Employees, Yekaterinburg, 620014, Russian Federation

e-mail: terehovnl47@gmail.com

Rússia

Aleksey Potaturko

Yekaterinburg Medical-the Scientific Center for Prevention and Health Care for Plants Employees

Email: potaturko@ymrc.ru
ORCID ID: 0000-0002-4457-7093

Д-р мед. наук, старший научный сотрудник НПО «Клиника неврологии», ФБУН Екатеринбургский медицинский-научный центр профилактики и охраны здоровья рабочих промпредприятий, 620014, г. Екатеринбург, ул. Попова, д. 30

e-mail: potaturko@ymrc.ru

Rússia

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