Occupational activities and osteoarthritis of the knee.
Occupational activities and osteoarthritis of the knee.
复制标题
DOI：
10.1093/bmb/lds012
复制
发表时间：
2012-06
影响因子：
6.7
通讯作者：
Palmer KT
中科院分区：
文献类型：
--
作者：
Palmer KT
膝关节骨关节炎（OA）的患病率正在上升，对干预措施的研究正在加强，以减轻风险。本文综述了职业活动对疾病发生的影响以及预防的经验教训。在Embase和Medline系统检索1996年至2011年11月。有相当充分的证据表明，体力劳动活动（尤其是跪、蹲、举和爬）可导致和/或加重膝关节OA。这些暴露应尽可能减少。有这种暴露的肥胖工人有患膝关节炎的额外风险，因此应特别鼓励他们减肥。预防膝关节炎的工作场所干预和政策很少被评估。此外，它们的实现可能存在问题。然而，考虑到延长工作寿命的人口趋势，迫切需要研究优化与膝关节OA相关的工作设计。
The prevalence of knee osteoarthritis (OA) is rising and the search for interventions to mitigate risk is intensifying. This review considers the contribution of occupational activities to disease occurrence and the lessons for prevention. Systematic search in Embase and Medline covering the period 1996 to November 2011. Reasonably good evidence exists that physical work activities (especially kneeling, squatting, lifting, and climbing) can cause and/or aggravate knee OA. These exposures should be reduced where possible. Obese workers with such exposures are at additional risk of knee OA and should therefore particularly be encouraged to lose weight. Workplace interventions and policies to prevent knee OA have seldom been evaluated. Moreover, their implementation can be problematic. However, the need for research to optimise the design of work in relation to knee OA is pressing, given population trends towards extended working life.