Are Sitting Position and Working Duration Associated with Low Back Pain in Workers?: A Meta-Analysis

Herawati Prianggi, Bhisma Murti, Hanung Prasetya


Background: Low back pain (LBP) is general­ly suffered by adults due to the position of the activity while working continuously. LBP can have an impact on an individual's quality of life because it can cause pain and impaired body/ movement functions. This study aims to syste­matically and quantitatively synthesized the relationships of sitting posture position, work­ing duration, and low back pain in workers.

Subjects and Method: A systematic review and meta-analysis was conducted by collecting articles from a number of databases such as PubMed, Science Direct, and Google Scholar. The keywords used in the article search were “Low Back Pain” AND “Low Back Pain” AND “Office Employees” “work attitude”, “work atti­tude” AND “years of service OR “Low Back Pain” Low Back Pain OR work attitude” “years of service” OR “work attitude” “Work attitude AND Low Back Pain OR Low Back Pain AND “year of service “Low Back Pain” AND “adjust­ed odds ratio” “Years of service” AND “adjusted odds ratio ”Pathophysiology Low Back Pain". Articles were collected and selected using the PICO model, including: (1) Population = office workers, (2) Intervention = sitting position and length of service, (3) Comparison= without intervention, and (4) Outcome= low back pain. Inclusion criteria in this study is full-text, the article uses an observational study design, the article is published from 2004 to 2021, the research population is workers, reports the Adjusted Odd Ratio (AOR). The articles that have been collected are selected using the PRISMA diagram. The qualitative synthesis of research data was tested using the Review Manager application (RevMan 5.3).

Results: Meta-analysis of 9 cross-sectional studies showed that workers who worked 5 years had a risk of experiencing low back pain 1.43 times compared to <5 years (aOR= 1.87; 95% CI= 1.43 to 0.95; p= 0.08). Meta-analysis of 7 cross-sectional studies showed that workers who sat for 8 hours had a risk of expe­riencing low back pain 1.31 times com­pared to <8 hours (aOR= 1.31; 95% CI = 0.64 to 2.54, p= 0.43).

Conclusion: Length of work 5 years and sitting position 8 hours increase the risk of experiencing low back pain in office employees.

Keywords: low back pain, sitting position, working period, office worker

Correspondence: Herawati Prianggi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: Mobile: 089670447344

Journal of Epidemiology and Public Health (2021), 06(02): 211-221

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Adhikari B, Ghimire A, Jha N, Karkee R, Shrestha A, Dhakal R,Niraula A, et al. (2021). Factors associated with low back pain among construction work-ers in Nepal: A cross-sectional study. PLoS ONE 16(6): e0252564.

Belay MM, Worku A, Gebrie SA, Wamisho BL(2016). Epidemiology of low back pain among nurses working in public hospitals ofAddis Ababa, Ethiopia. East Cent Afr J Surg. 21(1): 113-131.

Bontrup C, Taylor WR, Fliesser M, Visscher R, Green T, Wippert PM, Zemp R (2019).Low back pain and its relationship with sitting behaviour among sedentary office workers. Appl Ergon. 81: 102894.

Callaghan JP,McGill SM (2001). Low back joint loading and kinematics during standing and unsupported sitting. Ergonomics. 44(3): 280-294.

Cho IY, Park SY, Park JH, Kim TK, Jung TW, Lee HM (2015). The effect of standing and different sitting positions on lumbar lordosis: Radiographic study of 30 healthy volunteers. Asian Spine J. 9(5): 762–769.

Davis KG, Kotowski SE (2014).Postural variability: an effective way to reduce musculoskeletal discomfort in office work. Hum Factors. 56(7):1249-61.

Diallo SYK,Mweu MM, Mbuya SO Mwanthi MA (2019). Prevalence and risk factors for low back pain among university teaching staff in Nairobi, Kenya: a cross-sectional study.F100-0Res. 8: 808.

Goossens RHM, Netten MP, Van der Doelen B (2012). An office chair to influence the sitting behavior of office workers.Work.41(1):2086-8.

HannaF, Daas RN, El-Shareif TJ, Al-Marridi HH, Al-Rojoub ZM, Adegboye OA (2019).The relationship between sedentary behavior, back pain, and psychosocial correlates among university employees. Front Public Health. 7:80.

Inoue G, Miyagi M, Uchida K, Ishikawa T, Kamoda H, Eguchi Y, Orita S, et al., (2015). The prevalence and characteristics of low back pain among sitting workers in a Japanese manufacturing company. J Orthop Sci. 20(1):23–30.

Kawaguchi M, Matsudaira K, Sawada T, Koga T, Ishizuka A, Isomura T, Coggon D (2017). Assessment of potential risk factors for new onset disabling low back pain in Japanese workers: findings from the CUPID (cultural and psychosocial influences on disability)

study. BMC Musculo-skelet Disord. 18(1): 334. https://doi.-org/10.1186/s12891-017-1686-y.

Kurnia R, Adriani RB, Demartoto A (2016). Association between personal and environmental factors, bodyposition on low back pain at Dr. Moewardi Hospital, in Surakarta.J Health Promot Behav. 1(1): 19-25.

Lena V. Kalling, Victoria B, Bjorn E, Tobias H, Jane S, Gunnar A, Peter W, Elin E (2021). Workplace sitting is associ-ated with self reported ganeral health and back/neck pain: a cross-sectional analysis in 44,978 employees. BMC Public Health. 21:

Liira JP, Shannon HS, Chambers LW, Haines TA (1996). Longterm back problems and physical work exposures in the 1990 Ontario Health Survey. Am J Public Health. 86(3): 382-7.

Lis AM,Black KM, Korn H, Nordin M (2007). Association between sitting and occupational LBP. Eur Spine J. 16(2): 283–298.

Matsudaira K, Konishi H, Miyoshi K, Isomura T, Inuzuka K (2014). Potential risk factors of persistent low back pain developing from mild low back pain in urban Japanese workers.PLoS One. 9(4):e93924.

Min S, Ho-Joong K, Hyunseok J, Hyoungmin K, Bong-Soon C, Choon-Ki L, Jin S (2018). Longer sitting time and low physical activity are closely associated with chronic low back pain in population over 50 year of age: a cross-sectional study using the

sixth Korea National Health and Nurtrition Examination Survey. SPINEE. 529-9430 (18). http//

Pynt J, Higgs J, Mackey M (2002). Historical perspective milestones in the evolution of lumbar spinal postural health in seating. Spine (Phila Pa 1976). 27(19):2180-9.

Sameh M, Abolfotouh, Karim M, Khaled F, Gameh M, Abir E, Mostafa A, Abolfotouh A (2015). Prevalence, consequences and predictor of low back pain among nurses in a tertiary care setting. SICOT. 39(12):2439-49. doi: 10.1007/s00264-015-2900-x

Spyropoulos P, Papathanasiou G, Georgou-dis G, Chronopoulos E, Koutis H, Koumoutsou F (2007).Prevalence of low back pain in greek public office workers. Pain Physician.10(5):651-9.PMID: 17876361.

Sudholz B, Ridgers ND, Mussap A, Bennie J, Timperio A, Salmon J(2018). Reliability and validity of self-reported sitting and breaks from sittingin the workplace.J Sci Med Sport. 21(7):697-701.

Tanzil S, Jamali T, Inam B, Abbas A (2019). Frequency and severity of low back pain among healthcare providers and associated factors in a tertiary care, public hospital in Karachi. Occup Med Health Aff. 7(1): 285.

Mekonnen TH (2019). Work-related factors associated with low back pain among nurse professionals in East and West Wollega Zones, Western Ethiopia, 2017: A cross-sectional. Pain Ther. 8(2): 239-247.

van Deursen DL, Lengsfeld M, Snijders CJ, Evers JJM, Goossens RHM (2000). Mechanical effects of continuous passive motion on the lumbar spine in seating. J Biomech.33(6): 695-699.

van Dieën JH,De Looze MP, Hermans V (2001). Effects of dynamic office chairs on trunk kinematics, trunk extensor EMG and spinal shrinkage. Ergonomics. 44(7): 739-750.

Xu CX, Zhu HH, Fang L, Hu RY, Wang H, Liang MB, Zhang J, Lu F, et al. (2017). Gender disparity in the associations of overweight/obesity with occupational activity, transport to/from work, leisuretime physical activity, and leisure-time spent sitting

in working adults: A cross-sectional study. J of Epidemiol. 27(9):401-407.

Yang H, Haldeman S, Lu ML, Baker D (2016).Low back pain prevalence and related workplace psychosocial risk factors: A study using data from the 2010 National Health Interview Survey. J Manipulative Physiol Ther. 39(7): 459–472.


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