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Occup Environ Med 61:972-979 doi:10.1136/oem.2003.012245
  • Original article

Dose-response relations between occupational exposures to physical and psychosocial factors and the risk of low back pain

Table 4

 Results of the conventional and hierarchical analyses for the effect of the physical, psychosocial, and time related factors on incident LBP/D

Conventional model RR (95%CI)* Hierarchical model RR (95%CI)
*RR, relative risk; 95% CI, 95% confidence interval.
†pw = per week; ‡ct = centile of distribution; §() = actual value.
RRs (and 95% CI) are presented for the 25th, 50th, 75th, and 90th centile of the distribution in reference to the 10th centile.
Physical factors
Trunk flexion between 20° and 45° 2 hours pw† 1 reference 1 reference
3 hours pw 0.83 (0.33 to 2.09) 0.95 (0.53 to 1.72)
4 hours pw 0.70 (0.12 to 4.20) 0.90 (0.28 to 2.87)
5 hours pw 0.60 (0.08 to 4.57) 0.83 (0.22 to 3.18)
6 hours pw 0.50 (0.07 to 3.72) 0.80 (0.19 to 3.32)
Trunk flexion over 45° 30 minutes pw 1 reference 1 reference
45 minutes pw 1.56 (0.91 to 2.68) 1.31 (1.03 to 1.65)
1 hour pw 2.44 (0.83 to 7.16) 1.71 (1.08 to 2.72)
1 hour 30 minutes pw 6.49 (1.28 to 32.98) 2.82 (1.16 to 6.86)
1 hour 45 minutes pw 9.82 (2.05 to 47.10) 3.18 (1.13 to 9.00)
Lifting and carrying loads over 10 kg 1 minute pw 1 reference 1 reference
5 minutes pw 1.02 (0.77 to 1.35) 1.05 (0.94 to 1.17)
15 minutes pw 1.08 (0.39 to 2.99) 1.18 (0.79 to 1.77)
30 minutes pw 0.71 (0.23 to 2.28) 1.33 (0.60 to 2.95)
45 minutes pw 1.03 (0.25 to 4.25) 1.26 (0.38 to 4.20)
Psychosocial factors
Decision authority 10 ct‡ (13.3)§ 1 reference 1 reference
25 ct (27.7) 1.10 (0.66 to 1.86) 1.07 (0.64 to 1.78)
50 ct (41.2) 1.22 (0.45 to 3.32) 1.13 (0.42 to 3.04)
75 ct (54.5) 1.55 (0.56 to 4.34) 1.50 (0.55 to 4.14)
90 ct (66.7) 0.77 (0.21 to 2.82) 0.76 (0.21 to 2.72)
Skill discretion 10 ct (16.0) 1 reference 1 reference
25 ct (27.8) 1.08 (0.62 to 1.88) 1.10 (0.63 to 1.89)
50 ct (40.0) 1.19 (0.44 to 3.26) 1.22 (0.45 to 3.31)
75 ct (55.6) 1.41 (0.51 to 3.90) 1.44 (0.53 to 3.91)
90 ct (66.7) 1.05 (0.36 to 3.09) 1.09 (0.38 to 3.16)
Work demands 10 ct (27.0) 1 reference 1 reference
25 ct (33.3) 0.84 (0.60 to 1.19) 0.86 (0.61 to 1.21)
50 ct (45.5) 0.72 (0.32 to 1.67) 0.75 (0.33 to 1.73)
75 ct (57.6) 1.48 (0.65 to 3.36) 1.41 (0.63 to 3.18)
90 ct (66.7) 1.59 (0.65 to 3.90) 1.45 (0.60 to 3.53)
Time related factors
Age 25 years 1 reference 1 reference
30 years 1.03 (0.74 to 1.43) 1.01 (0.73 to 1.40)
40 years 1.09 (0.40 to 2.93) 1.03 (0.39 to 2.74)
50 years 1.66 (0.56 to 4.93) 1.49 (0.52 to 4.25)
55 years 1.81 (0.59 to 5.53) 1.68 (0.57 to 4.90)
Years in service 1 year 1 reference 1 reference
5 years 0.69 (0.33 to 1.45) 0.70 (0.35 to 1.41)
10 years 0.47 (0.19 to 1.17) 0.45 (0.19 to 1.09)
15 years 0.37 (0.12 to 1.09) 0.34 (0.12 to 1.01)
20 years 0.33 (0.11 to 1.03) 0.32 (0.11 to 1.00)

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