Co-occurrence of musculoskeletal pain among female kitchen workers
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Objectives: The co-occurrence of musculoskeletal pain symptoms in seven body sites and their combinations among women in kitchen work were studied. Methods: Data on musculoskeletal pain during the past 3 months in the neck, shoulders, forearms/hands, low back, hips, knees and ankles/feet were gathered by questionnaire from 495 female workers (mean age 45 years) in connection with an ergonomic intervention study in municipal kitchens of four cities in Finland. Altogether 122 kitchens (60% of those eligible) participated in the study. The response rate in the participating kitchens was 98%. Results: The 3-month prevalence of any musculoskeletal pain was 87%, the most common sites being the neck (71%), low back (50%) and forearms/hands (49%). About 73% of the subjects had pain in at least two, 36% in four or more, and 10% in 6–7 sites. In pair wise comparisons, e.g. neck pain was associated with pain in other sites with prevalence ratios (PR) varying from 1.3 to 1.6, and ankle or foot pain with ratios between 1.9 and 2.4. The seven pain symptoms occurred in more than 80 different combinations. When the co-occurrence of pain was studied in three larger anatomical areas, i.e. any pain in the axial (neck and low back), upper limb and lower limb areas, subjects reporting concurrent pain in all three were the largest category (36% of the respondents). Altogether 53% of the workers reported pain in at least the axial and upper limb areas, and 48% in at least the axial and lower limb areas. Conclusions: Widespread co-occurrence of musculoskeletal pain symptoms was common among female kitchen workers with slight predominance in the upper body.
KeywordsNeck Upper limbs Low back Lower limbs Co-morbidity
The Academy of Finland, the Finnish Work Environment Fund, Ministry of Labour and the Local Government Pensions Institution financially supported this study.
- Blatter B, Bongers PM (1999) Work related neck and upper limb symptoms (RSI): high-risk occupations and risk factors in the Dutch working population. TNO-report 070117/r9800293. TNO Work and Employment, HoofddorpGoogle Scholar
- Côté P, Cassidy JD, Carroll L (2000) The factors associated with neck pain and its related disability in the Saskatchewan population. Spine 25:109–117Google Scholar
- Frank JW, Kerr MS, Brooker AS, DeMaio SE, Maetzel A, Shannon HS, Sullivan TJ, Norman RW, Wells RP (1996) Disability resulting from occupational low back pain. Part I What do we know about primary prevention? A review of the scientific evidence on prevention before disability begins. Spine 21:2908–2917PubMedCrossRefGoogle Scholar
- National Research Council and the Institute of Medicine (2001) Musculoskeletal disorders and the workplace: low back and upper extremities. Panel on musculoskeletal disorders and the workplace. Commission on behavioural and social sciences and education. National Academy Press, Washington, DC. http://books.nap.edu/books/0309072840/htmlGoogle Scholar
- Norlund A, Waddel G (2000) Cost of back pain in some OECD countries. In: Nachemson A, Jonson E (eds) Neck and back pain: The scientific evidence of causes, diagnosis and treatment. Lippincott Williams & Wilkins, Philadelphia, pp 421–425Google Scholar
- Oze Y (1984a) Studies on health hazards among cooks providing school lunch service. Report 1. The influence of working conditions in central and school kitchens prevalence of health hazards (In Japanese with English abstract, tables and figures). Jpn J Ind Health 26:414–424Google Scholar
- Oze Y (1984b) Studies on health hazards among cooks providing school lunch service. Report 2. An analysis of factors associated with the development of health hazards (In Japanese with English abstract, tables and figures). Jpn J Ind Health 26:425–437Google Scholar
- Pehkonen I, Riihimäki H, Hopsu L, Takala E-P, Viikari-Juntura E, Leino-Arjas P, Virtanen T, Haukka E, Holtari M, Stenholm S, Nykänen J, Ketola R (2004) Participatory ergonomic intervention at kitchen work. In: Abstracts of the fifth international scientific conference on prevention of work-related musculoskeletal disorders, vol. II. Zurich, 11–15 July 2004, pp 603–604Google Scholar
- Riihimäki H, Heliövaara M (2004) Musculoskeletal diseases. In: Aromaa A, Koskinen S (eds) Health and functional capacity in Finland. Baseline results of the Health 2000 health examination survey. Publications of the National Public Health Institute B12/2004, Helsinki, pp 55–58Google Scholar
- Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, Simmons A, Williams G (1998) Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis 57:649–655PubMedCrossRefGoogle Scholar
- Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM, Abeles M, Clark P, et al (1990) The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 33:160–172PubMedGoogle Scholar