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Original Article
The relationship between chronotypes and musculoskeletal problems in male automobile manufacturing workers
Suwhan Kim, Won-Ju Park, Seunghyeon Cho, Dae-Young Lim, Yeongjae Yoo, Hyeonjun Kim, Wonyang Kang, Kyung Wook Kang, Jai-Dong Moon
Ann Occup Environ Med 2021;33:e26.   Published online August 13, 2021
DOI: https://doi.org/10.35371/aoem.2021.33.e26
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
Background

Previous studies have shown that morning types are less sensitive to pain. This study aimed to examine the relationship between chronotypes and musculoskeletal problems in workers with musculoskeletal burdens at work.

Methods

This cross-sectional study included 119 male production workers from a large automobile manufacturing plant. All the participants worked 2 shifts and worked on the automobile assembly line. Data were obtained using structured questionnaires, including the reduced Morningness-Eveningness Questionnaire (rMEQ), and musculoskeletal symptom questionnaire. Participants with an rMEQ score of 18 points or more were defined as morning-type workers (MTWs). Participants whose scores were less than 18 points were defined as neither-type workers (NTWs).

Results

The arithmetic mean age was 51.8 ± 5.3 years. MTWs and NTWs accounted for 35.3% and 64.7% of the total participants, respectively. Evening- and intermediate-type workers accounted form 6.7% and 58.0% of the participants, respectively. There was no significant difference in the health indicators when the MTW and NTW groups were compared. However, the musculoskeletal symptom questionnaire demonstrated a significant difference between the MTW and NTW groups. In the preceding year, the MTW group had significantly lower musculoskeletal pain and treatment ratios compared to the NTW group (35.7% vs. 62.3%, p = 0.005 and 14.3% vs. 32.5%, p = 0.031, respectively). After adjusting for variables, the odds ratio (OR) for musculoskeletal pain was significantly higher in the NTW group than in the MTW group (OR, 3.112; 95% confidence interval, 1.285–7.535; p = 0.012).

Conclusions

In this study, the musculoskeletal pain ratio was significantly lower for MTWs when compared to NTWs. Chronotypes could play an important role in work-related musculoskeletal disorders. Further, larger-scale, follow-up studies on chronotypes are required to assist in the prevention of musculoskeletal disorders in future.

자동차 생산 남성 근로자에서 일주기성과 근골격계 통증과의 관련성
목적
사람의 심리적, 신체적 상태는 하루 주기에 따라 변화하며 일주기성에 따라 각 개인이 선호하는 최적의 활동시간대에 차이가 있다. 기존 연구들은 이러한 개인의 일주기성에 따라 통증에 대한 민감도의 차이를 보인다는 결과를 제시하고 있다. 본 연구에서는 근골격계 부담작업을 수행하는 생산직 남성 근로자를 대상으로 개인의 일주기성을 파악하고 근골격계 통증과의 관련성을 살펴보고자 하였다.
방법
자동차 제조 공장에서 근무하는 남성 근로자 119명을 대상으로 단면 연구를 시행하였다. 모든 대상자는 2교대 형태로 조립공정에서 근무하였다. 단축형 아침형-저녁형 척도, 불면증 심각성 척도, 스트레스 척도 및 근골격계 증상 여부를 포함한 설문을 실시하였으며 혈액검사를 통해 건강지표를 확보하였다. 단축형 아침형-저녁형 척도가 18점 이상인 경우를 아침형 근로자로, 18점 미만인 경우를 비아침형 근로자로 정의하였다.
결과
아침형 근로자와 비아침형 근로자는 각각 전체 대상자의 35.3%와 64.7%를 차지했다. 아침형 근로자 군과 비아침형 근로자 군의 비교에서 체질량지수, 흡연, 음주, 운동, 고혈압, 당뇨병, 지질, 신장 기능, 코티솔, C 반응성 단백질, 평균 수면 시간, 수면 및 스트레스 점수에는 유의한 차이를 보이지 않았다. 그러나 근골격계 증상 설문 중 최근 1년간 근골격계 통증 및 근골격계 치료 여부 비율에서 아침형 근로자 군과 비아침형 근로자 군 간의 유의한 차이가 관찰되었다(각각 35.7%대 62.3 %, p = 0.005 및 14.3%대 32.5%, p = 0.031). 변수를 보정한 후 근골격계 통증 발생의 오즈비는 아침형 근로자 군보다 비아침형 근로자 군에서 유의하게 높았다(오즈비 3.112, 95% 신뢰구간 1.285–7.535, p = 0.012).
결론
근골격계 질환은 업무상질병의 큰 비중을 차지하고 있으며 이를 예방하기위해 그 위험 요인에 대한 다각적 접근이 필요하다. 본 연구에서는 비아침형 근로자 군에서 상대적으로 높은 근골격계 통증 비율을 확인하였으며, 이는 일주기성이 업무 관련 근골격계 질환에서 의미 있는 인자일 가능성을 시사한다. 이를 토대로 근골격계 질환의 예방을 위해 개인의 일주기성에 대한 개입이나 일주기성에 맞춘 업무환경개선과 같은 새로운 접근 방법이 고려될 수 있다. 향후 근골격계 질환의 예방을 위해 근로자의 일주기성에 관한 추가적인 연구가 필요할 것이다.

Citations

Citations to this article as recorded by  
  • Influence of chronotype on pain incidence during early adolescence
    Rui Li, Cornelius Groenewald, See Wan Tham, Jennifer A. Rabbitts, Teresa M. Ward, Tonya M. Palermo
    Pain.2024;[Epub]     CrossRef
  • Medium- and Long-Term Effects of Insomnia Severity and Circadian Preference on Pain and Emotional Distress Among Individuals With Chronic Pain
    Chung Jung Mun, Nina Winsick, Stephen T. Wegener, Shawn D. Youngstedt, Claudia M. Campbell, Rachel V. Aaron
    The Journal of Pain.2023; 24(11): 1946.     CrossRef
  • Circadian Rhythm and Pain: a Review of Current Research and Future Implications
    Chung Jung Mun, Helen J. Burgess, Dorothy D. Sears, Sairam Parthasarathy, Dara James, Ulysses Altamirano, Surabhi Sajith, Ananya Lakhotia, Roger B. Fillingim, Shawn D. Youngstedt
    Current Sleep Medicine Reports.2022; 8(4): 114.     CrossRef
  • Physical hazards, musculoskeletal pain, and job control: Multilevel results from the European Social Survey
    Duygu Gulseren
    Safety Science.2022; 156: 105901.     CrossRef
  • 188 View
  • 1 Download
  • 4 Web of Science
  • 4 Crossref
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Research Article
Psychosocial Risk Factors and Musculoskeletal Symptoms among White and Blue-collar Workers at Private and Public Sectors
Leticia B Januario, Mariana V Batistao, Helenice JCG Coury, Ana Beatriz Oliveira, Tatiana O Sato
Ann Occup Environ Med 2014;26:20-20.   Published online July 25, 2014
DOI: https://doi.org/10.1186/s40557-014-0020-5
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to evaluate musculoskeletal and psychosocial perception and compare these conditions regarding the type of job (white or blue-collar) and the type of management model (private or public).

Methods

Forty-seven public white-collar (PuWC), 84 private white-collar (PrWC) and 83 blue-collar workers (PrBC) were evaluated. Job Content Questionnaire (JCQ) and Utrecht Work Engagement Scale (UWES) were applied to evaluate psychosocial factors. Nordic Musculoskeletal Questionnaire (NMQ) was used to assess musculoskeletal symptoms. Pressure Pain Threshold (PPT) was measured to evaluate sensory responses.

Results

According to JCQ, all groups were classified as active profile. There was a significant association between work engagement and workers’ categories (p < 0.05). PrWC workers had the highest scores for all the UWES domains, while PrBC had the lowest ones. PPT showed that PrBC workers had an increased sensitivity for left deltoid (p < 0.01), and for both epicondyles (p < 0.01), when compared to the other groups. PrWC workers had an increased sensitivity for both epicondyles than PuWC (right p < 0.01; left, p = 0.05). There was no significant association in the report of symptoms across the groups (p > 0.05).

Conclusion

This study showed differences in psychosocial risk factors and musculoskeletal symptoms in workers engaged in different types of jobs and work organization. Personal and work-related characteristics, psychosocial factors and PPT responses were different across workers’ group. Despite all, there was no significant difference in reported symptoms across the groups, possibly indicating that the physical load is similar among the sectors.


Citations

Citations to this article as recorded by  
  • Identifying pain profiles in employees including work-related factors and pain perceptions: a cross-sectional study in Belgian companies
    Stijn Keyaerts, Lode Godderis, Vero Vanden Abeele, Liesbeth Daenen
    BMJ Open.2024; 14(8): e082804.     CrossRef
  • Prevalence and Predicting Factors of Chronic Pain among Workers of Petrochemical and Petroleum Refinery Plants
    Maryam Shaygan, Maryam Yazdanpanah
    The International Journal of Occupational and Environmental Medicine.2020; 11(1): 3.     CrossRef
  • Prevalence of multisite pain and association with work ability – Cross-sectional study
    Ludmilla Maria Souza Mattos de Araújo Vieira, Tatiana de Oliveira Sato
    Musculoskeletal Science and Practice.2020; 50: 102279.     CrossRef
  • Fractures as a suicidal behavior risk factor
    Chun-Hao Tsai, Wan-Ju Cheng, Chih-Hsin Muo, Tsung-Li Lin
    Medicine.2019; 98(3): e14148.     CrossRef
  • Three job stress models and their relationship with musculoskeletal pain in blue- and white-collar workers
    Raphael M. Herr, Jos A. Bosch, Adrian Loerbroks, Annelies E.M. van Vianen, Marc N. Jarczok, Joachim E. Fischer, Burkhard Schmidt
    Journal of Psychosomatic Research.2015; 79(5): 340.     CrossRef
  • 162 View
  • 1 Download
  • 4 Web of Science
  • 5 Crossref
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