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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Physical exercise at the workplace prevents deterioration of work ability among healthcare workers: cluster randomized controlled trial

Authors: Markus D. Jakobsen, Emil Sundstrup, Mikkel Brandt, Kenneth Jay, Per Aagaard, Lars L. Andersen

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Imbalance between individual resources and work demands can lead to musculoskeletal disorders and reduced work ability. The purpose of this study was to investigate the effect of workplace- versus home-based physical exercise on work ability among healthcare workers.

Methods

Two hundred female healthcare workers (Age: 42.0, BMI: 24.1, work ability index [WAI]: 43.1) from 18 departments at three Danish hospitals participated (Copenhagen, Denmark, Aug 2013—Jan 2014). Participants were randomly allocated at the cluster level to 10 weeks of: 1) workplace physical exercise (WORK) performed during working hours for 5x10 min per week and up to 5 group-based coaching sessions on motivation for regular physical exercise, or 2) home-based physical exercise (HOME) performed during leisure time for 5x10 min per week. Both groups received ergonomic counseling on patient handling and use of lifting aides. The main outcome measure was the change from baseline to 10-week follow-up in WAI.

Results

Significant group by time interaction was observed for WAI (p < 0.05). WAI at follow-up was 1.1 (0.3 to 1.8) higher in WORK compared with HOME corresponding to a small effect size (Cohens’d = 0.24). Within-group changes indicated that between-group differences were mainly caused by a reduction in WAI in HOME. Of the seven items of WAI, item 2 (work ability in relation to the demands of the job) and item 5 (sickness absence during the past year) were improved in WORK compared with HOME (P < 0.05).

Conclusions

Performing physical exercise together with colleagues at the workplace prevents deterioration of work ability among female healthcare workers.

Trial registration number

ClinicalTrials.gov NCT01921764. Registered 10 August 2013.
Literature
1.
go back to reference Ilmarinen J. The Work Ability Index (WAI). Occup Med (Lond). 2007;57(2):160.CrossRef Ilmarinen J. The Work Ability Index (WAI). Occup Med (Lond). 2007;57(2):160.CrossRef
2.
go back to reference Tuomi K, Ilmarinen J, Eskelinen L, Järvinen E, Toikkanen J, Klockars M. Prevalence and incidence rates of diseases and work ability in different work categories of municipal occupations. Scand J Work Environ Health. 1991;17 Suppl 1:67–74.PubMed Tuomi K, Ilmarinen J, Eskelinen L, Järvinen E, Toikkanen J, Klockars M. Prevalence and incidence rates of diseases and work ability in different work categories of municipal occupations. Scand J Work Environ Health. 1991;17 Suppl 1:67–74.PubMed
3.
go back to reference Alavinia S, de Boer AGEM, van Duivenbooden JC, Frings-Dresen MHW, Burdorf A. Determinants of work ability and its predictive value for disability. Occup Med (Lond). 2009;59:32–7.CrossRef Alavinia S, de Boer AGEM, van Duivenbooden JC, Frings-Dresen MHW, Burdorf A. Determinants of work ability and its predictive value for disability. Occup Med (Lond). 2009;59:32–7.CrossRef
4.
go back to reference Seitsamo J, Martikainen R. Work ability and all cause mortality; A 25-year longitudinal study among Finnish municipal workers. Promotion of workability towards prodctive ageing London: Taylor and Francis Group Kumashiro M; 2009. p. 101–4 Seitsamo J, Martikainen R. Work ability and all cause mortality; A 25-year longitudinal study among Finnish municipal workers. Promotion of workability towards prodctive ageing London: Taylor and Francis Group Kumashiro M; 2009. p. 101–4
5.
go back to reference Neupane S, Miranda H, Virtanen P, Siukola A, Nygård C-H. Multi-site pain and work ability among an industrial population. Occup Med (Lond). 2011;61:563–9.CrossRef Neupane S, Miranda H, Virtanen P, Siukola A, Nygård C-H. Multi-site pain and work ability among an industrial population. Occup Med (Lond). 2011;61:563–9.CrossRef
6.
go back to reference Vänni K, Virtanen P, Luukkaala T, Nygård C-H. Relationship between perceived work ability and productivity loss. Int J Occup Saf Ergon. 2012;18:299–309.CrossRefPubMed Vänni K, Virtanen P, Luukkaala T, Nygård C-H. Relationship between perceived work ability and productivity loss. Int J Occup Saf Ergon. 2012;18:299–309.CrossRefPubMed
7.
go back to reference Magnago TSB d S, de Lima ACS, Prochnow A, Ceron MD d S, Tavares JP, Urbanetto J d S. Intensity of musculoskeletal pain and (in) ability to work in nursing. Rev Lat Am Enfermagem. 2012;20:1125–33.CrossRefPubMed Magnago TSB d S, de Lima ACS, Prochnow A, Ceron MD d S, Tavares JP, Urbanetto J d S. Intensity of musculoskeletal pain and (in) ability to work in nursing. Rev Lat Am Enfermagem. 2012;20:1125–33.CrossRefPubMed
8.
go back to reference Bernard BP. Musculoskeletal disorders and workplace factors: A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. Washington: US Department of Health and Human Servises. Public Health Service, Center for Disease Control and Prevention, National Institute for Occupational Safety and Health; 1997. Bernard BP. Musculoskeletal disorders and workplace factors: A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. Washington: US Department of Health and Human Servises. Public Health Service, Center for Disease Control and Prevention, National Institute for Occupational Safety and Health; 1997.
9.
go back to reference van Rijn RM, Huisstede BMA, Koes BW, Burdorf A. Associations between work-related factors and the carpal tunnel syndrome--a systematic review. Scand J Work Environ Health. 2009;35:19–36.CrossRefPubMed van Rijn RM, Huisstede BMA, Koes BW, Burdorf A. Associations between work-related factors and the carpal tunnel syndrome--a systematic review. Scand J Work Environ Health. 2009;35:19–36.CrossRefPubMed
10.
go back to reference van den Berg TIJ, Elders LAM, de Zwart BCH, Burdorf A. The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med. 2009;66:211–20.CrossRefPubMed van den Berg TIJ, Elders LAM, de Zwart BCH, Burdorf A. The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med. 2009;66:211–20.CrossRefPubMed
11.
go back to reference Alavinia S, van den Berg TIJ, van Duivenbooden C, Elders LAM, Burdorf A. Impact of work-related factors, lifestyle, and work ability on sickness absence among Dutch construction workers. Scand J Work Environ Health. 2009;35:325–33.CrossRefPubMed Alavinia S, van den Berg TIJ, van Duivenbooden C, Elders LAM, Burdorf A. Impact of work-related factors, lifestyle, and work ability on sickness absence among Dutch construction workers. Scand J Work Environ Health. 2009;35:325–33.CrossRefPubMed
12.
go back to reference Andersen JH, Haahr JP, Frost P. Risk factors for more severe regional musculoskeletal symptoms: a two-year prospective study of a general working population. Arthritis Rheum. 2007;56:1355–64.CrossRefPubMed Andersen JH, Haahr JP, Frost P. Risk factors for more severe regional musculoskeletal symptoms: a two-year prospective study of a general working population. Arthritis Rheum. 2007;56:1355–64.CrossRefPubMed
13.
go back to reference Burdorf A, Sorock G. Positive and negative evidence of risk factors for back disorders. Scand J Work Environ Health. 1997;23:243–56.CrossRefPubMed Burdorf A, Sorock G. Positive and negative evidence of risk factors for back disorders. Scand J Work Environ Health. 1997;23:243–56.CrossRefPubMed
14.
go back to reference Pedersen MT, Essendrop M, Skotte JH, Jørgensen K, Schibye B, Fallentin N. Back muscle response to sudden trunk loading can be modified by training among healthcare workers. Spine. 2007;32:1454–60.CrossRefPubMed Pedersen MT, Essendrop M, Skotte JH, Jørgensen K, Schibye B, Fallentin N. Back muscle response to sudden trunk loading can be modified by training among healthcare workers. Spine. 2007;32:1454–60.CrossRefPubMed
15.
go back to reference Andersen LL, Burdorf A, Fallentin N, Persson R, Jakobsen MD, Mortensen OS, et al. Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers. Scand J Work Environ Health. 2013.40(1):74–81.CrossRefPubMed Andersen LL, Burdorf A, Fallentin N, Persson R, Jakobsen MD, Mortensen OS, et al. Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers. Scand J Work Environ Health. 2013.40(1):74–81.CrossRefPubMed
16.
go back to reference Simoens S, Villeneuve M, Hurst J. Tackling Nurse Shortages in OECD Countries. OECD Health Working Papers. 2005;19 Simoens S, Villeneuve M, Hurst J. Tackling Nurse Shortages in OECD Countries. OECD Health Working Papers. 2005;19
17.
go back to reference Camerino D, Conway PM, Van der Heijden BIJM, Estryn-Behar M, Consonni D, Gould D, et al. Low-perceived work ability, ageing and intention to leave nursing: a comparison among 10 European countries. J Adv Nurs. 2006;56:542–52.CrossRefPubMed Camerino D, Conway PM, Van der Heijden BIJM, Estryn-Behar M, Consonni D, Gould D, et al. Low-perceived work ability, ageing and intention to leave nursing: a comparison among 10 European countries. J Adv Nurs. 2006;56:542–52.CrossRefPubMed
18.
go back to reference Gram B, Holtermann A, Bültmann U, Sjøgaard G, Søgaard K. Does an exercise intervention improving aerobic capacity among construction workers also improve musculoskeletal pain, work ability, productivity, perceived physical exertion, and sick leave?: a randomized controlled trial. J Occup Environ Med. 2012;54:1520–6.CrossRefPubMed Gram B, Holtermann A, Bültmann U, Sjøgaard G, Søgaard K. Does an exercise intervention improving aerobic capacity among construction workers also improve musculoskeletal pain, work ability, productivity, perceived physical exertion, and sick leave?: a randomized controlled trial. J Occup Environ Med. 2012;54:1520–6.CrossRefPubMed
19.
go back to reference Jørgensen MB, Faber A, Hansen JV, Holtermann A, Søgaard K. Effects on musculoskeletal pain, work ability and sickness absence in a 1-year randomised controlled trial among cleaners. BMC Public Health. 2011;11:840.CrossRefPubMedPubMedCentral Jørgensen MB, Faber A, Hansen JV, Holtermann A, Søgaard K. Effects on musculoskeletal pain, work ability and sickness absence in a 1-year randomised controlled trial among cleaners. BMC Public Health. 2011;11:840.CrossRefPubMedPubMedCentral
20.
go back to reference Nurminen E, Malmivaara A, Ilmarinen J, Ylöstalo P, Mutanen P, Ahonen G, et al. Effectiveness of a worksite exercise program with respect to perceived work ability and sick leaves among women with physical work. Scand J Work Environ Health. 2002;28:85–93.CrossRefPubMed Nurminen E, Malmivaara A, Ilmarinen J, Ylöstalo P, Mutanen P, Ahonen G, et al. Effectiveness of a worksite exercise program with respect to perceived work ability and sick leaves among women with physical work. Scand J Work Environ Health. 2002;28:85–93.CrossRefPubMed
21.
go back to reference Pohjonen T, Ranta R. Effects of worksite physical exercise intervention on physical fitness, perceived health status, and work ability among home care workers: five-year follow-up. Prev Med. 2001;32:465–75.CrossRefPubMed Pohjonen T, Ranta R. Effects of worksite physical exercise intervention on physical fitness, perceived health status, and work ability among home care workers: five-year follow-up. Prev Med. 2001;32:465–75.CrossRefPubMed
22.
go back to reference Blangsted AK, Søgaard K, Hansen EA, Hannerz H, Sjøgaard G. One-year randomized controlled trial with different physical-activity programs to reduce musculoskeletal symptoms in the neck and shoulders among office workers. Scand J Work Environ Health. 2008;34:55–65.CrossRefPubMed Blangsted AK, Søgaard K, Hansen EA, Hannerz H, Sjøgaard G. One-year randomized controlled trial with different physical-activity programs to reduce musculoskeletal symptoms in the neck and shoulders among office workers. Scand J Work Environ Health. 2008;34:55–65.CrossRefPubMed
23.
go back to reference Jordan JL, Holden MA, Mason EE, Foster NE. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Cochrane Database Syst Rev. 2010;CD005956 Jordan JL, Holden MA, Mason EE, Foster NE. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Cochrane Database Syst Rev. 2010;CD005956
24.
go back to reference Karlsson L, Takala E-P, Gerdle B, Larsson B. Evaluation of pain and function after two home exercise programs in a clinical trial on women with chronic neck pain - with special emphasises on completers and responders. BMC Musculoskelet Disord. 2014;15:6.CrossRefPubMedPubMedCentral Karlsson L, Takala E-P, Gerdle B, Larsson B. Evaluation of pain and function after two home exercise programs in a clinical trial on women with chronic neck pain - with special emphasises on completers and responders. BMC Musculoskelet Disord. 2014;15:6.CrossRefPubMedPubMedCentral
25.
go back to reference Roddy E, Zhang W, Doherty M, Arden NK, Barlow J, Birrell F, et al. Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee--the MOVE consensus. Rheumatology (Oxford). 2005;44:67–73.CrossRef Roddy E, Zhang W, Doherty M, Arden NK, Barlow J, Birrell F, et al. Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee--the MOVE consensus. Rheumatology (Oxford). 2005;44:67–73.CrossRef
26.
go back to reference Jakobsen MD, Sundstrup E, Brandt M, Kristensen AZ, Jay K, Stelter R, et al. Effect of workplace- versus home-based physical exercise on pain in healthcare workers: study protocol for a single blinded cluster randomized controlled trial. BMC Musculoskelet Disord. 2014;15:119.CrossRefPubMedPubMedCentral Jakobsen MD, Sundstrup E, Brandt M, Kristensen AZ, Jay K, Stelter R, et al. Effect of workplace- versus home-based physical exercise on pain in healthcare workers: study protocol for a single blinded cluster randomized controlled trial. BMC Musculoskelet Disord. 2014;15:119.CrossRefPubMedPubMedCentral
27.
go back to reference Jakobsen M, Sundstrup E, Brandt M, Jay K, Aagaard P, Andersen L. ACCEPTED: Effect of workplace- versus home-based physical exercise on musculoskeletal pain in healthcare workers: Cluster randomized controlled trial. SJWEH. 2015;Accepted for publication. Jakobsen M, Sundstrup E, Brandt M, Jay K, Aagaard P, Andersen L. ACCEPTED: Effect of workplace- versus home-based physical exercise on musculoskeletal pain in healthcare workers: Cluster randomized controlled trial. SJWEH. 2015;Accepted for publication.
31.
go back to reference Cohen, J. Statistical Poer Analysis for the Behavioral Sciences. Lawrence Erlbaum Associates; 1988 Cohen, J. Statistical Poer Analysis for the Behavioral Sciences. Lawrence Erlbaum Associates; 1988
32.
go back to reference Persson R, Osterberg K, Garde AH, Hansen AM, Ørbaek P, Karlson B. Seasonal variation in self-reported arousal and subjective health complaints. Psychol Health Med. 2010;15:434–44.CrossRefPubMed Persson R, Osterberg K, Garde AH, Hansen AM, Ørbaek P, Karlson B. Seasonal variation in self-reported arousal and subjective health complaints. Psychol Health Med. 2010;15:434–44.CrossRefPubMed
33.
go back to reference Takala EP, Viikari-Juntura E, Moneta GB, Saarenmaa K, Kaivanto K. Seasonal variation in neck and shoulder symptoms. Scand J Work Environ Health. 1992;18:257–61.CrossRefPubMed Takala EP, Viikari-Juntura E, Moneta GB, Saarenmaa K, Kaivanto K. Seasonal variation in neck and shoulder symptoms. Scand J Work Environ Health. 1992;18:257–61.CrossRefPubMed
35.
go back to reference Magnusson A, Boivin D. Seasonal affective disorder: an overview. Chronobiol Int. 2003;20:189–207.CrossRefPubMed Magnusson A, Boivin D. Seasonal affective disorder: an overview. Chronobiol Int. 2003;20:189–207.CrossRefPubMed
36.
go back to reference Lidegaard, M, Jensen BR, Andersen CH, Zebis MK, Colado JC, Wang Y, et al. Effect of brief daily resistance training on occupational neck/shoulder muscle activity in office workers with chronic pain: Randomized controlled trial. BioMed Research International. Received 2 October 2013; Revised 19 November 2013; Accepted 4 December 2013, Article ID 262386 Lidegaard, M, Jensen BR, Andersen CH, Zebis MK, Colado JC, Wang Y, et al. Effect of brief daily resistance training on occupational neck/shoulder muscle activity in office workers with chronic pain: Randomized controlled trial. BioMed Research International. Received 2 October 2013; Revised 19 November 2013; Accepted 4 December 2013, Article ID 262386
37.
go back to reference Svensson AL, Strøyer J, Ebbehøj NE, Schultz-Larsen K, Marott JL, Mortensen OS, et al. Multidimensional intervention and sickness absence in assistant nursing students. Occup Med (Lond). 2009;59:563–9.CrossRef Svensson AL, Strøyer J, Ebbehøj NE, Schultz-Larsen K, Marott JL, Mortensen OS, et al. Multidimensional intervention and sickness absence in assistant nursing students. Occup Med (Lond). 2009;59:563–9.CrossRef
38.
go back to reference Oude Hengel KM, Blatter BM, van der Molen HF, Bongers PM, van der Beek AJ. The effectiveness of a construction worksite prevention program on work ability, health, and sick leave: results from a cluster randomized controlled trial. Scand J Work Environ Health. 2013;39:456–67.CrossRefPubMed Oude Hengel KM, Blatter BM, van der Molen HF, Bongers PM, van der Beek AJ. The effectiveness of a construction worksite prevention program on work ability, health, and sick leave: results from a cluster randomized controlled trial. Scand J Work Environ Health. 2013;39:456–67.CrossRefPubMed
39.
go back to reference Christensen JR, Overgaard K, Hansen K, Søgaard K, Holtermann A. Effects on presenteeism and absenteeism from a 1-year workplace randomized controlled trial among health care workers. J Occup Environ Med. 2013;55:1186–90.CrossRefPubMed Christensen JR, Overgaard K, Hansen K, Søgaard K, Holtermann A. Effects on presenteeism and absenteeism from a 1-year workplace randomized controlled trial among health care workers. J Occup Environ Med. 2013;55:1186–90.CrossRefPubMed
40.
go back to reference Schaafsma FG, Whelan K, van der Beek AJ, van der Es-Lambeek LC, Ojajärvi A, Verbeek JH. Physical conditioning as part of a return to work strategy to reduce sickness absence for workers with back pain. Cochrane Database Syst Rev. 2013;8:CD001822. Schaafsma FG, Whelan K, van der Beek AJ, van der Es-Lambeek LC, Ojajärvi A, Verbeek JH. Physical conditioning as part of a return to work strategy to reduce sickness absence for workers with back pain. Cochrane Database Syst Rev. 2013;8:CD001822.
41.
go back to reference Andersen LL, Clausen T, Burr H, Holtermann A. Threshold of musculoskeletal pain intensity for increased risk of long-term sickness absence among female healthcare workers in eldercare. PLoS ONE. 2012;7:e41287.CrossRefPubMedPubMedCentral Andersen LL, Clausen T, Burr H, Holtermann A. Threshold of musculoskeletal pain intensity for increased risk of long-term sickness absence among female healthcare workers in eldercare. PLoS ONE. 2012;7:e41287.CrossRefPubMedPubMedCentral
42.
go back to reference Gatchel RJ, Peng YB, Peters ML, Fuchs PN, Turk DC. The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull. 2007;133:581–624.CrossRefPubMed Gatchel RJ, Peng YB, Peters ML, Fuchs PN, Turk DC. The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull. 2007;133:581–624.CrossRefPubMed
43.
go back to reference Andersen LL, Saervoll CA, Mortensen OS, Poulsen OM, Hannerz H, Zebis MK. Effectiveness of small daily amounts of progressive resistance training for frequent neck/shoulder pain: randomised controlled trial. Pain. 2011;152:440–6.CrossRefPubMed Andersen LL, Saervoll CA, Mortensen OS, Poulsen OM, Hannerz H, Zebis MK. Effectiveness of small daily amounts of progressive resistance training for frequent neck/shoulder pain: randomised controlled trial. Pain. 2011;152:440–6.CrossRefPubMed
44.
go back to reference Sundstrup E, Jakobsen MD, Andersen CH, Jay K, Persson R, Aagaard P, et al. Effect of two contrasting interventions on upper limb chronic pain and disability: a randomized controlled trial. Pain Physician. 2014;17:145–54.PubMed Sundstrup E, Jakobsen MD, Andersen CH, Jay K, Persson R, Aagaard P, et al. Effect of two contrasting interventions on upper limb chronic pain and disability: a randomized controlled trial. Pain Physician. 2014;17:145–54.PubMed
45.
go back to reference Andersen JH, Mikkelsen S. Commentary. Scandinavian Journal of Work, Environment & Health. 2012;38:182.CrossRef Andersen JH, Mikkelsen S. Commentary. Scandinavian Journal of Work, Environment & Health. 2012;38:182.CrossRef
46.
go back to reference Andersen LL. Commentary. Scandinavian Journal of Work, Environment & Health. 2012;38:183–4.CrossRef Andersen LL. Commentary. Scandinavian Journal of Work, Environment & Health. 2012;38:183–4.CrossRef
Metadata
Title
Physical exercise at the workplace prevents deterioration of work ability among healthcare workers: cluster randomized controlled trial
Authors
Markus D. Jakobsen
Emil Sundstrup
Mikkel Brandt
Kenneth Jay
Per Aagaard
Lars L. Andersen
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2448-0

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