Epidemiological evidence for work load as a risk factor for osteoarthritis of the hip: a systematic review.

<h4>Objective</h4>Osteoarthritis of the hip (OA) is a common degenerative disorder of the joint cartilage that presents a major public health problem worldwide. While intrinsic risk factors (e.g, body mass and morphology) have been identified, external risk factors are not well understoo...

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Autores principales:	Sandra I Sulsky, Laura Carlton, Frank Bochmann, Rolf Ellegast, Ulrich Glitsch, Bernd Hartmann, Dirk Pallapies, D Seidel, Yi Sun
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5d3491a794bb48f29258e648eea060e4
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spelling	oai:doaj.org-article:5d3491a794bb48f29258e648eea060e42021-11-18T07:28:21ZEpidemiological evidence for work load as a risk factor for osteoarthritis of the hip: a systematic review.1932-620310.1371/journal.pone.0031521https://doaj.org/article/5d3491a794bb48f29258e648eea060e42012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22348095/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>Osteoarthritis of the hip (OA) is a common degenerative disorder of the joint cartilage that presents a major public health problem worldwide. While intrinsic risk factors (e.g, body mass and morphology) have been identified, external risk factors are not well understood. In this systematic review, the evidence for workload as a risk factor for hip OA is summarized and used to derive recommendations for prevention and further research.<h4>Methods</h4>Epidemiological studies on workload or occupation and osteoarthritis of the hip were identified through database and bibliography searches. Using pre-defined quality criteria, 30 studies were selected for critical evaluation; six of these provided quantitative exposure data.<h4>Results</h4>Study results were too heterogeneous to develop pooled risk estimates by specific work activities. The weight of evidence favors a graded association between long-term exposure to heavy lifting and risk of hip OA. Long-term exposure to standing at work might also increase the risk of hip OA.<h4>Conclusions</h4>It is not possible to estimate a quantitative dose-response relationship between workload and hip OA using existing data, but there is enough evidence available to identify job-related heavy lifting and standing as hazards, and thus to begin developing recommendations for preventing hip OA by limiting the amount and duration of these activities. Future research to identify specific risk factors for work-related hip OA should focus on implementing rigorous study methods with quantitative exposure measures and objective diagnostic criteria.Sandra I SulskyLaura CarltonFrank BochmannRolf EllegastUlrich GlitschBernd HartmannDirk PallapiesD SeidelYi SunPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 2, p e31521 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sandra I Sulsky Laura Carlton Frank Bochmann Rolf Ellegast Ulrich Glitsch Bernd Hartmann Dirk Pallapies D Seidel Yi Sun Epidemiological evidence for work load as a risk factor for osteoarthritis of the hip: a systematic review.
description	<h4>Objective</h4>Osteoarthritis of the hip (OA) is a common degenerative disorder of the joint cartilage that presents a major public health problem worldwide. While intrinsic risk factors (e.g, body mass and morphology) have been identified, external risk factors are not well understood. In this systematic review, the evidence for workload as a risk factor for hip OA is summarized and used to derive recommendations for prevention and further research.<h4>Methods</h4>Epidemiological studies on workload or occupation and osteoarthritis of the hip were identified through database and bibliography searches. Using pre-defined quality criteria, 30 studies were selected for critical evaluation; six of these provided quantitative exposure data.<h4>Results</h4>Study results were too heterogeneous to develop pooled risk estimates by specific work activities. The weight of evidence favors a graded association between long-term exposure to heavy lifting and risk of hip OA. Long-term exposure to standing at work might also increase the risk of hip OA.<h4>Conclusions</h4>It is not possible to estimate a quantitative dose-response relationship between workload and hip OA using existing data, but there is enough evidence available to identify job-related heavy lifting and standing as hazards, and thus to begin developing recommendations for preventing hip OA by limiting the amount and duration of these activities. Future research to identify specific risk factors for work-related hip OA should focus on implementing rigorous study methods with quantitative exposure measures and objective diagnostic criteria.
format	article
author	Sandra I Sulsky Laura Carlton Frank Bochmann Rolf Ellegast Ulrich Glitsch Bernd Hartmann Dirk Pallapies D Seidel Yi Sun
author_facet	Sandra I Sulsky Laura Carlton Frank Bochmann Rolf Ellegast Ulrich Glitsch Bernd Hartmann Dirk Pallapies D Seidel Yi Sun
author_sort	Sandra I Sulsky
title	Epidemiological evidence for work load as a risk factor for osteoarthritis of the hip: a systematic review.
title_short	Epidemiological evidence for work load as a risk factor for osteoarthritis of the hip: a systematic review.
title_full	Epidemiological evidence for work load as a risk factor for osteoarthritis of the hip: a systematic review.
title_fullStr	Epidemiological evidence for work load as a risk factor for osteoarthritis of the hip: a systematic review.
title_full_unstemmed	Epidemiological evidence for work load as a risk factor for osteoarthritis of the hip: a systematic review.
title_sort	epidemiological evidence for work load as a risk factor for osteoarthritis of the hip: a systematic review.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/5d3491a794bb48f29258e648eea060e4
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Epidemiological evidence for work load as a risk factor for osteoarthritis of the hip: a systematic review.

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