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Effects of Shift Work on Knee Pain and Knee Osteoarthritis Among Retired Chinese Workers

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Book cover Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) (IEA 2018)

Part of the book series: Advances in Intelligent Systems and Computing ((AISC,volume 820))

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Abstract

Objectives: To evaluate the association between shift work with the risk of knee pain and knee osteoarthritis (KOA), we studied 13,906 retired workers from the Dongfeng-Tongji cohort.

Methods: Physical examinations and face-to-face interviews were performed. Knee pain was diagnosed by self-reported pain or stiffness. Clinical KOA was diagnosed from knee pain complains and clinical X-ray radiographs. Occupation history including work content and shift work experience in each job was collected from questionnaires.

Results: The prevalence of knee pain and clinical KOA was 39.0% and 6.7%, respectively. After adjusting for potential confounders, shift work was independently associated with elevated risk of knee pain (OR 1.24, 95% CI 1.15–1.33) and clinical KOA (1.15, 1.01–1.32). Such associations remained stable in stratified analyses by age, gender, BMI, work postures, or chronic diseases. Additionally, in comparison with daytime workers, the risks increased with prolonged duration of shift work, the ORs (95% CI) of knee pain for participants with 1–9 years, 10–19 years, and ≥20 years of shift work were 1.20 (1.08–1.33), 1.26 (1.14–1.40), and 1.26 (1.12–1.40), and ORs (95% CI) of clinical KOA were 1.06 (0.87–1.30), 1.15 (0.94–1.40), and 1.26 (1.02–1.56). However, the effects of shift work on knee gradually reduced with the extended duration of leaving shift work.

Conclusions: Shift work might be independent risk factor for knee pain and clinical KOA among the retired workers.

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Acknowledgements

The authors are indebted to Dr. Stephen S. Bao at the Washington State Department of Labor and Industries for providing valuable comments. We also thank the study participants for their help. This work was supported by the National Natural Science Foundation of China [grant number 81573121]; and the Fundamental Research Funds for the Central Universities, Huazhong University of Science and Technology [grant number 2016JCTD116].

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Authors and Affiliations

  1. Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China

    Min Zhou, Dongming Wang, Yanjun Guo & Weihong Chen

  2. Key Laboratory of Environment and Health in Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China

    Min Zhou, Dongming Wang, Yanjun Guo & Weihong Chen

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  1. Min Zhou
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  4. Weihong Chen
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Correspondence to Weihong Chen .

Editor information

Editors and Affiliations

  1. University of the Republic of San Marino, San Marino, San Marino

    Sebastiano Bagnara

  2. Centre for Clinical Risk Management and Patient Safety, Tuscany Region, Florence, Italy

    Riccardo Tartaglia

  3. Centre for Clinical Risk Management and Patient Safety, Tuscany Region, Florence, Italy

    Sara Albolino

  4. Fraunhofer FKIE, Bonn, Nordrhein-Westfalen, Germany

    Thomas Alexander

  5. International Ergonomics Association, Tokyo, Japan

    Yushi Fujita

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Zhou, M., Wang, D., Guo, Y., Chen, W. (2019). Effects of Shift Work on Knee Pain and Knee Osteoarthritis Among Retired Chinese Workers. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 820. Springer, Cham. https://doi.org/10.1007/978-3-319-96083-8_6

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