PMID: identifier of
Pubmed reference: |
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 (22527281) |
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| title: |
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Long-term effects of biomechanical exposure on severe shoulder pain in the Gazel cohort. |
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| author(s): |
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Alexis Descatha ( ) 1, 2, Denis Teysseyre1, 2, Diane Cyr1, Ellen Imbernon3, Jean-François Chastang1, Aurélia Plenet1, Sébastien Bonenfant1, Marie Zins1, Marcel Goldberg1, Yves Roquelaure4, Annette Leclerc1 |
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| laboratory: |
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| abstract: |
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OBJECTIVE: We aimed to assess whether the risk factors for severe shoulder pain, especially exposure to arm elevation, were still relevant after a 12-year follow-up, even following retirement. METHODS: All men participating in the ARPEGE ancillary study of the GAZEL cohort (followed-up since 1989) and who answered the 1994 or 1995 general GAZEL self-administered questionnaire were included. Weight and self-reported exposure (arm elevation >90° with and without carrying loads) over the entire working life were collected at baseline (1994-1995). Shoulder pain and its intensity were recorded in 1994-1995 and again in 2006. Shoulder pain was measured on an intensity or discomfort 6-point scale in 1994-1995 and on an 8-point scale in 2006. Severe shoulder pain was defined as point-rated higher than the mid-points (>3/6 in 1994-1995 and >4/8 in 2006) while moderate pain was lower or equal to these thresholds. RESULTS: At baseline, 1786 47-51-year-old men were included. In 1994-1995, moderate pain was observed among 8.5% (N=151) of men and severe shoulder pain among 14.6% (N=261). Exposure to arm elevation >90° while carrying loads was significantly associated with severe shoulder pain with >25 years of exposure [adjusted odds ratio (OR (adj)) 4.2, 95% confidence interval (95% CI) 1.7-10.5], taking into account age, sports, smoking habits, history of shoulder trauma, and body mass index. In 2006, when most of the subjects had retired, 1482 men (83.0%) answered the questionnaire, 17.3% of them with severe shoulder pain; the association between exposure to arm elevation >90° while carrying loads and severe shoulder pain was still significant (ORadj 3.3, 95% CI 1.3-8.0), and remained so when subjects with shoulder pain at baseline were excluded. CONCLUSIONS: Among men, the effect of high shoulder exposure (arm elevation >90° while carrying loads) during working life on severe shoulder pain remains even after retirement. Extended surveillance and prevention should be offered to these workers. |
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| subject: |
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Life Sciences/Health Care Sciences and Epidemiology
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| fulltext language: |
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English |
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| ISSN: |
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1795-990X |
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| publication format: |
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Article in peer-reviewed journal |
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| DOI: |
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10.5271/sjweh.3300 |
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| journal: |
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| Scandinavian Journal of Work, Environment and Health (Scand J Work Environ Health) |
| Publisher |
Nordic Association of Occupational Safety and Health (NOROSH) |
| ISSN |
0355-3140 |
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| Audience: |
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international |
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| publication date: |
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2012-11 |
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| submission date: |
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2012-04-23 |
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| volume: |
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38 |
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| issue: |
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6 |
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| page, identifiant, ...: |
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568-76 |
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| keyword(s) of author: |
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shoulder pain – occupational diseases – biomechanics – occupational exposure – long term effects – cohort studies |
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| contract, financing: |
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This study is part of the Workage project supported by the French National Research Agency (ANR) and the French Agency for Environmental and Occupational Health Safety (AFSSET). |
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