膝关节和关节置换的发生率与在工作中对物理因素的累积暴露有关
Angelo d'Errico1, Dario Fontana1, Michelangelo Filippi1
1Epidemiology Department, ASL TO3, Grugliasco (TO), Italy.
American journal of industrial medicine
|May 16, 2024
概括
工作场所的身体危害增加了膝关节骨关节炎 (OA) 的风险,但不是关节骨关节炎. 高体力工作量显著提高了膝关节关节整形术的发生率,这是严重膝关节OA的标志.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 整形外科 整形外科 整形外科
背景情况:
- 膝关节关节炎 (OA) 与高体力工作负担和工作场所因素有关.
- 关节骨质炎与体力劳动和举重的关联性较少研究.
- 关节整形术发生率作为严重膝关节和部OA的标志物.
研究的目的:
- 评估工作场所物理因素与膝关节/关节整形术发生率之间的关联.
- 调查对物理危险和工作负载的累积暴露对OA的影响.
主要方法:
- 从2011年人口普查中利用了都灵雇员 (25-60岁) 的队列.
- 使用意大利O*NET.的Job-Exposure矩阵分配个人工作暴露.
- 采用波桑回归来分析关节整形术发生率 (2012-2018) 与物理危险和Ergo-Index对比.
主要成果:
- 对体力劳动负担的最高累积暴露四分位数显示,膝盖骨关节炎风险显著增加 (IRR=1.98).
- 观察到显著的风险趋势,随着对体力工作负荷的暴露和膝关节OA单一危险的增加.
- 身体工作负担/危险与部骨关节炎发病率之间没有发现显著的关联.
结论:
- 工作场所的身体危险和高体力工作负担增加了患膝关节OA的可能性.
- 这些因素似乎并没有增加关节OA的风险.
- 研究结果强调了与膝关节骨关节炎相关的职业风险.
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