Yonsei Med J.  2021 Jun;62(6):510-519. 10.3349/ymj.2021.62.6.510.

Negative Impacts of Prolonged Standing at Work on Musculoskeletal Symptoms and Physical Fatigue: The Fifth Korean Working Conditions Survey

Affiliations
  • 1Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
  • 2Department of Rehabilitation Therapy, Hallym University Graduate School of Health Science, Chuncheon, Korea
  • 3Institute of Genomic Cohort, Yonsei University Wonju College of Medicine, Wonju, Korea
  • 4Department of Physical Therapy, Yonsei University College of Health Science, Wonju, Korea
  • 5Institute of Occupational & Environmental Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea

Abstract

Purpose
We aimed to investigate variations in the risk of low back pain (LBP), lower extremity muscle pain, and whole body fatigue according to differences in prolonged standing work hours in relation to risk factor exposure and rest frequency.
Materials and Methods
From the fifth Korean Working Conditions Survey data collected in 2017, data for 32970 full-time workers who worked for more than 1 year at their present job were analyzed. We classified the workers according to exposure to fatigue or painful postures, carrying heavy objects, performance of repetitive movements that burden the musculoskeletal system, and how often they took a break. Relationships between time spent in a standing posture at work and risks of LBP, lower extremity muscle pain, and whole body fatigue were analyzed by multivariate logistic regression.
Results
Of the full-time workers in the survey, 48.7% worked in a standing position for more than half of their total working hours. A higher odds ratio (OR) value for lower extremity muscle pain was observed in female not exposed to carrying heavy objects [OR: 3.551, 95% confidence interval (CI): 3.038–4.150] and not exposed to performing repetitive movements (OR: 3.555, 95% CI: 2.761–4.557).
Conclusion
Changes in work methodologies are needed to lower the number of hours spent in a prolonged standing posture at work, including being able to rest when workers want to do so, to reduce pain and fatigue.

Keyword

Fatigue; low back pain; lower extremity; standing position; workers
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