Decrease in musculoskeletal pain after 4 and 12 months of an aerobic exercise intervention: a worksite RCT among cleaners

Mette Korshøj, Marie Birk Jørgensen, Mark Lidegaard, Ole Steen Mortensen, Peter Krustrup, Andreas Holtermann, Karen Søgaard*

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

BACKGROUND: Prevalence of musculoskeletal pain is high in jobs with high physical work demands. An aerobic exercise intervention targeting cardiovascular health was evaluated for its long term side effects on musculoskeletal pain.

OBJECTIVE: The objective was to investigate if aerobic exercise affects level of musculoskeletal pain from baseline to 4- and 12-months follow-up.

METHODS: One-hundred-and-sixteen cleaners aged 18-65 years were cluster-randomized. The aerobic exercise group ( n = 57) received worksite aerobic exercise (30 min twice a week) and the reference group ( n = 59) lectures in health promotion. Strata were formed according to closest manager (total 11 strata); clusters were set within strata (total 40 clusters, 20 in each group). Musculoskeletal pain data from eight body regions was collected at baseline and after 4- and 12-months follow-up. The participants stated highest pain in the last month on a scale from 0, stating no pain, up to 10, stating worst possible pain. A repeated-measure 2 × 2 multi-adjusted mixed-models design was applied to compare the between-groups differences in an intention to treat analysis. Participants were entered as a random effect nested in clusters to account for the cluster-based randomization.

RESULTS: Clinically significant reductions (>30%, f (2) > 0.25) in the aerobic exercise group, compared to the reference group, in pain intensity in neck, shoulders, arms/wrists were found at 12-months follow-up, and a tendency ( p = 0.07, f( 2) = 0.18) to an increase for the knees. At 4-months follow-up the only significant between-group change was an increase in hip pain.

CONCLUSIONS: This study indicates that aerobic exercise reduces musculoskeletal pain in the upper extremities, but as an unintended side effect may increase pain in the lower extremities. Aerobic exercise interventions among workers standing or walking in the majority of the working hours should tailor exercise to only maintain the positive effect on musculoskeletal pain.

Original languageEnglish
JournalScandinavian Journal of Public Health
Volume46
Issue number8
Pages (from-to)846-853
ISSN1403-4948
DOIs
Publication statusPublished - 1. Dec 2018

Fingerprint

Workplace
Exercise
Intention to Treat Analysis
Random Allocation
Health Promotion
Wrist
Hip
Knee
Health

Keywords

  • Adolescent
  • Adult
  • Aged
  • Exercise Therapy
  • Female
  • Follow-Up Studies
  • Housekeeping
  • Humans
  • Male
  • Middle Aged
  • Musculoskeletal Pain/prevention & control
  • Occupational Health
  • Treatment Outcome
  • Young Adult

Cite this

Korshøj, Mette ; Birk Jørgensen, Marie ; Lidegaard, Mark ; Mortensen, Ole Steen ; Krustrup, Peter ; Holtermann, Andreas ; Søgaard, Karen. / Decrease in musculoskeletal pain after 4 and 12 months of an aerobic exercise intervention : a worksite RCT among cleaners. In: Scandinavian Journal of Public Health. 2018 ; Vol. 46, No. 8. pp. 846-853.
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title = "Decrease in musculoskeletal pain after 4 and 12 months of an aerobic exercise intervention: a worksite RCT among cleaners",
abstract = "BACKGROUND: Prevalence of musculoskeletal pain is high in jobs with high physical work demands. An aerobic exercise intervention targeting cardiovascular health was evaluated for its long term side effects on musculoskeletal pain.OBJECTIVE: The objective was to investigate if aerobic exercise affects level of musculoskeletal pain from baseline to 4- and 12-months follow-up.METHODS: One-hundred-and-sixteen cleaners aged 18-65 years were cluster-randomized. The aerobic exercise group ( n = 57) received worksite aerobic exercise (30 min twice a week) and the reference group ( n = 59) lectures in health promotion. Strata were formed according to closest manager (total 11 strata); clusters were set within strata (total 40 clusters, 20 in each group). Musculoskeletal pain data from eight body regions was collected at baseline and after 4- and 12-months follow-up. The participants stated highest pain in the last month on a scale from 0, stating no pain, up to 10, stating worst possible pain. A repeated-measure 2 × 2 multi-adjusted mixed-models design was applied to compare the between-groups differences in an intention to treat analysis. Participants were entered as a random effect nested in clusters to account for the cluster-based randomization.RESULTS: Clinically significant reductions (>30{\%}, f (2) > 0.25) in the aerobic exercise group, compared to the reference group, in pain intensity in neck, shoulders, arms/wrists were found at 12-months follow-up, and a tendency ( p = 0.07, f( 2) = 0.18) to an increase for the knees. At 4-months follow-up the only significant between-group change was an increase in hip pain.CONCLUSIONS: This study indicates that aerobic exercise reduces musculoskeletal pain in the upper extremities, but as an unintended side effect may increase pain in the lower extremities. Aerobic exercise interventions among workers standing or walking in the majority of the working hours should tailor exercise to only maintain the positive effect on musculoskeletal pain.",
keywords = "Adolescent, Adult, Aged, Exercise Therapy, Female, Follow-Up Studies, Housekeeping, Humans, Male, Middle Aged, Musculoskeletal Pain/prevention & control, Occupational Health, Treatment Outcome, Young Adult",
author = "Mette Korsh{\o}j and {Birk J{\o}rgensen}, Marie and Mark Lidegaard and Mortensen, {Ole Steen} and Peter Krustrup and Andreas Holtermann and Karen S{\o}gaard",
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Decrease in musculoskeletal pain after 4 and 12 months of an aerobic exercise intervention : a worksite RCT among cleaners. / Korshøj, Mette; Birk Jørgensen, Marie ; Lidegaard, Mark; Mortensen, Ole Steen; Krustrup, Peter; Holtermann, Andreas; Søgaard, Karen.

In: Scandinavian Journal of Public Health, Vol. 46, No. 8, 01.12.2018, p. 846-853.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Decrease in musculoskeletal pain after 4 and 12 months of an aerobic exercise intervention

T2 - a worksite RCT among cleaners

AU - Korshøj, Mette

AU - Birk Jørgensen, Marie

AU - Lidegaard, Mark

AU - Mortensen, Ole Steen

AU - Krustrup, Peter

AU - Holtermann, Andreas

AU - Søgaard, Karen

PY - 2018/12/1

Y1 - 2018/12/1

N2 - BACKGROUND: Prevalence of musculoskeletal pain is high in jobs with high physical work demands. An aerobic exercise intervention targeting cardiovascular health was evaluated for its long term side effects on musculoskeletal pain.OBJECTIVE: The objective was to investigate if aerobic exercise affects level of musculoskeletal pain from baseline to 4- and 12-months follow-up.METHODS: One-hundred-and-sixteen cleaners aged 18-65 years were cluster-randomized. The aerobic exercise group ( n = 57) received worksite aerobic exercise (30 min twice a week) and the reference group ( n = 59) lectures in health promotion. Strata were formed according to closest manager (total 11 strata); clusters were set within strata (total 40 clusters, 20 in each group). Musculoskeletal pain data from eight body regions was collected at baseline and after 4- and 12-months follow-up. The participants stated highest pain in the last month on a scale from 0, stating no pain, up to 10, stating worst possible pain. A repeated-measure 2 × 2 multi-adjusted mixed-models design was applied to compare the between-groups differences in an intention to treat analysis. Participants were entered as a random effect nested in clusters to account for the cluster-based randomization.RESULTS: Clinically significant reductions (>30%, f (2) > 0.25) in the aerobic exercise group, compared to the reference group, in pain intensity in neck, shoulders, arms/wrists were found at 12-months follow-up, and a tendency ( p = 0.07, f( 2) = 0.18) to an increase for the knees. At 4-months follow-up the only significant between-group change was an increase in hip pain.CONCLUSIONS: This study indicates that aerobic exercise reduces musculoskeletal pain in the upper extremities, but as an unintended side effect may increase pain in the lower extremities. Aerobic exercise interventions among workers standing or walking in the majority of the working hours should tailor exercise to only maintain the positive effect on musculoskeletal pain.

AB - BACKGROUND: Prevalence of musculoskeletal pain is high in jobs with high physical work demands. An aerobic exercise intervention targeting cardiovascular health was evaluated for its long term side effects on musculoskeletal pain.OBJECTIVE: The objective was to investigate if aerobic exercise affects level of musculoskeletal pain from baseline to 4- and 12-months follow-up.METHODS: One-hundred-and-sixteen cleaners aged 18-65 years were cluster-randomized. The aerobic exercise group ( n = 57) received worksite aerobic exercise (30 min twice a week) and the reference group ( n = 59) lectures in health promotion. Strata were formed according to closest manager (total 11 strata); clusters were set within strata (total 40 clusters, 20 in each group). Musculoskeletal pain data from eight body regions was collected at baseline and after 4- and 12-months follow-up. The participants stated highest pain in the last month on a scale from 0, stating no pain, up to 10, stating worst possible pain. A repeated-measure 2 × 2 multi-adjusted mixed-models design was applied to compare the between-groups differences in an intention to treat analysis. Participants were entered as a random effect nested in clusters to account for the cluster-based randomization.RESULTS: Clinically significant reductions (>30%, f (2) > 0.25) in the aerobic exercise group, compared to the reference group, in pain intensity in neck, shoulders, arms/wrists were found at 12-months follow-up, and a tendency ( p = 0.07, f( 2) = 0.18) to an increase for the knees. At 4-months follow-up the only significant between-group change was an increase in hip pain.CONCLUSIONS: This study indicates that aerobic exercise reduces musculoskeletal pain in the upper extremities, but as an unintended side effect may increase pain in the lower extremities. Aerobic exercise interventions among workers standing or walking in the majority of the working hours should tailor exercise to only maintain the positive effect on musculoskeletal pain.

KW - Adolescent

KW - Adult

KW - Aged

KW - Exercise Therapy

KW - Female

KW - Follow-Up Studies

KW - Housekeeping

KW - Humans

KW - Male

KW - Middle Aged

KW - Musculoskeletal Pain/prevention & control

KW - Occupational Health

KW - Treatment Outcome

KW - Young Adult

U2 - 10.1177/1403494817717833

DO - 10.1177/1403494817717833

M3 - Journal article

C2 - 28691598

VL - 46

SP - 846

EP - 853

JO - Scandinavian Journal of Public Health

JF - Scandinavian Journal of Public Health

SN - 1403-4948

IS - 8

ER -