Evaluation of the Symmetry of Lower Limbs Symmetry Loading and Body Composition as Elements of Monitoring of Health-Related Behaviours Among Professionally Active Nurses

  • Anna Kołcz-TrzęsickaEmail author
  • Izabela Witczak
  • Piotr Karniej
  • Anna Pecuch
  • Łukasz Rypicz
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 818)


The study purpose was to assess the body composition and distribution of foot forces on the ground in nurses. A group of 72 participants was qualified in the study including professionally active nurses (study group, n = 29) and nursing students (control group, n = 43). The lower limb load assessment was carried out using the baropodometric platform, while the body composition was measured using the electrical bioimpedance device. Moreover, a brief questionnaire designed by the authors was carried out three months after research completion. The mean visceral fat index in the study group was significantly higher than in the control group, respectively 5.48 kg and 1.79 kg (p < 0.0001). The mean total body water was significantly lower in the study group, than in the control, respectively 49.06% and 54.56% (p < 0.0001). The forefoot overload was more frequent in both groups and the centre of gravity was shifted in the same direction. The ground peak pressure point was higher in the control group than in the study, respectively 67.4% and 55.2% without statistically significant difference (p > 0.05). It was observed that 97.1% of respondents considered the body composition measurement to be useful and 68.6% considered the information given in the study as important for changing everyday habits related to work ergonomics and lifestyle. Regular education in the field of workplace ergonomics and health-promoting behaviours should increase the awareness of employees in the healthcare sector and can significantly improve the quality of comfort and functioning during professional activities.


Nurses Body composition Bioimpedance analysis Lower limbs load symmetry Baropodometric assessment Workplace ergonomics Health-promoting behaviours 


  1. 1.
    National Research Council (US) Committee (2011) Environmental health and safety management system. National Academies Press (US), WashingtonGoogle Scholar
  2. 2.
    Kuriata E, Felińczak A, Grzebieluch J, Szachniewicz M (2011) Occupational hazards and the workload of nurses employed at the hospital. Part II. Nurs Public Health 1(3):269–273Google Scholar
  3. 3.
    Carayon P, Xie A, Kianfar S (2014) Human factors and ergonomics as a patient safety practice. BMJ Qual Saf 23(3):196–205CrossRefGoogle Scholar
  4. 4.
    Kisakye AN, Tweheyo R, Ssengooba F, Pariyo GW, Rutebemberwa E, Kiwanuka SN (2016) Regulatory mechanisms for absenteeism in the health sector: a systematic review of strategies and their implementation. J Healthc Leadersh 8:81–94CrossRefGoogle Scholar
  5. 5.
    Kułagowska E (2009) Musculoskeletal system load in operating room nurses and its determinants. Pract Med 60(3):187–195Google Scholar
  6. 6.
    Ribeiro NF, de Fernandes RCP, Solla DJF, Santos Junior AC, de Sena Junior AS (2012) Prevalence of musculoskeletal disorders in nursing professionals. Braz J Epidemiol 15(2):429–438Google Scholar
  7. 7.
    Moreira RFC, Sato TO, Foltran FA, Silva LCCB, Coury HJCG (2014) Prevalence of musculoskeletal symptoms in hospital nurse technicians and licensed practical nurses: associations with demographic factors. Braz J Phys Ther 18(4):323–333CrossRefGoogle Scholar
  8. 8.
    Maciuk M, Krajewska-Kulak E, Klimaszewska K (2012) Self-assessment of low back pain incidence in professionally active nurses. Probl Hyg Epidemiol 93(4):728–738Google Scholar
  9. 9.
    Rezaee M, Ghasemi M (2014) Prevalence of low back pain among nurses: predisposing factors and role of work place violence. Trauma Mon 19(4):e17926CrossRefGoogle Scholar
  10. 10.
    Davis KG, Kotowski SE (2015) Prevalence of musculoskeletal disorders for nurses in hospitals, long-term care facilities, and home health care: a comprehensive review. Hum Factors 57(5):754–792CrossRefGoogle Scholar
  11. 11.
    European Commission (2013) Directorate-General for Employment, Social Affairs and Inclusion: Occupational health and safety risks in the healthcare sector-guide to prevention and good practice. Publications Office of the European UnionGoogle Scholar
  12. 12.
    Masoudi Alavi N (2014) Occupational hazards in nursing. Nurs Midwifery Stud 3(3):e22357CrossRefGoogle Scholar
  13. 13.
    Donnelly E, Siebert D (2009) Occupational risk factors in the emergency medical services. Prehospital Disaster Med 24(5):422–429CrossRefGoogle Scholar
  14. 14.
    DiMaria-Ghalili RA, Mirtallo JM, Tobin BW, Hark L, Van Horn L, Palmer CA (2014) Challenges and opportunities for nutrition education and training in the health care professions: intraprofessional and interprofessional call to action. Am J Clin Nutr 99(5):1184–1193CrossRefGoogle Scholar
  15. 15.
    Kris-Etherton PM, Akabas SR, Douglas P, Kohlmeier M, Laur C, Lenders CM, Levy MD, Nowson C, Ray S, Pratt CA, Seidner DL, Saltzman E (2015) Nutrition competencies in health professionals’ education and training: a new paradigm. Adv Nutr 6(1):83–87CrossRefGoogle Scholar
  16. 16.
    Lunde L-K, Koch M, Knardahl S, Wærsted M, Mathiassen SE, Forsman M, Holtermann A, Veiersted KB (2014) Musculoskeletal health and work ability in physically demanding occupations: study protocol for a prospective field study on construction and health care workers. BMC Public Health 14:1075CrossRefGoogle Scholar
  17. 17.
    Dall TM, Gallo P, Koenig L, Gu Q, Ruiz D (2013) Modeling the indirect economic implications of musculoskeletal disorders and treatment. Cost Eff Resour Alloc 11(5):5CrossRefGoogle Scholar
  18. 18.
    Moar JMR, Alvarez-Campana JM, Míguez JL, González LML, Ramos DG (2015) Comparative study of the relevance of musculoskeletal disorders between the Spanish and the European working population. Work (Reading, Mass) 51(4):645–656Google Scholar
  19. 19.
    Bevan S (2015) Economic impact of musculoskeletal disorders (MSDs) on work in Europe. Best Pract Res Clin Rheumatol 29(3):356–373CrossRefGoogle Scholar
  20. 20.
    Report ERO (2014) Current and emerging occupational safety and health (OSH) issues in the healthcare sector, including home and community care. Publications Office of the European Union, LuxembourgGoogle Scholar
  21. 21.
    Zdziarski LA, Wasser JG, Vincent HK (2015) Chronic pain management in the obese patient: a focused review of key challenges and potential exercise solutions. J Pain Res 8:63–77Google Scholar
  22. 22.
    Boughattas W, Maalel OE, Maoua M, Bougmiza I, Kalboussi H, Brahem A, Chatti S, Mahjoub F, Mrizak N (2017) Low back pain among nurses: prevalence, and occupational risk factors. Occup Environ Med 05:26Google Scholar
  23. 23.
    Barbosa-Silva MCG, Barros AJD (2005) Bioelectrical impedance analysis in clinical practice: a new perspective on its use beyond body composition equations. Curr Opin Clin Nutr Metab Care 8(3):311–317CrossRefGoogle Scholar
  24. 24.
    Bera TK (2014) Bioelectrical impedance methods for non-invasive health monitoring: a review. J Med Eng 2014:381251CrossRefGoogle Scholar
  25. 25.
    Khalil SF, Mohktar MS, Ibrahim F (2014) The theory and fundamentals of bioimpedance analysis in clinical status monitoring and diagnosis of diseases. Sensors 14(6):10895–10928CrossRefGoogle Scholar
  26. 26.
    Wang J, Cui Y, He L, Xu X, Yuan Z, Jin X, Li Z (2017) Work-related musculoskeletal disorders and risk factors among Chinese medical staff of obstetrics and gynecology. Int J Environ Res Public Health 14(6):562CrossRefGoogle Scholar
  27. 27.
    Hodder JN, Holmes MWR, Keir PJ (2010) Continuous assessment of work activities and posture in long-term care nurses. Ergonomics 53(9):1097–1107CrossRefGoogle Scholar
  28. 28.
    Freitag S, Seddouki R, Dulon M, Kersten JF, Larsson TJ, Nienhaus A (2014) The effect of working position on trunk posture and exertion for routine nursing tasks: an experimental study. Ann Occup Hyg 58(3):317–325Google Scholar
  29. 29.
    Sergi G, De Rui M, Stubbs B, Veronese N, Manzato E (2017) Measurement of lean body mass using bioelectrical impedance analysis: a consideration of the pros and cons. Aging Clin Exp Res 29(4):591–597CrossRefGoogle Scholar
  30. 30.
    Rosário JLP (2014) A review of the utilization of baropodometry in postural assessment. J Bodyw Mov Ther 18(2):215–219CrossRefGoogle Scholar
  31. 31.
    Bilski B, Sykutera L (2004) Determinants of musculoskeletal system load and their health effects among nurses from four Poznan hospitals. Occup Med 55(5):411–416Google Scholar
  32. 32.
    Sakowski P (2010) Self-assessment of tasks and roles of occupational medicine service (OMS) nurses in the polish system of workers’ health protection. Occup Med 61(5):561–572Google Scholar
  33. 33.
    Malczyk E (2017) K: evaluation of the nutritional status and composition of the inhabitants of Lower Silesia and Opole villages. Gen Med Health Sci 23(4):250–256Google Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Rehabilitation in Movement Dysfunctions, Department of Physiotherapy, Faculty of Health SciencesWroclaw Medical UniversityWroclawPoland
  2. 2.Division of Economics and Quality in Healthcare, Department of Public Health, Faculty of Health SciencesWroclaw Medical UniversityWroclawPoland
  3. 3.Division of Organization and Management, Department of Public Health, Faculty of Health SciencesWroclaw Medical UniversityWroclawPoland

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