Association between obesity and musculoskeletal symptoms in workers: cross-sectional study

  • Renata Trivelato de Azevedo Graduanda em Fisioterapia, Departamento de Fisioterapia, Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brasil.
  • Ludmilla Maria Souza Mattos de Araújo Vieira Doutoranda, Programa de Pós-graduação em Fisioterapia, Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brasil.
  • Cristiane Shinohara Moriguchi Docente, Doutora, Departamento de Fisioterapia e Programa de Pós-graduação em Fisioterapia, Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brasil.
  • Tatiana de Oliveira Sato Docente, Doutora, Departamento de Fisioterapia e Programa de Pós-graduação em Fisioterapia, Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brasil.
Keywords: Chronic pain, Occupational health, Ergonomics, Prevention

Abstract

Background: Musculoskeletal symptoms are common and affect people of all ages and may occur in one (single-site) or in several regions of the body (multisite). Obesity may be associated with these symptoms. Objective: To evaluate the association between obesity and single-site and multisite symptoms in a working population. Materials and Methods: This is a cross-sectional study with white and blue collar workers from several economic sectors. 1,233 workers were evaluated and 644 composed the sample. Personal and occupational characteristics were assessed using a sociodemographic questionnaire. Musculoskeletal symptoms were identified using the Nordic Musculoskeletal Symptom Questionnaire (NMQ). The Body Mass Index (BMI) was calculated and dichotomized in obese (>30 kg/m2) and non-obese (<30 kg/m2). Data was descriptively analyzed and through logistic regression in the SPSS program. Results: There was no association between symptoms and obesity, except for the ankle/foot region in male workers. Conclusions: Obesity was associated with the presence of ankle/feet symptoms in men. This association may indicate mechanical overload in the region during activities performed in the standing posture.

References

-Barros, E.N.C.; Alexandre, N.M.C. Cross-cultural adaptation of the nordic musculoskeletal questionnaire. International nursing review. Vol. 50. Num. 2. 2003. p.101-108.

-Barros, F.C.; Cardoso, V.F.; Moriguchi, C.S.; Sato, T.O. The Brazilian eValuation of Occupational health (BRAVO) database: presentation of the workers’ profile and prospects for future studies. 10th International Scientific Conference on the Prevention of Work-Related Musculoskeletal Disorders. Vol. 2019.

-Brady, S.R.E.; Mamuaya, B.B.; CicuttiniI, F.; Wluka, A.E.; Wang, Y.; Hussain, S.M.; Urqhuart, D.M. Body Composition Is Associated With Multisite Lower Body Musculoskeletal Pain In a Community-based Study. Journal of Pain. Vol.16. Num. 8. 2015. p.700-706.

-Briggs, M.S.; Givens, D.L.; Schmitt, L.C.; Taylor, C.A. Relations of C-reactive protein and obesity to the prevalence and the odds of reporting low back pain. Arch Phys Med Rehabil. Vol. 94. Num. 4. 2013. p. 745-752.

-Bulbrook, B.D.; La Delfa, N.J.; McDonald, A.C.; Liang, C.; Callaghan, J.P.; Dickerson, C.R. Higher body mass index and body fat percentage correlate to lower joint and functional strength in working age adults. Applied Ergonomics. Vol. 95. 2021.

-Butterworth, P.A.; Landorf, K.; Smith, S.; Menz, H. The association between body mass index and musculoskeletal foot disorders: A systematic review. Obesity Reviews. Vol.13. Num. 7. 2012. p. 630-642.

-Capadoglio, P.; Castelnuovo, G.; Brunani, A.; Vismara, L.; Villa, V.; Capadoglio, E.M. Functional limitations and occupational issues in obesity: A review. International Journal of Occupational Safety and Ergonomics. Vol. 16. Num 4. 2010. p. 507-523.

-Chin, S.H.; Huang, W.L.; Akter, S. Obesity and pain: a systematic review. International jornal of obesity. Vol. 44. 2020. p. 969-979.

-Chooi, Y.C.; Ding, C.; Magkos, F. The epidemiology of obesity. Metabolism: clinical and experimental. Vol. 92. 2019. p. 6-10.

-Colim, A.; Arezes, P.; Flores, P.; Monteiro, P.R.R.; Mesquita, I.; Braga, A.C. Obesity effects on muscular activity during lifting and lowering tasks. International journal of occupational safety and ergonomics. Vol. 27,1. 2021. p. 217-225

-Evanoff, A.; Sabbath, E.L.; Carton, M.; Czernichows, S.; Zins, M.; Leclerc; Descatha, A. Does obesity modify the relationship between exposure to occupational factors and musculoskeletal pain in men? Results from the GAZEL Cohort Study. PLoS ONE. Vol. 9. Num. 10. 2014.

-Fernandes, R.C.; Bur .dorf, A. Associations of multisite pain with healthcare utilization, sickness absence and restrictions at work. International archives of Occupational and environmental health. Vol. 89. Num.7. 2016. p. 1039-1046.

-Ghasemi, M.; Arjmand, N. Spinal segment ranges of motion, movement coordination, and three-dimensional kinematics during occupational activities in normal-weight and obese individuals. Journal of Biomechanics. Vol. 123. 2021.

-Guh, D.P.; Zhang, W.; Bansback, N.; Amarsi, Z.; Birmingham, C.L.; Anis, A.H.The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis. BMC Public Health. Vol. 9. Num. 88. 2009.

-Irving, D.B.; Cook, J.L.; Young, M.A.; B Menz, H. Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study. BMC Musculoskeletal Disorders. Vol. 8. Num. 41. 2007.

-Kamaleri, Y.; Natvig, B.; Ihlebaek, C.M., Benth, J.S.; Bruusgaard, D. Change in the number of musculoskeletal pain sites: a 14-year prospective study. Pain. Vol 141. Num. 1-2. 2009. p. 25-30.

-Liu, M.; Xie, Z.; Costello, C.A.; Zhang, W.; Chen, L.; Qi, D.; Furey, A.; Randell, E.W.; Rahmann, P.; ZhaiI, G. Metabolomic analysis coupled with extreme phenotype sampling identified that lysophosphatidylcholines are associated with multisite musculoskeletal pain. Pain. Vol. 162. Num. 2. 2021. p.600-608.

-Lizuka, Y.; Lizuka, H.; Mieda, T.; Tajika, T.; Yamamoto, A.; Ohsawa, T.; Sasaki, T.; Takagishi, K. Association between neck and shoulder pain, back pain, low back pain and body composition parameters among the Japanese general population. BMC Musculoskelet disorders. Vol. 16. 2015. p. 333.

-Luppino, F.S.; Wit, L.M.; Bouvy, P.F.; Stijnen, T.; Cuijpers, P.; Penninx, B.W.; Zitman, F.G. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Archives of General Psychiatry. Vol. 67. Num. 3. 2010. p. 220-9.

-Magnusson, K.; Osteras, N.; Mowinckel, P.; Natvig, B.; Hagen, K.B. No strong temporal relationship between obesity and multisite pain - results from a population-based 20-year follow-up study. European Journal of Pain. Vol.18. Num. 1. 2014. p. 20-127.

-McKendall, M.J.; Haier, R.J. Pain sensitivity and obesity, Psychiatry Research, Vol. 8. Num. 2. 1983. p. 119-125.

-Mendonça, C.R.; Noll, M.; Rodrigues, A.P.S.; Vitorino, P.V.O.; Mendes, M.A.; Silveira, E.A. Association of pain, severe pain, and multisite pain with the level of physical activity and sedentary behavior in severaly obese adults:Baseline data from the dietbra trial. International Journal of Environmental Research and Public Health. Vol. 17. Num. 12. 2020. p. 1-18.

-Neupane, S.; Leino-Arjas, P.; Nygard, C.; Oakman, J.; Virtanen, P. Developmental pathways of multisite musculoskeletal pain: What is the influence of physical and psychosocial working conditions?. Occupational and Environmental Medicine. Vol. 74. Num. 7. 2017. p. 468-475.

-Ozukuk, K.; Ates, Z. The effect of obesity on pain and disability in chronic shoulder pain patients. Journal of Back and Musculoskeletal Rehabilitation. Vol. 33. Num. 1. 2020. p. 73-79.

-Pan, F.; Laslett, L.; Blizaard, L.; Cicuttini, F.; Winzenberg, T.; Ding, C.; Jones, G. Associations between fat mass and multisite pain: A five-year longitudinal study. Arthritis Care & Research. Vol. 69. Num 4. 2017. p. 509-516.

-Pasco, J.A.; Nicholson, G.C.; Brennan, S.L.; Kotowicz, M.A. Prevalence of obesity and the relationship between the body mass index and body fat: cross-sectional, population-based data. PLoS ONE. Vol. 7. Num. 1. 2012.

-Pensola, T.; Haukka, E.; Kaila-kangas, L.; Neupane, S.; Leino-Arjas, P. Good work ability despite multisite musculoskeletal pain? a study among occupationally active Finns. Scandinavian Journal of Public Health. Vol. 44. 2016. p. 300-310.

-Phillips, L.K.; Prins, J.B. The link between abdominal obesity and the metabolic syndrome. Current Hypertension Reports. Vol. 10. Num. 2. 2008. p.156-164.

-Pinheiro, F.A.; Troccoli, B.T.; Carvalho, C.V. Validação do Questionário Nórdico de Sintomas Osteomusculares como medida de morbidade. Revista de Saúde Pública. Vol. 36. Num. 3. 2002. p. 307-312.

-Robroek, S.J.W.; Järvholm, B.; Van Der Beek, A.J.; Proper, K.I.; Wahlström, J.; Burdorf, A. Influence of obesity and physical workload on disability benefits among construction workers followed up for 37 years. Occupational and Environmental Medicine. Vol. 74. Num. 9. 2017. p. 621-627.

-Sirtori, A.; Brunani, A.; Liuzzi, A.; Pasqualinotto, L.; Villa, V.; Leonardi, M.; Raggi, A. Quality of life, disability, and body mass index are related in obese patients. International jornal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation. Vol. 34. Num. 3. 2011. p. 270-272.

-Shiri, R.; Karppinen, J.; Leino-Arjas, P.; Solovieva, S.; Viikari-Juntura, E. The association between obesity and low back pain: a meta-analysis. American Journal of Epidemiology. Vol. 171. Num. 2. 2010. p.135-154.

-Sulliva, J.; Burns, J.; Adams, R.; Pappas, E.; Crosbie, J. Musculoskeletal and activity-related factors associated with plantar heel pain. Foot & Ankle International. Vol. 36. Num.1. 2015. p. 37-45.

-Svärd, A.; Lahti, J.; Mänty, M.; Roos, E.; Rahkonen, O.; Lahelma, E.; Lallukka, T. Weight change among normal weight, overweight and obese employees and subsequent diagnosis-specific sickness absence: A register-linked follow-up study. Scandinavian Journal of Public Health. Vol. 48. Num. 2. 2020. p.155-163.

-WHO. Consultation on Obesy & World Health Organization. Obesity: preventing and managing the global epidemic: report of a WHO Consultation. World Health Organization. 2000.

-Yoo, J.J.; Cho, N.H.; Lim, S.H.; Kim, H.A. Relationships Between Body Mass Index, Fat Mass, Muscle Mass, and Musculoskeletal Pain in Community Residents. Arthritis & Rheumatology. Vol. 66. Num. 12. p. 3511-3520.

Published
2024-08-06
How to Cite
Azevedo, R. T. de, Vieira, L. M. S. M. de A., Moriguchi, C. S., & Sato, T. de O. (2024). Association between obesity and musculoskeletal symptoms in workers: cross-sectional study. Brazilian Journal of Obesity, Nutrition and Weight Loss, 18(115), 669-680. Retrieved from https://www.rbone.com.br/index.php/rbone/article/view/2452
Section
Scientific Articles - Original