Objectives-To obtain longitudinal information of the relation between smoking and musculoskeletal disorders in an industrial setting.
Methods-The associations of lifetime tobacco exposure (pack-years), current smoking status, and stopping smoking with back and limb disorders were studied in a cohort of white collar and blue collar employees in a metal industry.
Measurements were made three times at 5 year intervals.
Two thirds of an initial sample of 902 took part in both re-examinations.
Musculoskeletal morbidity was measured as the abundance of symptoms during the past year and as clinical findings assessed by a physiotherapist (upper decile score/score difference=index category).
Logistic regression and a generalised estimating equation were used, allowing for socio-demographic variables, physical workload, body mass index, exercise activity, and mental distress.
By comparison with never smokers, exposure of 10-<20 pack-years, the odds ratio (OR) (95% confidence interval (95% CI) of the 10 year change in neck-shoulder symptoms was 3.1 (1.4 to 6.8), in low back symptoms 2.4 (1.1 to 5.1), in upper limb symptoms 1.9 (NS), and in lower limb symptoms 3.4 (1.5 to 7.8).
The highest exposure category of >=20 pack-years was associated with the change in upper limb findings 2.9 (1.4 to 6.2) and lower limb findings 2.9 (1.2 to 7.2).
Those who continued to smoke through the follow up period had a higher increase in clinical findings 2.5 (1.1 to 5.9) than never smokers. (...)
Mots-clés Pascal : Médecine travail, Tabagisme, Industrie métallurgique, Dorsalgie, Etude longitudinale, Toxicité, Corrélation, Régression logistique, Facteur sociodémographique, Indice masse corporelle, Stress, Facteur risque, Analyse statistique, Homme, Rachis dorsal, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie, Charge physique, Système musculosquelettique pathologie
Mots-clés Pascal anglais : Occupational medicine, Tobacco smoking, Metallurgical industry, Dorsalgia, Follow up study, Toxicity, Correlation, Logistic regression, Sociodemographic factor, Body mass index, Stress, Risk factor, Statistical analysis, Human, Dorsal spine, Diseases of the osteoarticular system, Spine disease, Rachialgia, Musculoskeletal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0058041
Code Inist : 002B03E. Création : 31/05/1999.