Abstract
Purpose
Many older workers are working despite having neck-shoulder pain (NSP), which may give rise to work limitations due to pain, especially among those with high physical work demands. This study investigated the joint association of neck-shoulder pain intensity and physical work demands with work limitations among older workers.
Methods
In SeniorWorkingLife, workers ≥ 50 years (n = 11,800) replied to questions about NSP intensity, work limitations due to pain, and physical activity demands at work. The odds ratio for having a higher level of work limitations due to pain in relation to neck-shoulder pain intensity and physical work demands were modeled using logistic regression controlled for various confounders.
Results
The results showed that the neck-shoulder pain intensity was associated with work limitations in a dose–response fashion (p < 0.0001). Importantly, a significant interaction existed between neck-shoulder pain intensity and physical activity at work (p < 0.0001), e.g., 77% of workers with high pain and high work demands experienced work limitations due to the pain.
Conclusion
Higher neck-shoulder pain intensity and higher physical work demands—and particularly in combination—were associated with higher odds of work limitation due to pain among older workers. Thus, it seems especially important to accommodate work demands through a better work environment for these groups of workers.
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Availability of data and material
The authors encourage collaboration and use of the data by other researchers. Data are stored on the server of Statistics Denmark, and researchers interested in using the data for scientific purposes should contact the project leader Prof. Lars L. Andersen, lla@nfa.dk, who is responsible for the study design, questionnaire development, definition of population, and data collection.
References
Andersen LL, Clausen T, Burr H, Holtermann A (2012) Threshold of musculoskeletal pain intensity for increased risk of long-term sickness absence among female healthcare workers in eldercare. PLoS ONE 7(7):e41287
Andersen LL, Thorsen SV, Flyvholm M-A, Holtermann A (2018) Long-term sickness absence from combined factors related to physical work demands: prospective cohort study. Eur J Pub Health 28(5):824–829
Andersen LL, Jensen PH, Sundstrup E (2019) Barriers and opportunities for prolonging working life across different occupational groups: the SeniorWorkingLife study. Eur J Public Health 30(2):241–246
Andersen LL, Sundstrup E (2019) Study protocol for SeniorWorkingLife-push and stay mechanisms for labour market participation among older workers. BMC Public Health 19(1):133
Bayattork M, Jakobsen MD, Sundstrup E, Seidi F, Bay H, Andersen LL (2019) Musculoskeletal pain in multiple body sites and work ability in the general working population: cross-sectional study among 10,000 wage earners. Scand J Pain 19(1):131–137. https://doi.org/10.1515/sjpain-2018-0304
Burr H, Bjorner JB, Kristensen TS, Tüchsen F, Bach E (2003) Trends in the Danish work environment in 1990–2000 and their associations with labor-force changes. Scand J Work Environ Health 29(4):270–279
Calatayud J, Jakobsen MD, Sundstrup E, Casaña J, Andersen LL (2015) Dose-response association between leisure time physical activity and work ability: cross-sectional study among 3000 workers. Scand J Public Health 43(8):819–824
Cassou B, Derriennic F, Monfort C, Norton J, Touranchet A (2002) Chronic neck and shoulder pain, age, and working conditions: longitudinal results from a large random sample in France. Occup Environ Med 59(8):537–544
de Vries HJ, Reneman MF, Groothoff JW, Geertzen JH, Brouwer S (2013) Self-reported work ability and work performance in workers with chronic nonspecific musculoskeletal pain. J Occup Rehabil 23(1):1–10
Edge CE, Cooper AM, Coffey M (2017) Barriers and facilitators to extended working lives in Europe: a gender focus. Public Health Rev 38(1):2
Engel GL (1977) The need for a new medical model: a challenge for biomedicine. Science 196(4286):129–136
Flower DJ, Tipton MJ, Milligan GS (2019) Considerations for physical employment standards in the aging workforce. Work 63(4):509–519
Hallman DM, Holtermann A, Dencker-Larsen S, Jørgensen MB, Rasmussen CDN (2019) Are trajectories of neck–shoulder pain associated with sick leave and work ability in workers? A 1-year prospective study. BMJ Open 9(3):e022006
Holtermann A, Hansen JV, Burr H, Søgaard K (2010) Prognostic factors for long-term sickness absence among employees with neck-shoulder and low-back pain. Scand J Work Environ Health 36(1):34–41
Ilmarinen J (2006) The ageing workforce—challenges for occupational health. Occup Med 56(6):362–364
James SL et al (2018) Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 392(10159):1789–1858
Kenny GP, Yardley JE, Martineau L, Jay O (2008) Physical work capacity in older adults: implications for the aging worker. Am J Ind Med 51(8):610–625
Kuorinka I et al (1987) Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 18(3):233–237
Lagersted-Olsen J, Korshøj M, Skotte J, Carneiro I, Søgaard K, Holtermann A (2014) Comparison of objectively measured and self-reported time spent sitting. Int J Sports Med 35(06):534–540
Lee W, Hong K, Lim S-S, Yoon J-H (2016) Does pain deteriorate working life expectancy in aging workers? J Occup Health 58(6):582–592
Leijten FR, van den Heuvel SG, Ybema JF, van der Beek AJ, Robroek SJ, Burdorf A (2014) The influence of chronic health problems on work ability and productivity at work: a longitudinal study among older employees. Scand J Work Environ Health 40(5):473–482. https://doi.org/10.5271/sjweh.3444
Lund T, Labriola M, Christensen KB, Bültmann U, Villadsen E (2006) Physical work environment risk factors for long term sickness absence: prospective findings among a cohort of 5357 employees in Denmark. BMJ 332(7539):449–452
Magnavita N (2018) Obstacles and future prospects: considerations on health promotion activities for older Workers in Europe. Int J Environ Res Public Health 15(6):1096
Magnavita N, Elovainio M, De Nardis I, Heponiemi T, Bergamaschi A (2011) Environmental discomfort and musculoskeletal disorders. Occup Med 61(3):196–201
Munir F, Jones D, Leka S, Griffiths A (2005) Work limitations and employer adjustments for employees with chronic illness. Int J Rehabil Res 28(2):111–117
Nygaard PP, Skovlund SV, Sundstrup E, Andersen LL (2020) Is low-back pain a limiting factor for senior workers with high physical work demands? A cross-sectional study. BMC Musculoskelet Disord 21(1):622. https://doi.org/10.1186/s12891-020-03643-1
Oliv S, Noor A, Gustafsson E, Hagberg M (2017) A lower level of physically demanding work is associated with excellent work ability in men and women with neck pain in different age groups. Saf Health Work 8(4):356–363
Organization WH (2000) Obesity: preventing and managing the global epidemic. World Health Organization
Östergren P-O et al (2005) Incidence of shoulder and neck pain in a working population: effect modification between mechanical and psychosocial exposures at work? Results from a one year follow up of the Malmö shoulder and neck study cohort. J Epidemiol Community Health 59(9):721–728
Pejtersen JH, Kristensen TS, Borg V, Bjorner JB (2010) The second version of the Copenhagen Psychosocial Questionnaire. Scand J Public Health 38(3_suppl):8–24
Pincus T, Bergman M, Sokka T, Roth J, Swearingen C, Yazici Y (2008) Visual analog scales in formats other than a 10 centimeter horizontal line to assess pain and other clinical data. J Rheumatol 35(8):1550–1558
Poscia A et al (2016) Workplace health promotion for older workers: a systematic literature review. BMC Health Serv Res 16(5):329
Richard MC, Durand MJ (2019) Workers age 55 and over working with pain. A descriptive interpretive study. J Occup Rehabil. https://doi.org/10.1007/s10926-019-09865-y
Siu AM, Hung A, Lam AY, Cheng A (2013) Work limitations, workplace concerns, and job satisfaction of persons with chronic disease. Work 45(1):107–115
Siukola AE, Virtanen PJ, Luukkaala TH, Nygård C-H (2011) Perceived working conditions and sickness absence-a four-year follow-up in the food industry. Saf Health Work 2(4):313–320
Sundstrup E et al (2018) Retrospectively assessed physical work environment during working life and risk of sickness absence and labour market exit among older workers. Occup Environ Med 75(2):114–123
Sundstrup E et al (2019) Physical capability in midlife and risk of disability pension and long-term sickness absence: prospective cohort study with register follow-up. Scand J Work Environ Health 45(6):610–621
van den Berg T, Elders L, de Zwart B, Burdorf A (2008) The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med
Vandenbroucke JP et al (2009) Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. Gac Sanit 23(2):158e1-158e28
Vos T et al (2015) Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 386(9995):743–800
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This study was supported by a grant from the Danish foundation, TrygFonden.
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According to Danish law, questionnaire and register-based studies do not need approval by ethical and scientific committees, nor informed consent. All data were de-identified and analyzed anonymously.
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Bayattork, M., Skovlund, S.V., Sundstrup, E. et al. Work limitations due to neck-shoulder pain and physical work demands in older workers: cross-sectional study. Int Arch Occup Environ Health 94, 433–440 (2021). https://doi.org/10.1007/s00420-020-01594-7
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DOI: https://doi.org/10.1007/s00420-020-01594-7