Long-term persistence of knee pain and occupational exposure in two large prospective cohorts of workers

BMC Musculoskeletal Disorders

Alexis Descatha³  Yves Roquelaure²  Marie Zins⁴  Marcel Goldberg⁴  Annette Leclerc⁴  Catherine Ha¹  Audrey Petit²  Julie Bodin²  Eléonore Herquelot⁴ 

[1]Institut de veille sanitaire (InVS), Département santé travail, Saint-Maurice, France

[2]LUNAM Université, Université d’Angers, Laboratoire d’ergonomie et d’épidémiologie en santé au travail (LEEST), Angers, France

[3]AP-HP, Poincaré University Hospital, Occupational Health Unit, Garches, France

[4]UMS011 Inserm, Université Versailles St-Quentin, Population-Based Epidemiological Cohorts, Hôpital P. Brousse - bat 15/16 RDC Gauche, 16 av Paul Vaillant Couturier, 94807 Villejuif Cedex, France

关键词: Persistence;    Occupational exposure;    Musculoskeletal pain;   

Others  :  1091121
DOI  :  10.1186/1471-2474-15-411

 received in 2014-07-24, accepted in 2014-12-02,  发布年份 2014

【 摘 要 】

Background

The persistence of knee pain (KP) and its relationship with occupational factors were investigated in two prospective cohorts of French workers: retirees of the Gazel cohort and workers in the Cosali cohort.

Methods

KP was defined according to the Nordic questionnaire (>1 day in the last year), and the information was extracted from two questionnaires in 2006 and 2012 for the Gazel cohort, and in 2002–2005 and 2007–2010 for the Cosali cohort. The personal and occupational factors and the severity of KP were measured at baseline. Of the 4590 members of the Gazel cohort with KP at baseline, 4140(90.2%) were followed up, as were 637(63.1%) members of the Cosali cohort. Logistic models were used to evaluate associations (ORs) between occupational exposure and the persistence of KP separately by sex, adjusted on indicators of severity of KP.

Results

KP was no longer present at follow-up for 38.3% of Gazel men and 46.0% of Cosali men (33.4% of Gazel women and 50.6% of Cosali women). The persistence of KP in men was associated with carrying or handling heavy loads on univariate analyses and with kneeling on multivariate analyses, with ORs of 1.3(1.0-1.6) (Gazel) and 1.6(1.0-2.6) (Cosali). Climbing stairs was not significantly associated with the persistence of knee pain among men. The persistence of KP in women was not significantly associated with such occupational exposure.

Conclusions

This study highlights the role of occupational factors in the persistence of KP for men, in particular kneeling and handling/carrying loads.

【 授权许可】

   
2014 Herquelot et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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