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Espin A, Núñez-Cortés R, Irazusta J, Rodriguez-Larrad A, Torres-Unda J, Vinstrup J, Jakobsen MD, Andersen LL. Mental health and vitality predict spinal pain in healthcare workers. Occup Med (Lond) 2023; 73:464-469. [PMID: 37665779 DOI: 10.1093/occmed/kqad096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/06/2023] Open
Abstract
BACKGROUND Despite extensive investigation of ergonomic risk factors for spinal pain in healthcare workers, limited knowledge of psychological risk factors exists. AIMS To assess the prospective association of mental health and vitality with development of spinal pain in healthcare workers. METHODS A prospective cohort study was carried out involving 1950 healthcare workers from 19 hospitals in Denmark. Assessments were done at baseline and at 1-year follow-up. Mental health and vitality were measured using the Short Form-36 Health Survey, while spinal pain intensity was measured using a 0-10 scale in the low-back, upper-back and neck, respectively. Cumulative logistic regressions adjusted for several confounding factors were applied, reporting risk estimates as odds ratios (ORs) and 95% confidence intervals (CIs). RESULTS Using good mental health as reference, moderate (but not poor) mental health at baseline was associated with increased pain intensity in the low-back (OR: 1.41 [95% CI: 1.21-1.77]), upper-back (OR: 1.63 [95% CI: 1.31-2.02]) and neck (OR: 1.31 [95% CI: 1.07-1.61]) at 1-year follow-up. Likewise, using high vitality as reference, both moderate and low vitality at baseline were associated with increased pain intensity in the low-back (OR: 1.54 [95% CI: 1.22-1.94] and OR: 2.34 [95% CI: 1.75-3.12], respectively), upper-back (OR: 1.72 [95% CI: 1.34-2.23] and OR: 2.46 [95% CI: 1.86-3.25], respectively) and neck (OR: 1.66 [95% CI: 1.34-2.06] and OR: 2.06 [95% CI: 1.61-2.63], respectively) at 1-year follow-up. CONCLUSIONS Compared to healthcare workers with good mental health and high vitality, those with moderate mental health and low/moderate vitality, respectively, were more likely to increase spinal pain intensity at 1-year follow-up. These components should also be considered in the prevention of spinal pain in healthcare workers.
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Affiliation(s)
- A Espin
- Department of Musculoskeletal Disorders, National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
| | - R Núñez-Cortés
- Department of Musculoskeletal Disorders, National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
- Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
- Department of Physical Therapy, Faculty of Medicine, University of Chile, 8380000 Santiago, Chile
| | - J Irazusta
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
| | - A Rodriguez-Larrad
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
| | - J Torres-Unda
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain
| | - J Vinstrup
- Department of Musculoskeletal Disorders, National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
| | - M D Jakobsen
- Department of Musculoskeletal Disorders, National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
| | - L L Andersen
- Department of Musculoskeletal Disorders, National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
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Kovacs FM, Seco J, Royuela A, Betegon JN, Sánchez-Herráez S, Meli M, Martínez Rodríguez ME, Núñez M, Álvarez-Galovich L, Moyá J, Sánchez C, Luna S, Borrego P, Moix J, Rodríguez-Pérez V, Torres-Unda J, Burgos-Alonso N, Gago-Fernández I, González-Rubio Y, Abraira V. The association between sleep quality, low back pain and disability: A prospective study in routine practice. Eur J Pain 2017; 22:114-126. [PMID: 28845556 DOI: 10.1002/ejp.1095] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/24/2017] [Indexed: 11/09/2022]
Abstract
BACKGROUND The objective of this study was to estimate the association between sleep quality (SQ) and improvements in low back pain (LBP) and disability, among patients treated for LBP in routine practice. METHODS This prospective cohort study included 461 subacute and chronic LBP patients treated in 11 specialized centres, 14 primary care centres and eight physical therapy practices across 12 Spanish regions. LBP, leg pain, disability, catastrophizing, depression and SQ were assessed through validated questionnaires upon recruitment and 3 months later. Logistic regression models were developed to assess: (1) the association between the baseline score for SQ and improvements in LBP and disability at 3 months, and (2) the association between improvement in SQ and improvements in LBP and disability during the follow-up period. RESULTS Seventy-three per cent of patients were subacute. Median scores at baseline were four points for both pain and disability, as assessed with a visual analog scale and the Roland-Morris Questionnaire, respectively. Regression models showed (OR [95% CI]) that baseline SQ was not associated with improvements in LBP (0.99 [0.94; 1.06]) or in disability (0.99 [0.93; 1.05]), although associations existed between 'improvement in SQ' and 'improvement in LBP' (4.34 [2.21; 8.51]), and 'improvement in SQ' and 'improvement in disability' (4.60 [2.29; 9.27]). CONCLUSIONS Improvement in SQ is associated with improvements in LBP and in disability at 3-month follow-up, suggesting that they may reflect or be influenced by common factors. However, baseline SQ does not predict improvements in pain or disability. SIGNIFICANCE In clinical practice, sleep quality, low back pain and disability are associated. However, sleep quality at baseline does not predict improvement in pain and disability.
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Affiliation(s)
- F M Kovacs
- Kovacs Back Pain Unit, HLA-Moncloa University Hospital, Madrid, Spain.,Spanish Back Pain Research Network, Palma de Mallorca, Spain
| | - J Seco
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Institute of Biomedicine (IBIOMED), University of León, Spain.,University of the Basque Country, León, Spain
| | - A Royuela
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,ClinicalBiostatisticsUnit, Puerta de Hierro University Hospital, Instituto de Investigación Puerta de Hierro (IDIPHIM), Madrid, Spain
| | - J N Betegon
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Servicio de Cirugía Ortopédica y Traumatología, Complejo Asistencial Universitario de León (CAULE), León, Spain
| | - S Sánchez-Herráez
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Servicio de Cirugía Ortopédica y Traumatología, Complejo Asistencial Universitario de León (CAULE), León, Spain
| | - M Meli
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Aliviam - Majorca PainClinic, Palma de Mallorca, Spain
| | - M E Martínez Rodríguez
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Servicio de Rehabilitación, Hospital Ramón y Cajal, IRICYS, Universidad de Alcalá, Madrid, Spain
| | - M Núñez
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Servicio de Reumatología, Hospital Clínic, Barcelona, Spain
| | - L Álvarez-Galovich
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Servicio de Traumatología, Patología de Columna, Fundación Jiménez Díaz, Madrid, Spain
| | - J Moyá
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Unidad del Dolor, Hospital MateuOrfila, Mahón, Spain
| | - C Sánchez
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,FisysFisioterapia, Laredo, Cantabria, Spain
| | - S Luna
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Centro de Salud Alburquerque, La Codosera, Badajoz, Spain
| | - P Borrego
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Policlínica FISIOMED, Salamanca, Spain
| | - J Moix
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Departamento de Psicología Básica, Evolutiva y de la Educación, Universidad Autónoma de Barcelona, Bellaterra, Spain
| | - V Rodríguez-Pérez
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Escuela Universitaria Ciencias de la Salud, Universidad de León, Ponferrada, Spain
| | - J Torres-Unda
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Departamento de Fisiología, Universidad de El País Vasco (UPV/EHU), Leioa, Vizcaya, Spain
| | - N Burgos-Alonso
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Departamento de Medicina Preventiva y Salud Pública, Universidad de El País Vasco (UPV/EHU), Leioa, Vizcaya, Spain
| | - I Gago-Fernández
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Escuela Universitaria Ciencias de la Salud, Universidad de León, Ponferrada, Spain
| | - Y González-Rubio
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Servicio de Cirugía Ortopédica y Traumatología, Fundación Jiménez Díaz, Madrid, Spain
| | - V Abraira
- Spanish Back Pain Research Network, Palma de Mallorca, Spain.,Unidad de Bioestadística Clínica, Hospital Ramón y Cajal, IRICYS, Madrid, Spain
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Zarrazquin I, Torres-Unda J, Ruiz F, Irazusta J, Kortajarena M, Hoyos Cillero I, Gil J, Irazusta A. Longitudinal study: lifestyle and cardiovascular health in health science students. NUTR HOSP 2014; 30:1144-51. [PMID: 25365020 DOI: 10.3305/nh.2014.30.5.7833] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND Changing lifestyle habits is considered the principal measure for the control of blood pressure and obesity. The aim of this study was to characterize the eating habits, anthropometric characteristics, physical fitness and blood pressure of students of health science degrees during the first three academic years and to explore the relation between the aforementioned parameters. METHODS This was a longitudinal study conducted over three years on the eating habits and physical fitness of health science students (n=366) and the influence of these factors on blood pressure and obesity. RESULTS The mean food group intakes of both female and male participants corresponded to a high consumption of lean and fatty meat, sweets and pastries and a low consumption of cereals, fruits, vegetables, olive oil, fish, nuts and vegetables. Blood pressure and obesity-related parameters were within normal ranges and did not change over the study period. Aerobic capacity values increased in men from the beginning to the end of the study, while V02max decreased in women between the first and second years. CONCLUSION We note that, in both women and men, blood pressure values were lower when diet was high in vegetables, legumes, nuts, fish and olive oil. In both sexes, we found a negative correlation between aerobic capacity and systolic and diastolic blood pressure and a positive correlation between obesity and blood pressure. The pattern of the eating habits and changes therein were different in young women and men, the former being focused on improving their diet and the latter on improving their physical fitness.
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Affiliation(s)
- I Zarrazquin
- Department of Nursing I, University School of Nursing; University of the Basque Country, Leioa, Bizkaia. Department of Physiology, Faculty of Medicine, University of the Basque Country, Leioa, Bizkaia, Spain..
| | - J Torres-Unda
- Department of Physiology, Faculty of Medicine, University of the Basque Country, Leioa, Bizkaia, Spain..
| | - F Ruiz
- Department of Physiology, Faculty of Medicine, University of the Basque Country, Leioa, Bizkaia, Spain..
| | - J Irazusta
- Department of Physiology, Faculty of Medicine, University of the Basque Country, Leioa, Bizkaia, Spain..
| | - Maider Kortajarena
- Department of Nursing I, University School of Nursing; University of the Basque Country, Leioa, Bizkaia. Department of Physiology, Faculty of Medicine, University of the Basque Country, Leioa, Bizkaia, Spain..
| | - I Hoyos Cillero
- Department of Nursing I, University School of Nursing; University of the Basque Country, Leioa, Bizkaia. Department of Physiology, Faculty of Medicine, University of the Basque Country, Leioa, Bizkaia, Spain..
| | - J Gil
- Department of Physiology, Faculty of Medicine, University of the Basque Country, Leioa, Bizkaia, Spain..
| | - A Irazusta
- Department of Nursing I, University School of Nursing; University of the Basque Country, Leioa, Bizkaia.Department of Physiology, Faculty of Medicine, University of the Basque Country, Leioa, Bizkaia, Spain..
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