Association of Physical Activity and Quality of Life with Work-Related Musculoskeletal Disorders in the UAE Young Adults
Abstract
:1. Introduction
1.1. Impact of Work-Related Musculoskeletal Disorders
1.2. Potential Determinants of WRMSDs
1.2.1. Physical Activity and Its Effect on WRMSDs
1.2.2. Quality of Life (QOL) and WRMSDs
1.3. Industrialization and Cross-Cultural Factors of WRMSDs
1.4. Aim of the Study
2. Subjects and Methods
2.1. Study Design and Setting
2.2. Participants
2.3. Outcome Variables and Measurement
- (1)
- Patient demographics: This part of the questionnaire asked about age, gender, years of experience, nature of work, and family history of musculoskeletal disorders (rheumatoid arthritis or spondyloarthropathies)
- (2)
- Self-reported physical activity levels: WHO developed the Global Physical Activity Questionnaire (GPAQ) for surveillance of physical activity across countries. The GPAQ consists of 16 questions on physical activity based on three domains: activity at work, commuting, and recreational activities. The GPAQ evaluates the three dimensions of physical activity: frequency, duration, and intensity. The criterion validity of the GPAQ with accelerometer-derived physical activity is fair (r = 0.23–0.26) in high-income countries [17].
- (3)
- WHO Quality-of-life scores: Quality of life was assessed using the WHOQOL-BREF, which consists of 26 questions, including physical, psychological, social, and environmental domains [18]. The response options ranged from 1 (very dissatisfied/very poor) to 5 (very satisfied/very good). The final scores of overall QOL (ranging 16–80) and of each domain (ranging 4–20) were calculated according to the developers. A higher score indicated a better perception of life quality. A Norwegian validation study found an acceptable convergent and discriminate validity and internal consistency across physical, psychological, and environmental domains, but the social domain showed only marginal reliability [19].
- (4)
- Musculoskeletal pain: Musculoskeletal discomfort was assessed using the NMQ, which is widely used in recent Arabian epidemiological studies [20,21]. The Nordic musculoskeletal questionnaire asks about overall and site-specific musculoskeletal problems for seven days over a 12-month period in the first section while the following section assesses the impact of the musculoskeletal problems on an individual’s capacity to work as well as their overall quality of life in the workplace. To assist participants in answering questions focusing on musculoskeletal symptoms, an anatomical diagram was used to clearly identify body regions. The anatomical diagram and the relevant questions cover nine body regions, namely, the neck, shoulders, elbows, wrists/hands, upper back, lower back, hips/thighs/buttocks, knees, and ankles). The NMSQ was found to have marginal validity and reliability (0–23%) [22].
2.4. Bias
2.5. Sample Size
2.6. Procedure
2.7. Statistical Analysis
3. Results
3.1. Participants
3.2. Descriptive Data
3.3. Outcome Data
3.4. Main Results
4. Discussion
4.1. Prevalence of WRMSDs
4.2. Determinants of WRMSDs among the UAE Population
4.3. Association between Physical Activity, Quality of Life, and WRMSDs
4.4. Practical Applications of Our Findings
4.5. Study Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Baseline Characteristics | n (%) | |
---|---|---|
Gender | Male | 319 (63.0) |
Females | 187 (37.0) | |
Age group | 18–29 | 287 (56.7) |
30–39 | 219 (43.3) | |
Work-related musculoskeletal disorders # | Presence of any one of WMSDs | 379 (74.75) |
Neck | 201 (40) | |
Shoulders | 207 (41) | |
Upper back | 164 (32) | |
Elbows | 47 (9) | |
Wrists/hands | 99 (20) | |
Lower back | 244 (48) | |
Hips/Thighs | 77 (15) | |
Knees | 142 (28) | |
Ankles/Feet | 103 (20) |
Variables | Work Time Activity # (min/week) | Active Transport # (min/week) | Leisure Time Activities # (min/week) | Daily Sitting Time # (min/week) | Moderate Intensity Activity # (min/week) | Vigorous Activities # (min/week) | MVPA # (min/week) | Total PA # (min/week) | |
---|---|---|---|---|---|---|---|---|---|
Gender | Male | 1792.20 ± 3515.26 | 680.44 ± 1229.95 | 1515.92 ± 2411.38 | 421.91 ± 223.44 | 1345.32 ± 1867.43 | 1962.80 ± 3030.81 | 3988.55 ± 4546.15 | 751.79 ± 823.16 |
Female | 1108.42 ± 2208.44 | 668.60 ± 1343.57 | 1693.14 ± 2967.35 | 459.81 ± 244.82 | 1312.84 ± 1927.64 | 1488.72 ± 2869.36 | 3470.17 ± 4322.40 | 681.45 ± 820.20 | |
W | 30,658.00 | 29,817.50 | 29,556.50 | 30,658.00 | 30,716.00 | 28,267.00 | 30,888.50 | 30,657.00 | |
p value | 0.042 * | 0.931 | 0.530 | 0.128 | 0.873 | 0.140 | 0.282 | 0.427 | |
Age Group | 18–29 | 1466.61 ± 2964.80 | 635.44 ± 1252.02 | 1368.25 ± 2063.87 | 452.94 ± 243.33 | 1248.76 ± 1781.86 | 1586.10 ± 2553.91 | 3470.299 ± 4006.62 | 669.31 ± 749.72 |
30–39 | 1672.03 ± 3361.39 | 733.418 ± 1294.02 | 1871.65 ± 3221.30 | 410.41 ± 212.27 | 1453.04 ± 2023.13 | 2090.63 ± 3477.24 | 4277.09 ± 5023.05 | 807.94 ± 909.29 | |
W | 26,253.00 | 28,263.50 | 26,243.00 | 24,233.00 | 27,238.00 | 25,322.00 | 29,239.00 | 23,152.50 | |
p value | 0.530 | 0.459 | 0.065 | 0.078 | 0.299 | 0.104 | 0.083 | 0.105 | |
WRMSDs | Yes | 832.24 ± 1643.96 | 676.29 ± 1269.22 | 501.68 ± 935.13 | 435.21 ± 231.55 | 1076.43 ± 2135.39 | 720.00 ± 2073.11 | 3806.64 ± 4470.04 | 727.11 ± 821.72 |
No | 762.21 ± 1653.39 | 675.43 ± 1025.79 | 623.31 ± 989.90 | 392.66 ± 232.93 | 1028.35 ± 1827.39 | 452.28 ± 1302.63 | 3541.58 ± 4369.97 | 700.32 ± 812.70 | |
W | 25,323.00 | 22,713.50 | 22,633.50 | 26,330.00 | 25,325.50 | 24,522.00 | 24,583.00 | 24,266.00 | |
p value | 0.172 | 0.995 | 0.212 | 0.074 | 0.678 | 0.820 | 0.561 | 0.750 |
Baseline Variables | Quality of Life $ | ||||
---|---|---|---|---|---|
Physical Health # | Psychological Domain # | Social Relationships # | Environmental Domain # | ||
Gender | Male | 61.27 ± 15.68 | 63.38 ± 15.17 | 64.43 ± 20.33 | 66.11 ± 16.57 |
Female | 62.41 ± 16.02 | 65.29 ± 14.54 | 66.29 ± 19.94 | 65.01 ± 17.31 | |
W | 26,855.00 | 28,290.50 | 28,931.50 | 28,032.50 | |
p value | 0.503 | 0.237 | 0.393 | 0.546 | |
Age | 18–29 | 60.84 ± 15.96 | 63.29 ± 15.56 | 63.01 ± 20.92 | 65.61 ± 17.33 |
30–39 | 62.82 ± 15.53 | 65.11 ± 14.057 | 67.99 ± 18.80 | 65.88 ± 16.14 | |
W | 26,834.00 | 27,393.50 | 26,793.50 | 28,3452.50 | |
p value | 0.231 | 0.244 | 0.018 * | 0.877 | |
WRMSDs | Yes | 61.67 ± 15.79 | 64.05 ± 14.96 | 65.08 ± 20.19 | 65.73 ± 16.82 |
No | 61.19 ± 15.62 | 64.67 ± 16.23 | 65.68 ± 21.09 | 64.79 ± 16.73 | |
W | 24,840.00 | 23,849.50 | 23,603.00 | 24,950.00 | |
p value | 0.587 | 0.685 | 0.743 | 0.535 |
Physical Activity Dimensions (min/week) | Quality of Life Domains | |||||||
---|---|---|---|---|---|---|---|---|
Physical | Psychological Domain | Social | Environmental | |||||
r | p | r | p | r | p | r | p | |
MVPA | 0.011 | 0.813 | 0.009 | 0.833 | −0.104 | 0.019 * | −0.040 | 0.373 |
Total PA | 0.005 | 0.903 | 0.22 | 0.628 | −0.104 | 0.020 * | −0.024 | 0.586 |
Sedentary time | −0.128 | 0.004 ** | −0.091 | 0.041 * | 0.003 | 0.942 | 0.059 | 0.188 |
Independent Variables | Physical Activity (Predictor) | β | SE | p | |
---|---|---|---|---|---|
Musculoskeletal disorders (WMSD) | Sitting time | −0.001 | 0.000 | 0.043 * | |
Work—vigorous intensity | −0.000 | 0.000 | 0.058 | ||
Work—moderate intensity | −0.000 | 0.000 | 0.193 | ||
Leisure—vigorous intensity | −0.000 | 0.000 | 0.174 | ||
Commute | −0.000 | 0.000 | 0.246 | ||
MVPA | 0.000 | 0.000 | 0.164 | ||
Quality of Life Domains (WHOQOL) | Physical | Sitting time | 1.316 | 0.003 | <0.001 ** |
Work—vigorous intensity | 0.100 | 0.001 | 0.296 | ||
Work—moderate intensity | 0.498 | 0.001 | <0.001 ** | ||
Leisure—vigorous intensity | 0.285 | 0.001 | 0.002 * | ||
Leisure—moderate intensity | 0.316 | 0.002 | <0.001 ** | ||
Commute | 0.412 | 0.001 | <0.001 ** | ||
Psychological | Sitting time | 1.433 | 0.003 | <0.001 ** | |
Work—vigorous intensity | 0.156 | 0.001 | 0.117 | ||
Work—moderate intensity | 0.520 | 0.001 | <0.001 ** | ||
Leisure—vigorous intensity | 0.386 | 0.001 | <0.001 ** | ||
Leisure—moderate intensity | 0.222 | 0.002 | 0.020 * | ||
Commute | 0.445 | 0.001 | <0.001 ** | ||
Social | Sitting time | 1.130 | 0.004 | <0.001 ** | |
Work—vigorous intensity | 0.016 | 0.001 | 0.843 | ||
Work—moderate intensity | 0.392 | 0.001 | <0.001 ** | ||
Leisure—vigorous intensity | 0.227 | 0.001 | 0.004 ** | ||
Leisure—moderate intensity | 0.191 | 0.002 | 0.015 * | ||
Commute | 0.319 | 0.001 | <0.001 ** | ||
Environmental | Sitting time | 1.378 | 0.003 | <0.001 ** | |
Work—vigorous intensity | 0.157 | 0.001 | 0.084 | ||
Work—moderate intensity | 0.400 | 0.001 | <0.001 ** | ||
Leisure—vigorous intensity | 0.398 | 0.001 | <0.001 ** | ||
Leisure—moderate intensity | 0.216 | 0.002 | 0.014 * | ||
Commute | 0.326 | 0.001 | <0.001 ** |
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Alseminy, M.A.M.M.; Chandrasekaran, B.; Bairapareddy, K.C. Association of Physical Activity and Quality of Life with Work-Related Musculoskeletal Disorders in the UAE Young Adults. Healthcare 2022, 10, 625. https://doi.org/10.3390/healthcare10040625
Alseminy MAMM, Chandrasekaran B, Bairapareddy KC. Association of Physical Activity and Quality of Life with Work-Related Musculoskeletal Disorders in the UAE Young Adults. Healthcare. 2022; 10(4):625. https://doi.org/10.3390/healthcare10040625
Chicago/Turabian StyleAlseminy, Mennatallah Adel Mohamed Mohmoud, Baskaran Chandrasekaran, and Kalyana Chakravarthy Bairapareddy. 2022. "Association of Physical Activity and Quality of Life with Work-Related Musculoskeletal Disorders in the UAE Young Adults" Healthcare 10, no. 4: 625. https://doi.org/10.3390/healthcare10040625