umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Risk factors for hospitalization due to lumbar disc disease
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
2012 (English)In: Spine, ISSN 0362-2436, E-ISSN 1528-1159, Vol. 37, no 15, 1334-1339 p.Article in journal (Refereed) Published
Abstract [en]

Study Design. Prospective cohort study

Objective. To study biomechanical factors in relation to symptomatic lumbar disc disease

Summary of Background Data. The importance of biomechanical factors in lumbar disc disease have been questioned the past decade and knowledge from large prospective studies is lacking.

Methods. The study basis is a cohort of 263 529 Swedish construction workers who participated in a national occupational health surveillance programme from 1971 until 1992. The workers' job title, smoking habits, body weight, height and age were registered at the examinations. The occurrence of hospitalization due to lumbar disc disease from January 1 1987 until December 31 2003 was collected from a linkage with the Swedish Hospital Discharge Register.

Results. There was an increased risk for hospitalization due to lumbar disc disease for several occupational groups compared to white-collar workers and foremen. Occupational groups with high biomechanical loads had the highest risks, e.g the relative risk for concrete workers was 1.55 (95% CI 1.29-1.87). A taller stature was consistently associated with an increased risk. The relative risk for a man of 190-199 cm height was 1.55 (95% CI 1.30-1.86) compared to a man being 170-179 cm. Body weight and smoking were also risk factors, but weaker than height. Workers in the age span of 30-39 had the highest relative risk (RR = 1.87; 95% CI 1.58-2.23) compared to those 20-29, while men 60-65 years old had a lower risk (RR = 0.86; 95%CI 0.68-1.09).

Conclusions. This study indicates that factors increasing the load on the lumbar spine are associated with hospitalization for lumbar disc disease. Occupational biomechanical factors seem to be important, and a taller stature was consistently associated with an increased risk.

Place, publisher, year, edition, pages
2012. Vol. 37, no 15, 1334-1339 p.
Keyword [en]
low back pain; lumbar radiculopathy; lumbar disc disease; lumbar disc herniation; epidemiology; biomechanical exposure; occupational factors
National Category
Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:umu:diva-55870DOI: 10.1097/BRS.0b013e31824b5464ISI: 000305983800020PubMedID: 22281487OAI: oai:DiVA.org:umu-55870DiVA: diva2:531379
Available from: 2012-06-07 Created: 2012-06-07 Last updated: 2017-12-07Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Wahlström, JensBurström, LageNilsson, TohrJärvholm, Bengt
By organisation
Occupational and Environmental Medicine
In the same journal
Spine
Environmental Health and Occupational Health

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 101 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf