Does objectively measured prolonged standing for desk work result in lower ratings of perceived low back pain than sitting? A systematic review and meta-analysis.

BACKGROUND: Prolonged sitting has been shown to induce transient low back pain (LBP). Height adjustable office desks now present the opportunity to replace sitting with standing in the workplace. Since standing has also been associated with LBP, this may not be an advisable alternative. OBJECTIVE: T...

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Publicado en:Work Vol. 67; no. 2; pp. 431 - 441
Autores principales: De Carvalho, Diana, Greene, Ryan, Swab, Michelle, Godwin, Marshall
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Sage Publications Inc. 2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Does objectively measured prolonged standing for desk work result in lower ratings of perceived low back pain than sitting? A systematic review and meta-analysis.
      aug:
        au:
          De Carvalho, Diana
          Greene, Ryan
          Swab, Michelle
          Godwin, Marshall
        affil: Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, Canada
      sug:
        subj:
          Low Back Pain Risk Factors
          Sitting
          Standing
          Work Environment
          Risk Assessment
          Human
          PubMed
          Medline
          Embase
          SportDiscus
          CINAHL Database
          Descriptive Statistics
          Data Analysis Software
          Meta Analysis
          Chi Square Test
          Confidence Intervals
          Adult
          Occupational Health
          Adult: 19-44 years
      ab: BACKGROUND: Prolonged sitting has been shown to induce transient low back pain (LBP). Height adjustable office desks now present the opportunity to replace sitting with standing in the workplace. Since standing has also been associated with LBP, this may not be an advisable alternative. OBJECTIVE: To determine if objectively measured prolonged exposures to desk work while standing, compared to sitting, results in lower perceived LBP in healthy adults. METHODS: A systematic search of several databases was conducted. Two independent reviewers screened titles/abstracts and conducted a quality assessment. The results of three studies were pooled using an inverse variance random-effects meta-analysis. Heterogeneity was tested using the Chi-squared test and I2 statistic. RESULTS: Objectively measured prolonged standing postures during desk work did not induce significantly less perceived LBP compared to seated postures (standardized mean difference 0.60, 95% CI –0.68 to 1.87, p = 0.36.) There was significant heterogeneity, I2 = 90%). CONCLUSIONS: It appears that replacing seated desk work postures with standing for prolonged periods of time would not be recommended. Larger studies, including a wider age range and health history, conducted in the field with objective measures is recommended to obtain more generalizable data on which to base ergonomic standards for work postures.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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