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Sánchez-Rodríguez C, Capitán-Moyano L, Malih N, Yáñez AM, Bennasar-Veny M, Velasco-Roldán O, Bulilete O, Llobera-Canaves J. Prevalence of musculoskeletal disorders among hotel housekeepers and cleaners: A systematic review with meta-analysis. Musculoskelet Sci Pract 2024; 69:102890. [PMID: 38081106 DOI: 10.1016/j.msksp.2023.102890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 11/15/2023] [Accepted: 11/27/2023] [Indexed: 01/29/2024]
Abstract
BACKGROUND Musculoskeletal disorders (MSD) are among the most frequent and costly occupational health problems with a rising prevalence globally. OBJECTIVE This systematic review with meta-analysis was conducted to know and evaluate the prevalence of MSD by anatomic location among hotel housekeepers (HHs) and cleaners. METHODS Electronic searches were conducted in PubMed, Web of Science, Scopus, Dialnet Plus, PEDro and Cochrane Database for Systematic Reviews using a search strategy to identify cross-sectional studies reporting on the prevalence of MSD in HHs or cleaners. The risk of bias was assessed with Joanna Briggs Institute tool for systematic reviews. A random-effects model was used in the meta-analysis. RESULTS Nineteen studies were included in the systematic review, nine of them in the meta-analysis (n = 2299). The study sample sizes ranged from 24 to 1043 participants. The Standardized Nordic Musculoskeletal Questionnaire was the most common tool used to assess MSD among both HHs and cleaners (9/19 of the included studies). The three most affected anatomic locations were the low back 53.9% (95% CI: 43.3-64.6), shoulders 41.4% (95% CI: 27.1-55.8), and wrists/hands 40.1% (95% CI: 24.5-55.7). CONCLUSIONS HHs and cleaners have a high prevalence of MSD. Low back pain is the most prevalent MSD among both HHs and cleaners affecting up to one of two people.
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Affiliation(s)
- Cristian Sánchez-Rodríguez
- Research Group on Global Health and Human Development, University of the Balearic Islands (UIB), 07122, Palma, Spain; Sant Joan de Déu Hospital, 07007, Palma, Spain
| | - Laura Capitán-Moyano
- Research Group on Global Health and Human Development, University of the Balearic Islands (UIB), 07122, Palma, Spain; Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122, Palma, Spain
| | - Narges Malih
- Research Group on Global Health and Human Development, University of the Balearic Islands (UIB), 07122, Palma, Spain; Health Research Institute of the Balearic Islands (IdISBa), 07120, Palma, Spain
| | - Aina M Yáñez
- Research Group on Global Health and Human Development, University of the Balearic Islands (UIB), 07122, Palma, Spain; Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122, Palma, Spain; Health Research Institute of the Balearic Islands (IdISBa), 07120, Palma, Spain; Research Institute of Health Sciences (IUNICS), 07122, Palma, Spain; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 07003, Palma, Spain
| | - Miquel Bennasar-Veny
- Research Group on Global Health and Human Development, University of the Balearic Islands (UIB), 07122, Palma, Spain; Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122, Palma, Spain; Health Research Institute of the Balearic Islands (IdISBa), 07120, Palma, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Olga Velasco-Roldán
- Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122, Palma, Spain; Health Research Institute of the Balearic Islands (IdISBa), 07120, Palma, Spain; Research Institute of Health Sciences (IUNICS), 07122, Palma, Spain.
| | - Oana Bulilete
- Health Research Institute of the Balearic Islands (IdISBa), 07120, Palma, Spain; Primary Care Research Unit of Mallorca, Public Health Service of the Balearic Islands (Ibsalut) and Research Group in Primary Care and Promotion-Balearic Islands Community (GRAPP-caIB), 07003, Palma, Spain; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 07003, Palma, Spain
| | - Joan Llobera-Canaves
- Health Research Institute of the Balearic Islands (IdISBa), 07120, Palma, Spain; Primary Care Research Unit of Mallorca, Public Health Service of the Balearic Islands (Ibsalut) and Research Group in Primary Care and Promotion-Balearic Islands Community (GRAPP-caIB), 07003, Palma, Spain; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 07003, Palma, Spain
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Sala E, Cipriani L, Bisioli A, Paraggio E, Tomasi C, Apostoli P, De Palma G. A Twenty-Year Retrospective Analysis of Risk Assessment of Biomechanical Overload of the Upper Limbs in Multiple Occupational Settings: Comparison of Different Ergonomic Methods. Bioengineering (Basel) 2023; 10:bioengineering10050580. [PMID: 37237650 DOI: 10.3390/bioengineering10050580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Revised: 05/05/2023] [Accepted: 05/08/2023] [Indexed: 05/28/2023] Open
Abstract
BACKGROUND Several methods with which to assess the risk of biomechanical overload of the upper limb are described in the literature. METHODS We retrospectively analysed the results of the risk assessment of the biomechanical overload of the upper limb in multiple settings by comparing the application of the Washington State Standard, the threshold limit values (TLV) proposed by the American Conference of Governmental Industrial Hygienists (ACGIH), based on hand-activity levels (HAL) and normalised peak force (PF), the Occupational Repetitive Actions (OCRA) checklist, the Rapid Upper-Limb Assessment (RULA), and the Strain Index and Outil de Repérage et d'Evaluation des Gestes of INRS (Institut National de Recherche et de Sécurité). RESULTS Overall, 771 workstations were analysed for a total of 2509 risk assessments. The absence of risk demonstrated for the Washington CZCL, used as the screening method, was in good agreement with the other methods, with the sole exception of the OCRA CL, which showed at-risk conditions in a higher percentage of workstations. Differences in the assessment of the frequency of actions were observed among the methods, while their assessments of strength appeared to be more uniform. However, the greatest discrepancies were observed in the assessment of posture. CONCLUSIONS The use of multiple assessment methods ensures a more adequate analysis of biomechanical risk, allowing researchers to investigate the factors and segments in which different methods show different specificities.
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Affiliation(s)
- Emma Sala
- Unit of Occupational Health, Occupational Hygiene, Toxicology and Prevention, University Hospital ASST Spedali Civili, 25123 Brescia, Italy
| | - Lorenzo Cipriani
- Unit of Occupational Health and Industrial Hygiene, Department of Medical Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy
| | - Andrea Bisioli
- Unit of Occupational Health and Industrial Hygiene, Department of Medical Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy
| | - Emilio Paraggio
- Unit of Occupational Health and Industrial Hygiene, Department of Medical Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy
| | - Cesare Tomasi
- Unit of Occupational Health and Industrial Hygiene, Department of Medical Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy
| | - Pietro Apostoli
- Unit of Occupational Health and Industrial Hygiene, Department of Medical Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy
| | - Giuseppe De Palma
- Unit of Occupational Health, Occupational Hygiene, Toxicology and Prevention, University Hospital ASST Spedali Civili, 25123 Brescia, Italy
- Unit of Occupational Health and Industrial Hygiene, Department of Medical Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy
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Ohlendorf D, Schneidereit L, Hermanns I, Holzgreve F, Maltry L, Ellegast R, Wanke EM, Nienhaus A, Groneberg DA. The burden of conveyor belt work in the canteen kitchen: A question of working height? Work 2022; 73:881-894. [DOI: 10.3233/wor-205170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Working in forced postures and standing continuously can be classified as straining the musculoskeletal system. OBJECTIVE: Since such postures are frequently used in hospital canteen kitchens, we used kinematic analysis to determine the working postures of canteen kitchen staff. METHODS: In this study, the daily work routine of 18 (11 w/7 m) workers of a hospital canteen kitchen (Frankfurt/Main, Germany) aged 21–62 years (46±13 years) was examined by means of kinematic analysis (CULEA system; IFA; Sankt Augustin/Germany) and a detailed computerized analysis of the activities performed on- site. Angle values of the head and trunk were evaluated in accordance with ergonomic standards and presented using percentile values (P05-P95). The OWAS method was also employed to capture the proportions of standing, walking and sitting work. RESULTS: The kinematic posture analysis showed for all activities on the conveyor belt a tendency towards a dorsally inclined body position: trunk inclination (–7.5° to 0), thoracic spine inclination or a bending forward (–11.3° to 0°) and curvature of the back within the thoracic spine (–15.2° to 0°). In addition,>90% of the “activities on the belt” (46% of the daily working routine) were carried out standing. CONCLUSION: The activities on the conveyor belt were characterized by a tendency towards hyperextension of the trunk, possibly due to a too high working environment. Furthermore, an increased burden on body structures while standing can be concluded. From a primary prevention perspective, this increased standing load should be reduced by behavioral and relational prevention measures.
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Affiliation(s)
- Daniela Ohlendorf
- Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University, Frankfurt am Main, Germany
| | - Laura Schneidereit
- Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University, Frankfurt am Main, Germany
| | - Ingo Hermanns
- Institute for Occupational Health and Safety (IFA), German Social Accident Insurance (DGUV), Sankt Augustin, Germany
| | - Fabian Holzgreve
- Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University, Frankfurt am Main, Germany
| | - Laura Maltry
- Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University, Frankfurt am Main, Germany
| | - Rolf Ellegast
- Institute for Occupational Health and Safety (IFA), German Social Accident Insurance (DGUV), Sankt Augustin, Germany
| | - Eileen M. Wanke
- Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University, Frankfurt am Main, Germany
| | - Albert Nienhaus
- Competence Center for Epidemiology and Health Services Research for Dermatology and Nursing (IVDP), University Medical Center, Hamburg-Eppendorf, Germany
| | - David A. Groneberg
- Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University, Frankfurt am Main, Germany
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Raghavan R, Panicker VV, Emmatty FJ. Ergonomic risk and physiological assessment of plogging activity. Work 2022; 72:1337-1348. [DOI: 10.3233/wor-205210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Plogging, an environment friendly trash workout is a combination of jogging with litter collection. People who are involved in the plogging carry a baggage for collecting the litter. Walking with a weight on one side causes the opposite side of the body to engage for stability and are also exposed to repetitive bending during the activity. OBJECTIVES: The purpose of this study is to evaluate the postural and physiological aspects of plogging activity. METHODS: Thirty six subjects performed the litter collection in stoop, semi-squat, full squat and lunge postures respectively. Postures were analyzed using Rapid Entire Body Assessment (REBA). Physiological aspects of plogging, as well as a comparison of physical activity assessment during jogging and plogging, were investigated using a Polar M430 optical heart rate monitor. Statistical analysis were performed using SPSS version 23. RESULTS: Mean±SD of full squat (5.13±0.59) and lunge (6.64±1.15) posture was found to have lesser risk score in comparison with the other two postures such as stoop (10.31±0.88) and semi-squat (8.11±1.40). Analysis from the Kruskal-Wallis and post hoc test showed that there is no significant interaction between the postures (p < 0.05). Paired Sample t-test showed that the energy expenditure for plogging and jogging are found to be similar (p > 0.05), but the fat percentages of calories burned is more in plogging (p < 0.05). Howerver plogging can be considered as a strenous activity as the % Cardiovascular strain of the activity had a mean value of (99.261%). CONCLUSIONS: Ergonomic interventions are needed to play a vital role in minimizing the musculoskeletal related injuries and the physical strain of the task.
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Affiliation(s)
- Rahul Raghavan
- Department of Mechanical Engineering, National Institute of Technology Calicut, Kerala, India
| | - Vinay V Panicker
- Department of Mechanical Engineering, National Institute of Technology Calicut, Kerala, India
| | - Francis J. Emmatty
- Department of Mechanical Engineering, National Institute of Technology Calicut, Kerala, India
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Cardoso VDF, Stefane CA, de Barros FC, Gonçalves JS, Figueiredo LC, de Oliveira Sato T. Influence of gender and age on musculoskeletal symptoms in white and blue-collar workers - cross-sectional study. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2022; 28:2482-2491. [PMID: 35130824 DOI: 10.1080/10803548.2022.2037325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE Identify the prevalence of musculoskeletal symptoms among blue- and white-collar workers stratified by gender and age. METHODS The sample was composed of 390 blue-collar and 510 white-collar workers. Musculoskeletal symptoms were evaluated using the Nordic Musculoskeletal Questionnaire. Independent t-test or Mann-Whitney test were used for the inter-group comparisons. The Chi-square (χ2) association test was applied for categorical variables. Logistic regression analysis was used to determine the influence of gender and age on musculoskeletal symptoms. RESULTS The prevalence of shoulder, lower back, and ankle/foot symptoms was higher among blue-collar workers compared to white-collar workers. In the analysis stratified by gender, female blue-collar workers had a higher frequency of shoulder symptoms and male blue-collar workers had a higher frequency of lower back symptoms. In the analysis stratified by age, younger blue collar-workers had a higher frequency of shoulder, lower back, and ankle/foot symptoms compared to young white-collar workers and older white-collar workers had a higher frequency of neck symptoms compared to older blue-collar workers. CONCLUSIONS Gender and age exerted an influence on self-reported symptoms in blue- and white-collar workers.
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Affiliation(s)
- Viviane de Freitas Cardoso
- Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, km 235, SP-310, 13565-905, São Carlos, SP, Brazil
| | - Claudia Aparecida Stefane
- Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, km 235, SP-310, 13565-905, São Carlos, SP, Brazil
| | - Fernanda Cabegi de Barros
- Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, km 235, SP-310, 13565-905, São Carlos, SP, Brazil
| | - Josiane Sotrate Gonçalves
- Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, km 235, SP-310, 13565-905, São Carlos, SP, Brazil
| | - Leandro Corrêa Figueiredo
- Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, km 235, SP-310, 13565-905, São Carlos, SP, Brazil
| | - Tatiana de Oliveira Sato
- Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, km 235, SP-310, 13565-905, São Carlos, SP, Brazil
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Oza HH, Lee MG, Boisson S, Pega F, Medlicott K, Clasen T. Occupational health outcomes among sanitation workers: A systematic review and meta-analysis. Int J Hyg Environ Health 2021; 240:113907. [PMID: 34942466 PMCID: PMC8837624 DOI: 10.1016/j.ijheh.2021.113907] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 11/16/2021] [Accepted: 12/14/2021] [Indexed: 01/09/2023]
Abstract
Background Sanitation workers are essential to global public health and societal wellbeing. However, the health risks and outcomes associated with exposure to occupational risk factors among sanitation workers are neither well understood nor well quantified. We undertook a systematic review to (1) identify occupational risk factors among sanitation workers and (2) assess the effect of occupational exposure to human fecal sludge and wastewater on selected health outcomes among these workers. Methods We searched four databases (i.e., PubMED, MEDLINE, EMBASE, and LILACS) for eligible studies from inception through to January 01, 2020. The included population was workers ≥15 years engaged, formally or informally, in installing, operating, servicing, cleaning or emptying a sanitation technology at any step of the sanitation chain. The included comparator was workers in other occupations or the general population. Eligible outcomes were: mortality (any or all causes), gastroenteritis, occupational injuries, respiratory diseases, musculoskeletal disorders, and mental and social health conditions. Risk of bias was assessed separately on exposure assessment and health outcome using a modified Liverpool Quality Assessment Tool (LQAT). We pooled sufficiently homogenous studies using inverse variance meta-analysis with random effects. Results A total of 65 studies (9 cohort studies, 56 cross-sectional studies) met the inclusion criteria. One quarter of studies (n = 15) were from middle-income countries. Few studies assessed occupational risk factor exposures directly; most assigned exposure via proxy of occupation of sanitation worker. We judged nearly all studies to have “high risk of bias” in exposure and outcome assessment. Despite these limitations, the consistency of the overall evidence suggests that sanitation workers are at increased risk of gastroenteritis and respiratory conditions, and may be at increased risk of musculoskeletal disorders and mental/social health conditions. The pooled odds ratio for hepatitis A--the only outcome deemed suitable for meta-analysis--was 2.09 (95% Predicted Interval: 1.39–3.00, 12 studies). There was conflicting evidence from studies of increased risk of mortality; only one study reported on injuries. Conclusion Despite a large number of studies, there is limited evidence to date of the health risks faced by sanitation workers, particularly among groups that may be at particular risk-- women, informal workers and those living in low-income countries. Nevertheless, the research to date provides suggestive evidence of elevated occupational risk among sanitation workers across a range of health condition. More research is needed to improve the current bodies of evidence for all included health outcomes to be able to quantify disease burden among this occupational group.
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Affiliation(s)
- Hemali Harish Oza
- Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA
| | - Madison Gabriella Lee
- Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA
| | - Sophie Boisson
- Department of Environment, Climate Change and Health, World Health Organization, Geneva, Switzerland
| | - Frank Pega
- Department of Environment, Climate Change and Health, World Health Organization, Geneva, Switzerland
| | - Kate Medlicott
- Department of Environment, Climate Change and Health, World Health Organization, Geneva, Switzerland
| | - Thomas Clasen
- Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
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