Umeå University's logo

umu.sePublications
Change search
Link to record
Permanent link

Direct link
Alternative names
Publications (10 of 32) Show all publications
Stjernbrandt, A., Pettersson, H., Vihlborg, P., Wahlström, J. & Lewis, C. A. (2024). Occupational exposure to whole-body vibration and neck pain in the Swedish general population. Ergonomics, 67(2), 136-147
Open this publication in new window or tab >>Occupational exposure to whole-body vibration and neck pain in the Swedish general population
Show others...
2024 (English)In: Ergonomics, ISSN 0014-0139, E-ISSN 1366-5847, Vol. 67, no 2, p. 136-147Article in journal (Refereed) Published
Abstract [en]

The primary aim of this study was to determine if occupational exposure to whole-body vibration (WBV) was associated with reporting neck pain. A cross-sectional study was conducted on a sample of the general population living in northern Sweden, aged 24-76 years. Data was retrieved through a digital survey that collected subjectively reported information on exposure to WBV and biomechanical exposures as well as neck pain. The study included 5,017 participants (response rate 44%). Neck pain was reported by 269 men (11.8%) and 536 women (20.2%). There was a statistically significant association between reporting occupational exposure to WBV half the time or more (adjusted OR 1.91; 95% CI 1.22-3.00) and reporting neck pain. In gender-stratified analyses, the same pattern was observed in men, while there were too few women to determine any association. We conclude that occupational exposure to whole-body vibration was associated with neck pain in men.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2024
Keywords
Neck pain, Sweden, ergonomics, occupational health, vibration
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-208386 (URN)10.1080/00140139.2023.2210792 (DOI)000985155500001 ()37161844 (PubMedID)2-s2.0-85159142546 (Scopus ID)
Funder
Region Västerbotten, 967266Region Västerbotten, 967867Region Västerbotten, 979090Region Västerbotten, 980109Visare Norr, 939839Visare Norr, 968706
Available from: 2023-05-23 Created: 2023-05-23 Last updated: 2024-05-07Bibliographically approved
Stjernbrandt, A., Pettersson, H., Vihlborg, P., Höper, A. C., Aminoff, A., Wahlström, J. & Nilsson, T. (2024). Raynaud’s phenomenon in the feet of Arctic open-pit miners. International Journal of Circumpolar Health, 83(1), Article ID 2295576.
Open this publication in new window or tab >>Raynaud’s phenomenon in the feet of Arctic open-pit miners
Show others...
2024 (English)In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 83, no 1, article id 2295576Article in journal (Refereed) Published
Abstract [en]

The literature on Raynaud’s phenomenon (RP) in the feet is scarce, especially in the occupational setting. The primary aim of our study was to investigate the occurrence of RP in the feet of miners. As part of the MineHealth project, written surveys and clinical examinations were completed by 260 Arctic open-pit miners working in northern Sweden and Norway (participation rate 53.6%). Data on RP were collected using standardised colour charts and questionnaire items. Clinical examination included assessing the perception of vibration and pain in both feet. There were eight women and three men who reported RP in the feet. Four also had RP in their hands but none acknowledged any first-degree relatives with the condition. Nine reported exposure to foot-transmitted vibration and one to hand-arm vibration. Seven showed signs of neurosensory injury in the feet. To conclude, the occurrence of RP in the feet of miners was 4.4%. Most cases with RP in the feet did not report the condition in the hands and were exposed to vibration transmitted directly to the feet. There were no reports of a hereditary component. Most cases with RP in the feet also had clinical findings suggestive of peripheral neuropathy in the feet.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Cold climate, foot-transmitted vibration, mining, Norway, peripheral nervous system diseases, Raynaud Disease, Sweden, vibration, white toes, whole-body vibration
National Category
Occupational Health and Environmental Health Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-218867 (URN)10.1080/22423982.2023.2295576 (DOI)38109321 (PubMedID)2-s2.0-85180384200 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2011-0494Region Västerbotten, 967266Region Västerbotten, 979090
Available from: 2024-01-05 Created: 2024-01-05 Last updated: 2024-01-05Bibliographically approved
Stjernbrandt, A., Johnsen, M., Liljelind, I., Aminoff, A., Wahlström, J., Höper, A. C., . . . Nilsson, T. (2023). Neurosensory and vascular symptoms and clinical findings in the hands of Arctic open-pit miners in Sweden and Norway: a descriptive study. International Journal of Circumpolar Health, 82(1), Article ID 2254916.
Open this publication in new window or tab >>Neurosensory and vascular symptoms and clinical findings in the hands of Arctic open-pit miners in Sweden and Norway: a descriptive study
Show others...
2023 (English)In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 82, no 1, article id 2254916Article in journal (Refereed) Published
Abstract [en]

This cross-sectional study aimed to describe exposure to cold climate and hand-arm vibration (HAV) as well as neurosensory and vascular symptoms and clinical findings among open-pit Arctic miners. It was based on data from questionnaires and physical examinations, including 177 men and 75 women from two open-pit mines in Sweden and Norway (response rate 54%). Working outdoors or in an unheated building or machine for at least two hours per day was reported by 44% and HAV exposure of the same duration by 10%. Neurosensory symptoms (e.g. reduced perception of touch) in the hands were reported by 47% and Raynaud’s phenomenon by 14%. In brief conclusion, the study showed that Arctic miners were commonly exposed to both cold temperatures and HAV. They also reported a broad range of neurosensory and vascular symptoms in their hands and had abnormal clinical findings related to the symptoms. The results emphasise the need for additional preventive measures in this occupational setting.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Cold climate, mining, Norway, peripheral nervous system diseases, Raynaud disease, Sweden, vibration
National Category
Public Health, Global Health, Social Medicine and Epidemiology Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-214258 (URN)10.1080/22423982.2023.2254916 (DOI)37669310 (PubMedID)2-s2.0-85169663375 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2011-0494Region Västerbotten, 967266Region Västerbotten, 979090
Available from: 2023-09-13 Created: 2023-09-13 Last updated: 2023-09-13Bibliographically approved
Stjernbrandt, A., Pettersson, H., Wahlström, V., Wahlström, J. & Lewis, C. A. (2023). Occupational cold exposure is associated with upper extremity pain. Frontiers in Pain Research, 4, Article ID 1063599.
Open this publication in new window or tab >>Occupational cold exposure is associated with upper extremity pain
Show others...
2023 (English)In: Frontiers in Pain Research, ISSN 2673-561X, Vol. 4, article id 1063599Article in journal (Refereed) Published
Abstract [en]

Background: Occupational cold exposure is common in Sweden but potential impacts on musculoskeletal disorders have not been thoroughly investigated. The primary aim of this study was to determine the associations between occupational contact and ambient cooling in relation to pain in the upper extremity.

Methods: In this cross-sectional study, a digital survey was conducted on a population-based sample of women and men between 24 and 76 years of age, living in northern Sweden. Occupational cold exposure, heavy manual handling, work with vibrating tools as well as the presence of upper extremity pain at different sites were subjectively reported. Associations between exposure and outcome were evaluated using multiple binary logistic regression.

Results: The final study sample included 2,089 (54.4%) women and 1,754 men, with a mean age of 56 years. Hand pain was reported by 196 (5.2%), lower arm pain by 144 (3.8%), and upper arm pain by 451 (11.9%). Severe ambient cooling for more than half of the working time was statistically significantly associated with hand pain (OR: 2.30; 95% CI: 1.23–4.29) and upper arm pain (OR: 1.57; 95% CI: 1.00–2.47) but not lower arm pain (OR: 1.87; 95% CI: 0.96–3.65) after adjusting for gender, age, body mass index, current daily smoking, heavy manual handling, and work with vibrating tools.

Conclusions: Occupational cold exposure was statistically significantly associated with hand pain and upper arm pain. Therefore, occupational cold exposure should be recognized as a potential risk factor for musculoskeletal disorders in the upper extremity.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023
Keywords
cold exposure, lifting, ergonomics, occupational exposure, musculoskeletal pain, upper extremity, Sweden, occupational health
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-209356 (URN)10.3389/fpain.2023.1063599 (DOI)001002757700001 ()2-s2.0-85163643206 (Scopus ID)
Funder
Region Västerbotten, 646641Region Västerbotten, 834331Region Västerbotten, 939557Region Västerbotten, 967266Region Västerbotten, 967867Visare Norr, 939839Visare Norr, 968706
Available from: 2023-06-08 Created: 2023-06-08 Last updated: 2023-09-05Bibliographically approved
Järvholm, B., Modig, L. & Pettersson, H. (2022). Arbetsolyckor vid användning av rullställningar i byggbranschen. Umeå: Umeå universitet
Open this publication in new window or tab >>Arbetsolyckor vid användning av rullställningar i byggbranschen
2022 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2022. p. 10
Series
Folkhälsa och klinisk medicin i Umeå rapporterar, ISSN 2003-3281 ; 2022:1
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-193902 (URN)
Available from: 2022-04-20 Created: 2022-04-20 Last updated: 2022-04-20Bibliographically approved
Vihlborg, P., Pettersson, H., Makdoumi, K., Wikström, S., Bryngelsson, I.-L., Selander, J. & Graff, P. (2022). Carpal Tunnel Syndrome and Hand-Arm Vibration: A Swedish National Registry Case-Control Study. Journal of Occupational and Environmental Medicine, 64(3), 197-201
Open this publication in new window or tab >>Carpal Tunnel Syndrome and Hand-Arm Vibration: A Swedish National Registry Case-Control Study
Show others...
2022 (English)In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 64, no 3, p. 197-201Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate the increased risk for carpal tunnel syndrome (CTS) in men and women with hand-arm vibration (HAV) exposure. DESIGN: Case-control study of CTS where 4396 cases was obtained from National Outpatient Register between 2005 through 2016. Cases were matched to controls and exposure was estimated using a job exposure matrix. RESULTS: Exposure to HAV increased the risk of CTS with an OR of 1.61 (95% CI 1.46-1.77). The risk was highest in men <30 years of age and among women <30 years no increased risk was observed. The risk increased with a mean year exposure above 2.5 m/s2 to OR 1.84 (95% CI 1.38-2.46). CONCLUSIONS: HAV exposure increase the risk of CTS in both genders, with highest risk increase in younger men. This emphasize identification of HAV exposure in patients with CTS.

Place, publisher, year, edition, pages
Wolters Kluwer, 2022
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-193061 (URN)10.1097/JOM.0000000000002451 (DOI)000764238200018 ()34873137 (PubMedID)2-s2.0-85125682911 (Scopus ID)
Available from: 2022-03-21 Created: 2022-03-21 Last updated: 2022-03-21Bibliographically approved
Stjernbrandt, A., Pettersson, H., Lundström, R., Liljelind, I., Nilsson, T. & Wahlström, J. (2022). Incidence, remission, and persistence of Raynaud’s phenomenon in the general population of northern Sweden: a prospective study. BMC Rheumatology, 6(1), Article ID 41.
Open this publication in new window or tab >>Incidence, remission, and persistence of Raynaud’s phenomenon in the general population of northern Sweden: a prospective study
Show others...
2022 (English)In: BMC Rheumatology, ISSN 2520-1026, Vol. 6, no 1, article id 41Article in journal (Refereed) Published
Abstract [en]

Background: Raynaud’s phenomenon is common condition, but little is known about the natural course. The primary aim of this study was to determine the incidence, remission, and persistence proportions of Raynaud’s phenomenon in the general population of northern Sweden. Secondary aims were to determine how individual and exposure factors affect the course of Raynaud’s phenomenon, and to assess gender differences.

Methods: A prospective, survey-based, closed-cohort study was conducted on a sample of men and women between 18–70 years of age, living in northern Sweden. Data on Raynaud’s phenomenon characteristics and general health status were collected during the winters of 2015 (baseline) and 2021 (follow-up). Rates of incidence, remission, and persistence were calculated. Binary logistic regression was used to determine the association between baseline variables and the course of Raynaud’s phenomenon. Results: The study population consisted of 2703 women (53.9%) and 2314 men. There were 390 women (14.5%) and 290 men (12.7%) reporting Raynaud’s phenomenon in the follow-up survey. The annual incidence proportion was 0.7% among women and 0.9% among men (gender difference p = 0.04). The annual remission proportion was 4.4% and 5.5%, respectively (p = 0.05). Having sustained a cold injury affecting the hands since baseline was significantly associated with incident Raynaud’s phenomenon (OR 3.92; 95% CI 2.60–5.90), after adjusting for age and gender.

Conclusions: In the general population of northern Sweden, Raynaud’s phenomenon is a common but variable condition, where symptoms may remit over time. Men had a higher incidence proportion than women. The results support a possible causal pathway where cold injury can precede the onset of Raynaud’s phenomenon.

Place, publisher, year, edition, pages
BioMed Central, 2022
Keywords
Cold climate, Incidence, Longitudinal studies, Occupational exposure, Peripheral vascular diseases, Raynaud disease, Remission, Spontaneous, Sweden
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-198289 (URN)10.1186/s41927-022-00272-0 (DOI)000829607200001 ()35858907 (PubMedID)2-s2.0-85134530221 (Scopus ID)
Funder
Region Västerbotten, 646641Region Västerbotten, 834331Region Västerbotten, 939557Visare Norr, 939839
Available from: 2022-08-01 Created: 2022-08-01 Last updated: 2022-12-21Bibliographically approved
Pettersson, H., Graff, P., Fornander, L., Westerlund, J., Björ, B. & Sjödin, F. (2022). Introducing a new design of digital tool to increase vibration risk assessments: challenges with education-based interventions. International Journal of Occupational Safety and Ergonomics, 28(3), 1705-1710
Open this publication in new window or tab >>Introducing a new design of digital tool to increase vibration risk assessments: challenges with education-based interventions
Show others...
2022 (English)In: International Journal of Occupational Safety and Ergonomics, ISSN 1080-3548, E-ISSN 2376-9130, Vol. 28, no 3, p. 1705-1710Article in journal (Refereed) Published
Abstract [en]

Objectives: This study aimed to investigate whether introducing a digital risk assessment tool, the Swedish National Vibration Database, would increase the number of risk assessments on hand–arm and whole-body vibration. Employer and safety representatives from companies where vibration exposure is common were invited.

Methods: Of the 2953 invited companies, 1916 were selected for educational intervention and the remaining 1037 companies served as a control group with no intervention. For the educational intervention, participating companies were further divided into two groups (group A, n = 26; group B, n = 47) that both received information regarding risk assessment, but group B was also informed about the digital tool. Both groups answered a questionnaire on risk assessment before the intervention and at the follow-up, 6 months later; the control group received the same questionnaire but no education (group C, n = 22).

Results: Of the invited companies, only 2% chose to participate and 7% at follow-up. Seventy-eight percent of the participants had made some kind of risk assessment of vibration at follow-up.

Conclusion: Due to the low participation rate among invited companies, this study is not able to draw any conclusions on whether the digital tool can be used to increase the number of risk assessments.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
digital tool, intervention, questionnaire, risk assessment, vibration
National Category
Occupational Health and Environmental Health Occupational Therapy
Identifiers
urn:nbn:se:umu:diva-184787 (URN)10.1080/10803548.2021.1928389 (DOI)000659328400001 ()33998975 (PubMedID)2-s2.0-85107569959 (Scopus ID)
Available from: 2021-06-21 Created: 2021-06-21 Last updated: 2022-11-30Bibliographically approved
Lewkowski, K., Ytterstad, E., Pugliese, M. J., McCausland, K., Heyworth, J. S., Li, I. W., . . . Fritschi, L. (2021). Exposure to Hand-Arm Vibration in the Australian Workforce. Annals of Work Exposures and Health, 65(6), 659-667
Open this publication in new window or tab >>Exposure to Hand-Arm Vibration in the Australian Workforce
Show others...
2021 (English)In: Annals of Work Exposures and Health, ISSN 2398-7308 , E-ISSN 2398-7316 , Vol. 65, no 6, p. 659-667Article in journal (Refereed) Published
Abstract [en]

Objective: To estimate the prevalence of hand-arm vibration (HAV) in Australian workplaces.

Methods: The Australian Workplace Exposure Survey (AWES)—Hearing was a cross-sectional telephone survey of Australian workers conducted in 2016–2017. Respondents were asked about the time spent using tools or performing tasks known to be associated with HAV during their most recent working day. We created a library of HAV magnitude levels for each tool/task and estimated each worker’s daily HAV exposure level using standard formulae. We categorized each worker as to whether they exceeded the daily occupational limits of 2.5 and 5.0 m/s2. Results were extrapolated to the Australian working population using a raked weighting method.

Results: In our sample of 4991 workers, 5.4% of men and 0.7% of women exceeded the HAV action limit of 2.5 m/s2 on their most recent working day. We estimate that 3.8% of the Australian workforce exceeds the HAV limit of 2.5 m/s2 and 0.8% exceeds the 5 m/s2 limit. Men were more likely to exceed the HAV limits than women, as were those with trade qualifications, and those who worked in remote locations. Workers in the construction, farming, and automobile industries had the highest prevalence of HAV exposure. Tool groups that contributed to higher exposure levels included: compactors, rollers, and tampers; power hammers and jackhammers; and underground mining equipment.

Conclusions: HAV is common in the Australian working population. Given the health risks associated with this exposure, reduction strategies and interventions should be developed, with engineering controls as the starting point for exposure reduction strategies.

Place, publisher, year, edition, pages
Oxford University Press, 2021
Keywords
exposure assessment, exposure estimation, HAVS, occupational groups, vibration
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-186423 (URN)10.1093/annweh/wxaa121 (DOI)000743310400005 ()33999177 (PubMedID)2-s2.0-85110757464 (Scopus ID)
Available from: 2021-08-04 Created: 2021-08-04 Last updated: 2023-09-05Bibliographically approved
Skröder, H., Pettersson, H., Norlén, F., Gustavsson, P., Rylander, L., Albin, M. & Selander, J. (2021). Occupational exposure to whole body vibrations and birth outcomes - A nationwide cohort study of Swedish women. Science of the Total Environment, 751, Article ID 141476.
Open this publication in new window or tab >>Occupational exposure to whole body vibrations and birth outcomes - A nationwide cohort study of Swedish women
Show others...
2021 (English)In: Science of the Total Environment, ISSN 0048-9697, E-ISSN 1879-1026, Vol. 751, article id 141476Article in journal (Refereed) Published
Abstract [en]

Background: More women in reproductive ages are entering occupations where exposure to whole body vibrations (WBV) is common (e.g. in transportation and construction). Previous studies based on self-assessed exposure suggest increased risks of adverse birth outcomes, but it is unclear at what exposure levels and if the current exposure guidelines are appropriate during pregnancy.

Objectives: To investigate whether occupational WBV-exposure increases the risk of preterm birth, low birth weight, and/or small-for-gestational age, in a large, nationwide, prospective, cohort study.

Design: The Fetal Air Pollution Exposure cohort (FAIR) was formed by merging data from multiple, national registers, and the present study includes singletons born 1994–2014 to working women in Sweden (n = 1,091,080 births). WBV-exposure was assessed quantitatively using a job-exposure matrix based on measurements, and calculated odds ratios were adjusted for potential confounders such as smoking and BMI, and other occupational exposures like noise, combustion particles, and physically and psychologically strenuous work. Data on absence from work (full-/part time, sick leave, parental leave, etc.) was also used.

Results: Exposure to WBV during pregnancy, among women with low absence from work (n = 476,419), was associated with an increased risk of preterm birth, below the occupational exposure limit (1.15 m/s2). Compared to unexposed mothers, the OR was 1.38 (95% CI: 1.05, 1.83) for exposure ≥0.5 m/s2, corresponding to an increase from 47/1000 cases to 65/1000 cases. No increased risk was found for small-for-gestational age.

Conclusions: Exposure to WBV was associated with an increased risk of preterm birth. The results suggest that the current permissible exposure and action levels for WBV-exposure do not adequately protect pregnant women with continuous exposure.

Place, publisher, year, edition, pages
Elsevier, 2021
Keywords
Work, Oscillation, Gestation, Fetal development, PTB, LBW, SGA
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-178093 (URN)10.1016/j.scitotenv.2020.141476 (DOI)000587300800013 ()32871309 (PubMedID)2-s2.0-85089955151 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-00902
Available from: 2021-01-07 Created: 2021-01-07 Last updated: 2023-03-24Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7077-2389

Search in DiVA

Show all publications