hig.sePublikationer
Ändra sökning
Avgränsa sökresultatet
123456 51 - 100 av 289
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 51.
    Brusaca, Luiz Augusto
    et al.
    Department of Physical Therapy, Federal University of São Carlos.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Gupta, Nidhi
    Det Nationale Forskningscenter for Arbejdsmiljö, Köpenhamn.
    Barbieri, Dechristian
    Department of Physical Therapy, Federal University of São Carlos.
    Oliveira, Ana Beatriz
    Department of Physical Therapy, Federal University of São Carlos.
    Temporal patterns of sitting and non-sitting in normal-weight and overweight Brazilian office workers working from home during the COVID-19 pandemic2022Ingår i: Proceedings of the ICAMPAM2022 conference, 2022Konferensbidrag (Refereegranskat)
    Abstract [en]

    Objective: This study documented the temporal patterns of sitting, non-sitting and time-in-bed (TIB) of Brazilian office workers working from home during the pandemic; and also determined the extent to which these patterns differed between normal-weight (NWW) and overweight workers (OWW). Methods: Behaviors were monitored over 5 days using accelerometers in 33 NWW (BMI <25 kg/m2) and 40 OWW (BMI ≥25 kg/m2). Time-use compositions were described in terms of sitting, non-sitting and TIB. Temporal patterns of sitting/non-sitting were quantified according to Exposure Variation Analysis into short (≤5 min), moderate (>5 and ≤20) and long uninterrupted bouts (>20). Following a compositional data analysis, isometric log-ratios (ilr) were calculated; ilr1–TIB relative to time spent awake, ilr2–sitting (all bouts) relative to non-sitting (all bouts), ilr3–sitting in short relative to moderate and long bouts, ilr4–sitting in moderate relative to long bouts; ilr5 and ilr6 represent the same behavior contrasts as ilr3 and ilr4, but for non-sitting. We examined differences between groups using MANOVA, followed by univariate post-hoc tests of pairwise differences. Results: NWW spent more time sitting in short bouts (50 min) and less time in moderate and long bouts (154 and 552) than OWW (42, 155 and 585). For non-sitting, NWW spent more time in short and moderate bouts (71 and 96) and less time in long bouts (45) than OWW (60, 83 and 54). NWW had longer TIB (473) than OWW (461). NWW and OWW differed in the set of ilrs as a whole (p=0.05). The post-hoc tests showed that time spent sitting in short relative to longer bouts (ilr3) was smaller for OWW than for NWW (p=0.05). This indicates that OWW had less variation in sitting behaviors. Conclusions: OWW spent less time at work sitting in short uninterrupted bouts, relative to sitting for longer bouts, than NWW, while the relative time-use did not differ for other behaviors.

  • 52.
    Bäckström, Anna
    et al.
    Umeå universitet.
    Johannson, Anna-Maria
    Umeå universitet.
    Rudolfsson, Thomas
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Umeå universitet.
    Rönnqvist, Louise
    Umeå universitet.
    von Hofsten, Claes
    Uppsala universitet.
    Rosander, Kerstin
    Uppsala universitet.
    Domellöf, Erik
    Umeå universitet.
    Motor planning and movement execution during goal-directed sequential manual movements in 6-year-old children with autism spectrum disorder: A kinematic analysis2021Ingår i: Research in Developmental Disabilities, ISSN 0891-4222, E-ISSN 1873-3379, Vol. 115, artikel-id 104014Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims

    To investigate characteristics of manual motor planning and performance difficulties/diversity in children with ASD by detailed kinematic measurements. Further, associations between movement parameters and cognitive functions were explored.

    Methods and procedures

    Six-year-old children with ASD (N = 12) and typically developing (TD) peers (N = 12) performed a sequential manual task comprising grasping and fitting a semi-circular peg into a goal-slot. The goal-slot orientation was manipulated to impose different motor planning constraints. Movements were recorded by an optoelectronic system.

    Outcomes and results

    The ASD-group displayed less efficient motor planning than the TD-group, evident in the reach-to-grasp and transport kinematics and less proactive adjustments of the peg to the goal-slot orientations. The intra-individual variation of movement kinematics was higher in the ASD-group compared to the TD-group. Further, in the ASD-group, movement performance associated negatively with cognitive functions.

    Conclusions and implications

    Planning and execution of sequential manual movements proved challenging for children with ASD, likely contributing to problems in everyday actions. Detailed kinematic investigations contribute to the generation of specific knowledge about the nature of atypical motor performance/diversity in ASD. This is of potential clinical relevance.

    Ladda ner fulltext (pdf)
    fulltext
  • 53.
    Böthun, Alicia
    et al.
    Department of Odontology, Clinical Oral Physiology, Faculty of Medicine Umeå University Umeå Sweden.
    Häggman‐Henrikson, Birgitta
    Department of Odontology, Clinical Oral Physiology, Faculty of Medicine Umeå University Umeå Sweden;Department of Orofacial Pain and Jaw Function, Faculty of Odontology Malmö University Malmö Sweden.
    Stålnacke, Britt-Marie
    Department of Community Medicine and Rehabilitation, Rehabilitation Medicine Umeå University Umeå Sweden.
    Wänman, Anders
    Department of Odontology, Clinical Oral Physiology, Faculty of Medicine Umeå University Umeå Sweden.
    Nordh, Erik
    Department of Clinical Science, Neurosciences, Div Clinical Neurophysiology Umeå University Umeå Sweden.
    Lampa, Ewa
    Department of Odontology, Clinical Oral Physiology, Faculty of Medicine Umeå University Umeå Sweden.
    Hellström, Fredrik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Department of Odontology, Clinical Oral Physiology, Faculty of Medicine Umeå University Umeå Sweden.
    Clinical signs in the jaw and neck region following whiplash trauma – a 2‐year follow‐up2023Ingår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 27, nr 6, s. 699-709Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Pain in the orofacial region is often reported after whiplash trauma. However, prospective studies evaluating clinical signs related to orofacial pain and disability in whiplash populations are rare. The aim of the present study was to evaluate clinical signs related to pain and dysfunction in orofacial and neck regions after whiplash trauma, in a short- and long-term perspective.

    Methods

    In total, 84 cases (48 women) diagnosed with neck distortion after a car accident and 116 controls (68 women) were examined within one month, and 49 cases (27 women) and 71 controls (41 women) were reexamined two years later. Outcome measures were pain on palpation of jaw and neck muscles and maximal jaw opening. Analysis was performed using mixed-models.

    Results

    Cases and women were at higher risk for pain on palpation of jaw muscles (OR:7.7;P<0.001 and OR:3.2;P=0.010, respectively) and neck muscles (OR:12.7;P<0.001 and OR:2.9;P=0.020, respectively) but with no significant effect of time. Cases and women also had lower maximal jaw opening (-3.1;P=0.001 and -3.3;P=0.001, respectively). There was no significant time effect, but a significant interaction between cases and time (2.2;P=0.004).

    Conclusion

    Individuals with a whiplash trauma present a higher risk for pain on palpation in jaw and neck muscles both in a short- and long-term perspective, but show normal jaw movements. No time effect suggest that cases do not spontaneously improve nor get worse. Investigating pain on palpation in the jaw and neck muscles after whiplash trauma can identify individuals at risk for developing long-term orofacial pain and dysfunction.

    Ladda ner fulltext (pdf)
    fulltext
  • 54.
    Böthun, Alicia
    et al.
    Umeå University.
    Häggman‐Henrikson, Birgitta
    Umeå University; Malmö University.
    Wiesinger, Birgitta
    Umeå University.
    Wänman, Anders
    Umeå University.
    Hellström, Fredrik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Österlund, Catharina
    Department of Odontology Clinical Oral Physiology Faculty of Medicine Umeå University Umeå Sweden.
    Jaw–neck motor strategy during jaw‐opening with resistance load2022Ingår i: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 49, nr 5, s. 514-521Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    The jaw and neck motor systems have a close functional integration but the effect of resistance load to the mandible during jaw opening on the jaw–neck integration is not known.

    Objectives

    To evaluate the effect of resistance load compared to no load on integrated jaw and neck motor function in individuals free from pain and dysfunction in the jaw and neck regions.

    Methods

    Jaw and head movements during continuous jaw opening were recorded with an optoelectronic system (MacReflex®) in 26 pain-free individuals (14 women, 12 men, mean age 22 years). Jaw opening was performed with and without resistance load (1600 g) to the mandible. The relationship between jaw movement amplitude, head movement amplitude, head/jaw ratio (quotient of head and jaw movement amplitude) and resistance load were modelled using linear mixed-model analysis. A p-value <.05 was considered statistically significant.

    Results

    The expected head/jaw ratio mean was increased by 0.05 (95% CI: 0.03, 0.08, p < .001) with resistance load as compared to no load. This corresponds to an increase in expected mean by 55.6%. With resistance load, expected mean head movement amplitude increased by 1.4 mm (95% CI: 0.2, 2.5, p = .018), and expected mean jaw movement amplitude decreased by 3.7 mm (95% CI: −7.0, −0.5, p = .025).

    Conclusion

    There is a compensation and adaptation of integrated jaw–neck motor function with an altered jaw–neck motor strategy during jaw opening with resistance load compared to no load. The head/jaw ratio demonstrates increased proportional involvement of the neck during increased load on the jaw system.

    Ladda ner fulltext (pdf)
    fulltext
  • 55.
    Casely-Hayford, Jeffrey
    et al.
    Karolinska institutet.
    Björklund, Christina
    Karolinska institutet.
    Bergström, Gunnar
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Karolinska institutet.
    Lindqvist, Per
    Linnéuniversitetet.
    Kwak, Lydia
    Karolinska institutet.
    What makes teachers stay? A cross-sectional exploration of the individual and contextual factors associated with teacher retention in Sweden2022Ingår i: Teaching and Teacher Education: An International Journal of Research and Studies, ISSN 0742-051X, E-ISSN 1879-2480, Vol. 113, artikel-id 103664Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This cross-sectional study aimed to identify individual and contextual factors associated with Swedish teachers' intention to remain in the profession. A sample of 5903 elementary-year teachers completed a questionnaire between 2004 and 2011 assessing their health and perception of individual and contextual factors at work. The findings showed that teachers' intention to remain in the profession is mainly explained by individual factors, predominantly by teachers’ perceived health state, work motivation and collegial support. The main implication is the importance of teachers' perceived health state for their intention to remain, underscoring the importance of a health promoting work environment in schools. 

    Ladda ner fulltext (pdf)
    fulltext
  • 56.
    Chiarotto, Alessandro
    et al.
    Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
    Gerger, Heike
    Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
    van Rijn, Rogier M.
    Codarts Rotterdam, University of the Arts, Rotterdam, the Netherlands; PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, the Netherlands.
    Elbers, Roy G.
    Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
    Søgaard, Karen
    Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
    Macri, Erin M.
    Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, the Netherlands; Department of Orthopaedics and Sports Medicine, Erasmus University Medical Center Rotterdam, Rotterdam, Netherlands .
    Jackson, Jennie
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Burdorf, Alex
    Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
    Koes, Bart W.
    Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, the Netherlands; Center for Muscle and Joint Health, University of Southern Denmark, Odense, Denmark.
    Physical and psychosocial work-related exposures and the occurrence of disorders of the elbow: A systematic review2023Ingår i: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 108, artikel-id 103952Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    This systematic review updates a previous systematic review on work-related physical and psychosocial risk factors for elbow disorders. Medline, Embase, Web of Science, Cochrane Central and PsycINFO were searched for studies on associations between work-related physical or psychosocial risk factors and the occurrence of elbow disorders. Two independent reviewers selected eligible studies and assessed risk of bias (RoB). Results of studies were synthesized narratively. We identified 17 new studies and lateral epicondylitis was the most studied disorder (13 studies). Five studies had a prospective cohort design, eight were cross-sectional and four were case-control. Only one study had no items rated as high RoB. Combined physical exposure indicators (e.g. physical exertion combined with elbow movement) were associated with the occurrence of lateral epicondylitis. No other consistent associations were observed for other physical and psychosocial exposures. These results prevent strong conclusions regarding associations between work-related exposures, and the occurrence of elbow disorders.

    Ladda ner fulltext (pdf)
    fulltext
  • 57.
    Cid, Marina Machado
    et al.
    Federal University of São Carlos, Brazil.
    Januario, Leticia
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Federal University of São Carlos, Brazil.
    Moreira, Roberta de Fátima Carreira
    Federal University of São Carlos, Brazil.
    Côté, Julie N
    McGill University.
    Madeleine, Pascal
    Aalborg University.
    Oliveira, Ana Beatriz
    Federal University of São Carlos, Brazil.
    Does sEMG normalization change results on sex differences in the activation of the shoulder girdle muscles during a simulated work task?2020Ingår i: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 85, artikel-id 103044Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim was to investigate if the method of normalizing surface electromyography (sEMG) can change results on sex differences in the muscular activation of the shoulder girdle muscles during a simulated work task. sEMG was recorded in 36 asymptomatic participants (17 females, 19 males) from four parts of trapezius and from serratus anterior muscles during a simulated work task. Four normalization methods, one involving maximal voluntary contractions (MVCs) and three involving submaximal voluntary contractions were applied. Sex differences in absolute and normalized amplitude of sEMG were analyzed. The normalization method had a significant influence on the observed sex differences. Females only showed higher sEMG amplitude than males when the sEMGs were normalized to MVC and to a submaximal contraction based on 20% of MVC for the upper trapezius (acromial fibers). Researchers and practitioners should be aware of the impact of the sEMG normalization method in sex differences investigation.

  • 58.
    Cillekens, Bart
    et al.
    Department of Public and Occupational Health, AmsterdamUMC , Amsterdam, The Netherlands.
    Ketels, Margo
    Department of Public Health and Primary Care, Ghent University , Gent, Belgium.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Gupta, Nidhi
    National Research Centre for the Working Environment, National Research Centre for the Working Environment , Copenhagen, Denmark.
    Clays, Els
    Department of Public Health and Primary Care, Ghent University , Gent, Belgium.
    Maaike, Huysmans
    Department of Public and Occupational Health, AmsterdamUMC , Amsterdam, The Netherlands.
    Andreas, Holtermann
    National Research Centre for the Working Environment, National Research Centre for the Working Environment , Copenhagen, Denmark.
    Coenen, Pieter
    Department of Public and Occupational Health, AmsterdamUMC , Amsterdam, The Netherlands.
    O7-1 The association of occupational and leisure time physical activity with all-cause mortality. Using an individual participant dataset (N = 634,131)2022Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 32, nr Suppl2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Physical activity is a key determinant for health and considered as an important factor in the prevention of lifestyle related-diseases. All physical activity domains are generally considered to be health enhancing. However, accumulating evidence in recent years suggests that occupational physical activity may not have the same beneficial health effect as leisure time physical activity. Our aim was to assess the association of occupational and leisure time physical activity and all-cause mortality.

    Methods

    We obtained individual participant data from published and unpublished cohort studies and assessed their risk of bias. We harmonized the data, and used Cox survival regression models to assess the association between occupational and leisure time physical activity with all-cause mortality, in a two-stage individual participant data meta-analysis. Different models were performed to assess the impact of relevant confounders including behavioral, health-related and socio-economic factors. Results of the data were reported with hazard ratios (HRs) and 95% confidence intervals (95% CI).ResultsData from 22 prospective cohort studies showed that male workers with high occupational physical activity had an increased risk of all-cause mortality in comparison with sedentary occupational physical activity (HR: 1.12, 95%CI: 1.03- 1.23). For female workers, no such association was found (HR: 1.01, 95%CI: 0.85-1.19). when comparing high with sedentary occupational physical activity.

    Increasing levels of leisure time physical activity were inversely and dose-dependently associated with a reduced risk of all-cause mortality. For example, high compared with sedentary leisure time physical activity was associated with reduced risks for males (HR: 0.53, 95%CI: 0.36-0.79) and for females (HR: 0.49, 95%CI: 0.31-0.79).

    All associations remained robust when adjusting for additional relevant confounders, leaving one study out analysis, and when assessing the role of bias and reverse causality.

    Conclusion

    We consistently found a reduced risk of all-cause mortality with increasing levels of leisure time physical activity, but not for occupational physical activity. These findings indicate that occupational activity may not be health-enhancing. These findings suggest that occupational physical activity may not be considered a suitable substitute to leisure time physical activity when striving for health enhancement.

  • 59.
    Cillekins, Bart
    et al.
    AmsterdamUMC, Netherlands.
    Ketels, Margo
    University of Ghent, Netherlands.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Gupta, Nidhi
    National Research Centre for the Working Environment, Denmark.
    Clays, Els
    University of Ghent, Netherlands.
    Maaike, Huysmans
    AmsterdamUMC, Netherlands.
    Holtermann, Andreas
    National Research Centre for the Working Environment, Denmark.
    Coenan, Pieter
    AmsterdamUMC, Netherlands.
    O5-6 The relation between domain-specific physical behavior and cardiorespiratory fitness: a compositional data analysis on the physical activity health paradox using accelerometer-assessed data2022Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 32, nr s2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    In contrast to leisure time physical activity (LTPA), occupational physical activity (OPA) does not have similar beneficial health effects. These differential health effects, also known as the physical activity health paradox, might be explained by dissimilar effects of LTPA and OPA on cardiorespiratory fitness (CRF). This study aims to investigate the association between device-worn measures of physical behaviors during both work and leisure time and CRF among workers with high level of OPA.

    Methods

    Our results are based on a sample of 309 workers employed within the service and production sector from the cross-sectional FEPA (Flemish Employees' Physical Activity) study. OPA and LTPA were measured using two Axivity AX3 accelerometers, worn on the back and right thigh for 2 to 4 consecutive working days. CRF levels were obtained by the Harvard step test. Compositional multiple linear regression analyses were used to analyze the relations, adjusted for age, sex, education, smoking, BMI, moderate-to vigorous physical activity (MVPA), and physical work demands.

    Results

    During work time, more sedentary behavior (SB) was associated with higher CRF when compared relatively to time spent on other work behaviors, while more SB during leisure time was associated with lower CRF when compared to other leisure time behaviors. Reallocating more time to MVPA from the other behaviors within leisure time was positively associated with CRF, which was not the case for MVPA during work.

    Conclusion

    Our results emphasize the need for taking the domain-specific nature of physical activity into account to understand its relation to CRF. Guidelines usually do not differentiate between OPA and LTPA in their recommendation to participate in at least 150 min of physical activity per week, regardless of the OPA level. Workers already meeting this recommendations through OPA might therefore mistakenly think that they already meet the recommendations on physical activity and think they can spend their leisure time in a sedentary fashion. In reality, these types of workers might benefit from recommendations to take more sitting breaks during their work and to participate in leisure time MVPA to maintain or improve their CRF in order ‘to be fit for the job'.

  • 60.
    Clays, Els
    et al.
    Department of Public Health and Primary Care, Ghent University, Belgium.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Oakman, Jodi
    Department of Public Health, Centre for Ergonomics and Human Factors, La Trobe University, Australia.
    Holtermann, Andreas
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Objectively measured occupational physical activity in blue-collar workers: What is the role of job type, gender and psychosocial resources?2020Ingår i: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 82, artikel-id 102948Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim was to describe occupational physical activity (OPA) and examine the role of psychosocial job resources among blue-collar workers. In a sample of 198 workers (57% male; mean age 44.9 (SD 9.9) year) from 7 companies in Denmark, two accelerometers (Actigraph) were placed on the thigh and trunk during 1-5 consecutive days, to determine working time spent standing, walking, on feet and in activity of moderate to vigorous intensity level (MVPA). The level of influence and social support at work were assessed by questionnaire. The exposure to OPA significantly varied by particular job type, especially in male predominant occupations. Overall, psychosocial job resources did not affect the exposure to OPA. These findings suggest that workplace interventions aiming to prevent adverse outcomes of OPA among blue-collars workers ought to focus on task redesign and target work organizational factors related to specific job type.

  • 61.
    Coenen, Pieter
    et al.
    Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    van der Beek, Allard
    Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Correction of bias in self-reported sitting time among office workers – a study based on compositional data analysis2020Ingår i: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 46, nr 1, s. 32-42Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: Emerging evidence suggests that excessive sitting has negative health effects. However, this evidence largely relies on research using self-reported sitting time, which is known to be biased. To correct this bias, we aimed at developing a calibration model estimating "true" sitting from self-reported sitting.

    Methods: Occupational sitting time was estimated by self-reports (the International Physical Activity Questionnaire) and objective measurements (thigh-worn accelerometer) among 99 Swedish office workers at a governmental agency, at baseline and 3 and 12 months afterwards. Following compositional data analysis procedures, both sitting estimates were transformed into isometric log-ratios (ILR). This effectively addresses that times spent in various activities are inherently dependent and can be presented as values of only 0−100%. Linear regression was used to develop a simple calibration model estimating objectively measured "true" sitting ILR (dependent variable) from self-reported sitting ILR (independent variable). Additional self-reported variables were then added to construct a full calibration model. Performance of the models was assessed by root-mean-square (RMS) differences between estimated and objectively measured values. Models developed on baseline data were validated using the follow-up datasets.

    Results: Uncalibrated self-reported sitting ILR showed an RMS error of 0.767. Simple and full calibration models (incorporating body mass index, office type, and gender) reduced this error to 0.422 (55%) and 0.398 (52%), respectively. In the validations, model performance decreased to 57%/62% (simple models) and 57%/62% (full models) for the two follow-up data sets, respectively.

    Conclusions: Calibration adjusting for errors in self-reported sitting led to substantially more correct estimates of "true" sitting than uncalibrated self-reports. Validation indicated that model performance would change somewhat in new datasets and that full models perform no better than simple models, but calibration remained effective.

  • 62.
    Coenen, Pieter
    et al.
    Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
    van der Beek, Allard J.
    Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
    Jackson, Jennie
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Calibration of self-reported physical behaviours among office workers: A compositional data analysis2019Ingår i: ICAMPAM 2019: Oral Abstracts, Maastricht: ICAMPAM , 2019, artikel-id O.11.2Konferensbidrag (Refereegranskat)
    Abstract [en]

    The aim of this study was to develop and evaluate calibration models to predict objectively measured time spent sitting, standing and walking during office work from self-reported time-use compositions using a compositional data analysis (CoDA) approach. Ninety-nine office workers (49 women) at the Swedish Transport Administration participated in an intervention study on relocation to activity-based offices. At baseline and at a 3-months follow-up, physical behaviours (sitting, standing and walking) at work were assessed for five days using a thigh-mounted accelerometer (Actigraph) and by self-report (IPAQ). The time-use composition of the three behaviours was expressed in terms of isometric log-ratios (ILR). Calibration models predicting accelerometry-based time-use from self-reported compositions were constructed using linear regression on baseline data, and then validated using follow-up data. The accelerometer data showed that, on average, workers spent 69.9% of their day sitting, 23.7% standing, and 6.4% walking. The corresponding percentages for self-reports were 71.7%, 21.6%, and 7.4%, respectively. Non-calibrated self-reports were biased: the RMS errors obtained from the ILRs expressing sitting, standing and walking were 0.73, 1.09 and 1.05, respectively. Calibration models reduced these errors by 45% (sitting), 56% (standing), and 76% (walking). Validation of the calibration models using follow-up data from the same workers showed calibration remained equally effective; RMS errors were reduced by 55% (sitting), 58% (standing), and 75% (walking). In conclusion, calibration models for compositional time-use data were effective in reducing bias in self-reported physical behaviours at work, and the models remained effective when used on new data from the same workers. Calibrated self-reports may represent a cost-effective method for obtaining physical behaviour data with a satisfying accuracy in large-scale cohort and intervention studies.

  • 63.
    Crenshaw, Albert G.
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Pettersson, Linda
    Ctr Musculoskeletal Res, Umea, Sweden..
    Johnson, Pete
    Univ Washington, Dept Environm & Occupat Hlth Sci, Seattle, WA 98195 USA..
    Onset and recovery of muscle hemodynamic and contractile properties of males and females following a submaximal isometric contraction2012Ingår i: The FASEB Journal, ISSN 0892-6638, E-ISSN 1530-6860, Vol. 26Artikel i tidskrift (Övrigt vetenskapligt)
  • 64.
    Dahl, Moa
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap.
    Upplevelsen av rehabiliteringsprocessen hos tidigare sjukskrivna i psykiatriska diagnoser: En kvalitativ studie2023Självständigt arbete på avancerad nivå (masterexamen), 20 poäng / 30 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Problemformulering: En av de vanligaste orsakerna till sjukskrivning i Sverige är psykiatriska diagnoser såsom depressioner och stressreaktioner. Sjukfrånvaro innebär stora kostnader både för arbetsgivare och för samhället, och är på olika sätt drabbande även för den som är sjukskriven. Det finns därmed goda skäl att undersöka olika sätt på vilka rehabiliteringsprocessen kan förbättras och göra återgången i arbete enklare. Tidigare forskning har visat att det finns ett flertal faktorer som går att förändra för att förbättra möjligheterna till återgång i arbete, såsom bättre kommunikation och bättre samordning av rehabiliteringsinsatserna. Få studier har dock undersökt hur tidigare sjukskrivna upplevt rehabiliteringsprocessen i sin helhet, från första sjukskrivningsdag till och med återgång i arbete. Syfte: Syftet med denna studie var att undersöka upplevelsen av rehabiliteringsprocessen, bland offentligt anställda i Sverige som tidigare varit sjukskrivna i psykiatriska diagnoser. Metod: Studien hade en kvalitativ design, och för att samla in data användes semistrukturerade intervjuer, vilka analyserades med hjälp av kvalitativ innehållsanalys. Deltagarna bestod av tio kvinnor som arbetade inom offentlig sektor i Sverige, hade varit sjukskrivna på 100 procent i en psykiatrisk diagnos i minst en månad samt återgått fullt i arbete. Resultat: Resultatet visade att upplevelsen av rehabiliteringsprocessen var att den förändrar en som person, att den innebär sårbarhet och att därför är viktigt med bra bemötande, tillräckliga anpassningar och en fungerande struktur kring rehabiliteringsprocessen där den sjukskrivne själv involveras utan att behöva vara ansvarig. Slutsats: Utifrån studiedeltagarnas upplevelser verkar det finnas behov av ett tydligare ramverk kring rehabiliteringsprocessen, tydligare ansvarsfördelning och vägledning till individen. Med kunskap om hur rehabiliteringsprocessen upplevs och vilka delar av processen som exempelvis anses bristfälliga, kan också förbättringar göras vilket i sin tur kan göra återgången i arbete mer hälsosam och hållbar.

    Ladda ner fulltext (pdf)
    fulltext
  • 65.
    Dahlkvist, Eva
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap.
    Wallhagen, Marita
    Högskolan i Gävle, Akademin för teknik och miljö, Avdelningen för byggnadsteknik, energisystem och miljövetenskap, Miljövetenskap.
    Bergsten, Eva L.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Larsson, Johan
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Luleå University of Technology.
    Enmarker, Ingela
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap.
    First-line managers’ leadership behavior profiles and use of gardens in residential care facilities: An interview study2023Ingår i: Journal of Aging and Environment, ISSN 2689-2618, Vol. 37, nr 1, s. 65-84Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study explored first-line managers’ leadership behavior profiles regarding their goals for utilizing the garden at residential care facilities for older people. Semi-structured interviews were conducted with a convenience sample of first-line managers (n = 12) in Sweden. Data were analyzed using deductive content analysis theoretically guided by the Three-dimensional Leadership Model. The results showed that the main leadership behavior profiles were related to the dimensions structure, relation and change. The managers emphasized workplace regulations and goals. They allowed staff to make decisions and encouraged them to see problems and opportunities.

    Ladda ner fulltext (pdf)
    fulltext
  • 66.
    Degerstedt, Frida
    et al.
    Umeå universitet.
    Björklund, Martin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Umeå universitet.
    Keisu, Britt-Inger
    Umeå universitet.
    Enberg, Birgit
    Umeå universitet.
    Unequal physical activity among children with cerebral palsy in Sweden - A national registry study2021Ingår i: Health Science Reports, E-ISSN 2398-8835, Vol. 4, nr 3, artikel-id e342Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To examine the extent to which sex, country of birth, and functional aspects influence participation in physical education and physical leisure activity among children with cerebral palsy (CP) in Sweden.

    Methods: This national cross-sectional registry study included children with CP aged 6 to 18 years who participated in the Swedish national quality registry, the Cerebral Palsy Follow-up Program, CPUP, in 2015. Comparisons and associations between sex, country of birth, and functional aspects and physical leisure/physical education were examined using chi-squared and multivariable logistic regression analysis.

    Results: The study included 1935 children. Of them, 1625 (87%) reported participating in physical education and 989 (53%) reported participating in physical leisure activity. Children born in Sweden had higher odds of participating in physical education (OR: 1.99; 95% CI: 1.20-3.28) and physical leisure activity (OR: 2.51; 95% CI: 1.70-3.72) compared with children born outside Europe. Greater impairment of gross motor function was associated with lower participation levels. Boys participated slightly more frequently in leisure activities than girls.

    Conclusion: Enhancing social inclusion with regard to disability, birth country, and sex are important and achievable goals for policymakers and practitioners for promoting participation in physical activity for children and adolescents with CP.

    Ladda ner fulltext (pdf)
    fulltext
  • 67.
    Degerstedt, Frida
    et al.
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden; Umeå Center for Gender Studies, Umeå University, Umeå, Sweden.
    Enberg, Birgit
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
    Keisu, Britt-Inger
    Umeå Center for Gender Studies, Umeå University, Umeå, Sweden.
    Björklund, Martin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
    Inequity in physiotherapeutic interventions for children with Cerebral Palsy in Sweden - a national registry study2020Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 109, nr 4, s. 774-782Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: The aim of this study was to investigate the distribution of physiotherapeutic interventions for children with Cerebral Palsy in Sweden from an equity perspective, considering sex, country of birth and geographical region.

    METHOD: This national cross-sectional registry study includes children with Cerebral Palsy aged 0-18 years who participated in 2015 in the Swedish national quality registry, the Cerebral Palsy follow-up program, CPUP. Comparisons and associations between physiotherapeutic interventions and sex, country of birth and geographical regions were conducted using Chi2 and logistic regression analysis, controlling for cognitive level, level of motor function, age group and dominating symptom.

    RESULTS: Of the 2855 participants, 2201 (79%) had received physiotherapy. Children born in Sweden had 1.60 times higher odds (95% CI 1.10-2.33) of receiving physiotherapy compared with children born in foreign countries. Distribution of physiotherapeutic interventions differed significantly between geographical regions. No associations between sex and physiotherapeutic interventions were observed.

    CONCLUSION: The results of this study indicate inequity in care in Sweden towards children with Cerebral Palsy born in other counties. Further, physiotherapeutic interventions were not equally distributed in different.

  • 68.
    Demalva Madsen, Ellinor
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap.
    Hybridarbete och arbetshälsa: En grundad teori om hur organisationer kan skapa förutsättningar för hållbart och hälsofrämjande hybridarbete2023Självständigt arbete på avancerad nivå (masterexamen), 20 poäng / 30 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Problemformulering: Hybridarbete, att kombinera arbete på arbetsplatsen med distansarbete, har blivit det vanligaste arbetssättet bland kontorsanställda efter pandemin, men som omfattande fenomen är det outforskat hur hybridarbete kan utformas för att främja medarbetarnas hälsa. Syfte: Att utforska, förstå och förklara hur en organisation med hybrida arbetssätt kan skapa förutsättningar för ett hållbart och hälsofrämjande kontorsarbete. Metod: Konstruktivistisk grundad teori har använts för urval och analys av organisationsdokument samt semistrukturerade individuella intervjuer med åtta medarbetare, två chefer och en HR-partner. Huvudresultat: Studien har resulterat i en ny teoretisk modell som visar att organisationer med hybrida arbetssätt kan skapa förutsättningar för ett hållbart och hälsofrämjande kontorsarbete genom individuellt utformade arbetssätt i ständig förändring. Förutsättningar skapas genom organisatorisk tydlighet och tillitsbaserad organisationskultur, säkerställda praktiska och sociala förutsättningar, hybridanpassat ledarskap, samt främjande av medarbetarnas autonomi, flexibilitet och självledarskap. Slutsats: Organisationers och medarbetares behov och förutsättningar är i ständig förändring. För att klara dessa förändringar behöver hybridarbetet individanpassas och medarbetarnas självledarskap och autonomi stärkas. I en ny teoretisk modell med tillhörande checklista tydliggörs de förutsättningar som organisationer behöver bidra med för att möjliggöra ett hälsofrämjande och hållbart hybridarbete. Checklistan gör resultaten tillgängliga och implementerbara och bidrar därmed till det praktiska arbetsmiljöarbetet i organisationer med hybridarbetssätt.

    Ladda ner fulltext (pdf)
    Demalva Madsen. (2023). Hybridarbete och Arbetshälsa.
  • 69.
    Diarbakerli, Elias
    et al.
    Department of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden; and Department of Orthopaedics, Karolinska University Hospital, Stockholm, Sweden.
    Thoreson, Olof
    Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, and Sahlgrenska University Hospital, Gothenburg, Sweden.
    Björklund, Martin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
    Dahlberg, Leif E.
    Department of Clinical Sciences Lund, Orthopaedics, Lund University, Lund, Sweden.
    Englund, Martin
    Clinical Epidemiology Unit, Orthopaedics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
    Gerdhem, Paul
    Department of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden; and Department of Orthopaedics, Karolinska University Hospital, Stockholm, Sweden.
    Kvist, Joanna
    Stockholm Sports Trauma Research Center, Department of Molecular Medicine & Surgery, Karolinska Institute, Solna, Sweden; and Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy, Linköping University.
    Mohaddes, Maziar
    Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, and Sahlgrenska University Hospital, Gothenburg, Sweden; and Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Peolsson, Anneli
    Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy, Linköping University; and Occupational and Environmental Medicine Center, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Linköping University, Linköping, Sweden.
    Rolfson, Ola
    Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, and Sahlgrenska University Hospital, Gothenburg, Sweden; and Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Öberg, Birgitta
    Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy, Linköping University.
    Abbott, Allan
    Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy, Linköping University; and Department of Orthopaedics, Linköping University Hospital, SE 581 83 Linköping, Sweden.
    Learning from the past to plan for the future: A scoping review of musculoskeletal clinical research in Sweden 2010–20202022Ingår i: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 127, artikel-id e8709Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The aims of this study are to 1) determine the scope of musculoskeletal (MSK)-related clinical research in Sweden; 2) collate the amount of first-tier funding received; 3) discuss strategies and infrastructure supporting future MSK clinical trials in Sweden.

    Methods: A systematic scoping review protocol was applied in PubMed, Scopus, and SweCRIS databases. The articles were examined, and data were extracted in multiple stages by three blinded authors.

    Results: The search strategy resulted in 3,025 publications from 479 Swedish-affiliated authors. Primary health care was the basis for 14% of the publications, 84% from secondary health care, and 2% from occupational health care with a similar proportional distribution of first-tier research grant financing. Approximately one in six publications were randomized controlled trials (RCTs), while the majority were of observational cohort design. The majority of publications in primary and occupational health care were related to pain disorders (51 and 67%, respectively), especially diagnosis, prognosis, and healthcare organizational-related interventions (34%) and rehabilitation (15%) with similar proportional distribution of first-tier research grant financing. In secondary health care, rheumatic inflammatory disorder-related publications were most prevalent (30%), most frequently concerning diagnosis, prognosis, and healthcare organizational-related interventions (20%), attracting approximately half of all first-tier funding. Publications related to degenerative joint disorders (25%), fractures (16%), and joint, tendon, and muscle injuries (13%) frequently concerned surgical and other orthopedic-related interventions (16, 6, and 8%, respectively). Pain disorder-related publications (10%) as well as bone health and osteoporosis-related publications (4%) most frequently concerned diagnosis, prognosis, and healthcare organizational-related interventions (5 and 3%, respectively).

    Conclusions: Swedish-affiliated MSK disorder research 2010–2020 was predominantly observational cohort rather than RCT based. There was skewed first-tier funding allocation considering prevalence/incidence and burden of disease. Use of infrastructure supporting register-based RCTs, placebo-controlled RCTs, and hybrid effectiveness-implementation studies on prevention and clinical intervention is important strategies for the future in all healthcare sectors.

    Ladda ner fulltext (pdf)
    fulltext
  • 70.
    Domkin, Dmitry
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Forsman, Mikael
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.; KTH Royal Institute of Technology, Stockholm, Sweden.
    Richter, Hans O.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Effect of ciliary-muscle contraction force on trapezius muscle activity during computer mouse work2019Ingår i: European Journal of Applied Physiology, ISSN 1439-6319, E-ISSN 1439-6327, Vol. 119, nr 2, s. 389-397Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The present study aimed to identify whether or not an increase in ciliary-muscle contraction force, when the eye-lens is adjusted for viewing at a near distance, result in an increase in trapezius muscle activity, while performing a natural work task. Twelve participants, ranging in age from 21 to 32 years, performed a computer-mouse work task during free gaze conditions. A moving visual target was tracked with a computer mouse on a screen placed at two different distances from the eyes, 25 cm and 50 cm. Tracking performance, eye accommodation, and bilateral trapezius muscle activity were measured continuously. Ciliary-muscle contraction force was computed according to a formula which takes into account the age-dependent, non-linear relationship between contraction force of the ciliary muscle and the produced level of eye accommodation. Generalized Estimating Equations analyses were performed. On the dominant hand side and for the nearest screen distance, there was a significant effect of ciliary-muscle contraction force on the trapezius muscle activity (p<0.001). No other effects were significant (p>0.05). The results support the hypothesis that high visual demands, during computer mouse work, increase ciliary muscle contraction force and contribute to a raise of the sustained level of trapezius muscle activity. The current study specifically clarifies the validity of the relationship between ciliary-muscle contraction force and trapezius muscle activity and demonstrates that this relationship is not due to a general personal trait. We conclude that a high level of ciliary muscle contraction force can contribute to a development of musculoskeletal complaints in the neck-shoulder area.

    Ladda ner fulltext (pdf)
    fulltext
  • 71.
    Edvinsson, Johanna
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Bjärntoft, Sofie
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Jahncke, Helena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Hartig, Terry
    Institute for Housing and Urban Research, Uppsala University, 75105 Uppsala, Sweden.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    A Work Time Control Tradeoff in Flexible Work: Competitive Pathways to Need for Recovery2023Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, nr 1, artikel-id 691Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Work time control may offer opportunities, but also implies risks for employee recovery, influenced by increased work-related ICT use and overtime work. However, this risk–opportunity tradeoff remains understudied. This study aimed to test two different models of associations between work time control, work-related ICT use, overtime work, and the need for recovery. These models were constructed based on data on office workers with flexible work arrangements. Cross-sectional data were obtained with questionnaires (n = 2582) from employees in a Swedish multi-site organization. Regression models treated the three determinants of the need for recovery either as independent, or as linked in a causal sequence. The test of independent determinants confirmed that more work time control was associated with less need for recovery, whereas more ICT use and overtime work were associated with a higher need for recovery. In a test of serial mediation, more work time control contributed to a greater need for recovery through more ICT use and then more overtime work. Work time control also had a competitive, indirect effect through a negative association with overtime work. Our results suggest that work time control is beneficial for employee recovery, but may for some be associated with more work-related ICT use after regular working hours, thus increasing recovery needs. Policies that support work time control can promote recovery, but employers must attend to the risk of excessive use of ICT outside of regular working hours.

    Ladda ner fulltext (pdf)
    Edvinsson et al. 2023. A Work Time Control Tradeoff in Flexible Work_Competitive Pathways to Need for Recovery
  • 72.
    Engström, Maria
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap. Uppsala universitet; Lishui universitet.
    Högberg, Hans
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap.
    Strömberg, Annika
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Hagerman, Heidi
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap.
    Skytt, Bernice
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap. Uppsala universitet.
    Staff working life and older persons' satisfaction with care: a multilevel, correlational design2021Ingår i: Journal of Nursing Care Quality, ISSN 1057-3631, E-ISSN 1550-5065, Vol. 36, nr 1, s. 7-13Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The importance of staff working life for staff well-being has been demonstrated in several studies; less research has focused on staff working life and older persons' satisfaction with care.

    PURPOSE: The study aim was to study relationships between 1) staff assessments of their structural conditions/empowerment in elderly care, psychological empowerment, and job satisfaction and (2) older persons' satisfaction with care.

    METHODS: A multilevel, cross-sectional, and correlational design was applied using questionnaire data on working life (1021 staff members) and unit-level data (40 elderly care units) on older persons' satisfaction with care.

    RESULTS: Statistically significant relationships were found between all 3 working life variables and older persons' satisfaction with care. Furthermore, the results revealed an indirect/mediating effect of job satisfaction between structural empowerment and satisfaction with care, but not for psychological empowerment.

    CONCLUSIONS: Staff structural empowerment, psychological empowerment, and job satisfaction are linked to older persons' satisfaction with care.

  • 73.
    Engström, Maria
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap.
    Mårtensson, Gunilla
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap. Uppsala universitet.
    Pålsson, Ylva
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap.
    Strömberg, Annika
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    What relationships can be found between nurses' working life and turnover? - A mixed-methods approach2022Ingår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 30, nr 1, s. 288-297Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: to describe why registered nurses decide to leave their work and to investigate relationships between registered nurses' working life and turnover (leaving the unit versus the profession).

    BACKGROUND: Much research has explored nurses' intention to leave, while less research has looked at turnover and especially leaving the profession.

    METHODS: Data were collected using questionnaires and interviews.

    RESULTS: The three most common reasons for both groups (leaving the profession, n=40; leaving unit but not profession, n=256) were high workload, low salary and applied for and got a new job. Multivariate logistic regression analysis revealed statistically significant relationships between turnover and empowering structures, such as access to resources and informal power as well as the factor learning in thriving.

    CONCLUSIONS: Structural empowerment, such as good access to resources and informal power, is important to keeping nurses in the profession, while learning seems to increase the risk of leaving the profession when variables such as vitality, resources, informal power and age are held constant.

    IMPLICATIONS FOR NURSING MANAGEMENT: To counteract nurses leaving the profession, managers must provide nurses with good access to resources, informal power, such as networks within and outside the organization, and focus on nurses' vitality.

    Ladda ner fulltext (pdf)
    fulltext
  • 74.
    Friberg, Emilie
    et al.
    Avdelningen för försäkringsmedicin, Institutionen för klinisk neurovetenskap, Karolinska Institutet.
    Alexanderson, Kristina
    Avdelningen för försäkringsmedicin, Institutionen för klinisk neurovetenskap, Karolinska Institutet.
    Staland Nyman, Carin
    Avdelningen för försäkringsmedicin, Institutionen för klinisk neurovetenskap, Karolinska Institutet.
    Bergsten, Eva L.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Avdelningen för försäkringsmedicin, Institutionen för klinisk neurovetenskap, Karolinska Institutet.
    Svedberg, Pia
    Avdelningen för försäkringsmedicin, Institutionen för klinisk neurovetenskap, Karolinska Institutet.
    Organisatorisk och social arbetsmiljö (OSA 2015:4): Hur har föreskrifterna tillämpats och har sjukskrivningarna påverkats sedan de implementerades?2023Rapport (Övrigt vetenskapligt)
  • 75.
    Galaasen Bakken, Anders
    et al.
    Karolinska institutet.
    Eklund, Andreas
    Karolinska institutet.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Axén, Iben
    Karolinska institutet.
    The effect of spinal manipulative therapy and home stretching exercises on heart rate variability in patients with persistent or recurrent neck pain: a randomized controlled trial2021Ingår i: Chiropractic and Manual Therapies, E-ISSN 2045-709X, Vol. 29, nr 1, artikel-id 48Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Persistent or recurrent neck pain is, together with other chronic conditions, suggested to be associated with disturbances of the Autonomic Nervous System. Acute effects on the Autonomic Nervous System, commonly measured using Heart Rate Variability, have been observed with manual therapy. This study aimed to investigate the effect on Heart Rate Variability in (1) a combination of home stretching exercises and spinal manipulative therapy versus (2) home stretching exercises alone over 2 weeks in participants with persistent or recurrent neck pain.

    Methods

    A randomized controlled clinical trial was carried out in five multidisciplinary primary care clinics in Stockholm from January 2019 to April 2020. The study sample consisted of 131 participants with a history of persistent or recurrent neck. All participants performed home stretching exercises daily for 2 weeks and were scheduled for four treatments during this period, with the intervention group receiving spinal manipulative therapy in addition to the home exercises. Heart Rate Variability at rest was measured at baseline, after 1 week, and after 2 weeks, with RMSSD (Root mean square of successive RR interval differences) as the primary outcome. Both groups were blinded to the other group intervention. Thus, they were aware of the purpose of the trial but not the details of the “other” intervention. The researchers collecting data were blinded to treatment allocation, as was the statistician performing data analyses. The clinicians provided treatment for participants in both groups and could not be blinded. A linear mixed-effects model with continuous variables and person-specific random intercept was used to investigate the group-time interaction using an intention to treat analysis.

    Results

    Sixty-six participants were randomized to the intervention group and sixty-five to the control group. For RMSSD, a B coefficient of 0.4 (p value: 0.9) was found, indicating a non-significant difference in the regression slope for each time point with the control group as reference. No statistically significant differences were found between groups for any of the Heart Rate Variability indices.

    Conclusion

    Adding four treatments of spinal manipulation therapy to a 2-week program of daily stretching exercises gave no significant change in Heart Rate Variability.

    Trial Registration: The trial was registered 03/07/2018 at ClinicalTrials.gov, registration number: NCT03576846. (https://pubmed.ncbi.nlm.nih.gov/31606042/)

    Ladda ner fulltext (pdf)
    fulltext
  • 76.
    Gerger, Heike
    et al.
    University Medical Center, Rotterdam, Netherlands.
    Søgaard, Karen
    University of Southern Denmark, Odense, Denmark.
    Macri, Erin
    University Medical Center, Rotterdam, Netherlands.
    Jackson, Jennie
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Elbers, Roy G.
    University Medical Center, Rotterdam, Netherlands.
    vanRijn, Rogier
    University of the Arts, Rotterdam, the Netherlands.
    Koes, Bart
    University Medical Center, Rotterdam, Netherlands.
    Chiarotto, Alessandro
    University Medical Center, Rotterdam, Netherlands.
    Burdorf, Alex
    University Medical Center, Rotterdam, Netherlands.
    Exposure to hand-arm vibrations in the workplace and the occurrence of hand-arm vibration syndrome, Dupuytren’s disease, and hypothenar hammer syndrome. A systematic review and meta-analysis2023Ingår i: Journal of Occupational and Environmental Hygiene, ISSN 1545-9624, E-ISSN 1545-9632, Vol. 20, nr 7, s. 257-267Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    This study provides an overview on the relationships between exposure to work-related, hand-arm vibration and the occurrence of pre-defined disorders of the hands. We searched Medline, Embase, Web of Science, Cochrane Central, and PsycINFO for cross-sectional and longitudinal studies on the association between work-related vibration exposure and the occurrence of hand-arm vibration syndrome (including vibration-induced white finger), Dupuytren’s contracture, or hypothenar hammer syndrome. We used a 16-item checklist for assessing risk of bias. We present results narratively, and we conducted random effects meta-analyses if possible. We included 10 studies with more than 24,381 participants. Our results showed statistically significant associations between the exposure to hand-arm vibrations and the occurrence of the selected disorders, with pooled odds ratios ranging between 1.35 (95% CI: 1.28 to 2.80) and 3.43 (95% CI: 2.10 to 5.59). Considerable between-study hetereogeneity was observed. Our analyses show that exposure to vibrating tools at work is associated with an increased risk for the occurrence of selected disorders of the hands. Due to the majority of studies being cross-sectional, no firm conclusion is possible regarding causal relationships between vibration exposure and disorder occurrence. Future research should specifically address whether reducing the exposure to hand-held vibrating tools at work reduces the incidence of the disorders of the hands investigated in this systematic review.

    Ladda ner fulltext (pdf)
    fulltext
  • 77.
    Gilson, Nicholas
    et al.
    School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane.
    Coenen, Pieter
    Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Centre (VUmc), Amsterdam.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Holtermann, Andreas
    National Research Centre for the Working Environment, Copenhagen.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Straker, Leon
    School of Allied Health and enAble Institute, Curtin University, Perth.
    Postpandemic hybrid work: opportunities and challenges for physical activity and public health2022Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 56, nr 21, s. 1203-1204Artikel i tidskrift (Refereegranskat)
  • 78.
    Gilson, Nicholas
    et al.
    University of Queensland, Brisbane, Australia.
    Hall, Caitlin
    University of Queensland, Brisbane, Australia.
    Holtermann, Andreas
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    van der Beek, Allard
    Department of Public and Occupational Health, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
    Huysmans, Maaike
    Department of Public and Occupational Health, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Straker, Leon
    School of Physiotherapy and Curtin Health Innovation Research Institute, Curtin University, Perth, Australia.
    Sedentary and physical activity behaviour in ‘blue-collar’ workers: A systematic review of accelerometer studies2019Ingår i: Journal of Physical Activity and Health, ISSN 1543-3080, E-ISSN 1543-5474, Vol. 16, nr 11, s. 1060-1069Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: This systematic review assessed evidence on the accelerometer-measured sedentary and physical activity (PA) behavior of nonoffice workers in “blue-collar” industries.

    Methods: The databases CINAHL, Embase, MEDLINE, PubMed, and Scopus were searched up to April 6, 2018. Eligibility criteria were accelerometer-measured sedentary, sitting, and/or PA behaviors in “blue-collar” workers (≥10 participants; agricultural, construction, cleaning, manufacturing, mining, postal, or transport industries). Data on participants’ characteristics, study protocols, and measured behaviors during work and/or nonwork time were extracted. Methodologic quality was assessed using a 12-item checklist.

    Results: Twenty studies (representing 11 data sets), all from developed world economies, met inclusion criteria. The mean quality score for selected studies was 9.5 (SD 0.8) out of a maximum of 12. Data were analyzed using a range of analytical techniques (eg, accelerometer counts or pattern recognition algorithms). “Blue-collar” workers were more sedentary and less active during nonwork compared with work time (eg, sitting 5.7 vs 3.2 h/d; moderate to vigorous PA 0.5 vs 0.7 h/d). Drivers were the most sedentary (work time 5.1 h/d; nonwork time 8.2 h/d).

    Conclusions: High levels of sedentary time and insufficient PA to offset risk are health issues for “blue-collar” workers. To better inform interventions, research groups need to adopt common measurement and reporting methodologies.

    Ladda ner fulltext (pdf)
    fulltext
  • 79.
    Gilson, Nicholas
    et al.
    The University of Queensland, Australia.
    Hall, Caitlin
    The University of Queensland, Australia.
    Holtermann, Andreas
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    van der Beek, Allard
    VU University Medical Centre, Amsterdam, The Netherlands.
    Huysmans, Maaike
    VU University Medical Centre, Amsterdam, The Netherlands.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Straker, Leon
    Curtin University, Perth, Australia.
    Sedentary behaviour and physical activity in blue collar workers: a systematic review of accelerometer studies2019Konferensbidrag (Refereegranskat)
  • 80. Glimne, Susanne
    et al.
    Hemphälä, Hillevi
    Heiden, Marina
    Zetterberg, Camilla
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Lindberg, Per
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Lindén, Johannes
    Nylén, Per
    Headaches in combination with visual ability, eye- and musculoskeletal strain in connection with visually demanding work tasks2022Konferensbidrag (Refereegranskat)
    Abstract [en]

    Suboptimal visual ergonomics (i.e., the interaction between our vision, the light, the visual object, and the influence of other factors which impairs visibility) in work environment such as glare can cause headache in combination with eyestrain, visual ability, and musculoskeletal strain. Symptoms constituted to the syndrome of eyestrain has been well described among computer workers (see for example Han et al., 2013; Portello et al., 2012; Bhanderi et al., 2008; Mocci et al., 2001; Sanchez-Roman et al., 1996). However, research has not focused on investigating the presence of headaches associated with eye-related and musculoskeletal disorders among employees and visual related environmental factors.

    The purpose of presented research was to study the presence of headaches in combination with visual ability, eye- and musculoskeletal strain, and work ability in connection with visually demanding work. Trained assessors recruited study participants primarily from their regular clients in the OHS field. Evaluators were instructed to recruit participants with a variety of characteristics to ensure highly variable data, such as different work tasks, age, and gender. The participants mean age was 48.3 years (±10.3); 66% were women.

    A visual ergonomics risk assessment method (VERAM, Heiden et al. 2019; Zetterberg et al. 2017) was used to compile the participated workers subjective grading of headache, eye- and musculoskeletal strain using a questionnaire (n=430). At the same time, an evaluation of the visual environment was carried out, which established if there was a risk of glare associated with the implementation of work task (e.g., computer work and other related work such as industry, healthcare, and shipping industry). The frequency of headaches was divided into three categories; (1) no headache, (2) headache occasionally, and (3) headache a few times per week/almost every day. 

    The measurements regarding evaluation of the visual environment used a photometer, an instrument which was available and that the assessors could use, usually a Hagner ScreenMaster or Hagner S1 / S2 / S3.

    About 65% of the workers reported headaches occasionally, a few times/week or almost every day. Among the workers with headaches reported about 29% of them that they experienced the headaches a few times/week or almost every day.

    Out of the workers with headaches reported 37% a severity of the headaches of more than 3 (on a scale of 1-10) and 5 % reported a severity of more than 6. About 40% of the workers also stated that the headaches affected their working ability. The headaches were mainly located around the eyes, forehead, or temples (70%) and came in the afternoon (69%). About 75% of the workers also reported that the headache disappeared or were reduced when they were off work for one night or over the weekend. The data collection showed that visual- related symptoms increased the higher the estimated headaches was.

    The musculoskeletal strain increased when the headache increased. When workers reported a high frequency of headaches 95% of them reported neck strain, 86% shoulder strain, 73% upper back strain, and 61% were reported arm strain.

    Moreover, only 8.2% of the workers rated their visual ability as bad or very bad, but at the same time, about 60% reported dim vision, 14% diplopia, and 59% problems changing focus at some time.

    Dividing the data into workers with experienced or unexperienced headaches this study has shown that there was a significant presence of headaches in combination with visual related symptoms regarding experienced photophobia (p=0.011), eye pain (p=0.015), diplopia (p=0.029), and arm strain (p=0.006). Further, the statistical analysis showed that there was a tendency of combination regarding headaches and visual ability (p=0.070).

    Dividing the data into workers with experienced or unexperienced headaches, our study showed that the frequency of headache increased due to high luminance levels within the visual field (p=0.044).

    This study concludes presence of headaches in combination with eye- and musculoskeletal strain performing work task such as computer work. Further, the presence of headaches is due to visual ability induced by high luminance levels within the visual field.

  • 81.
    Greby Schmidt, Kathrine
    et al.
    The National Research Centre for the Working Environment, Copenhagen,.
    Kildedal, Rasmus
    The National Research Centre for the Working Environment, Copenhagen,.
    Lerche, Anders Fritz
    The National Research Centre for the Working Environment, Copenhagen,.
    Wilhelmsen, Maja
    The National Research Centre for the Working Environment, Copenhagen,.
    Lund Rasmussen, Charlotte
    The National Research Centre for the Working Environment, Copenhagen,.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Straker, Leon
    School of Allied Health and enAble Institute, Curtin University, Perth.
    Holtermann, Andreas
    The National Research Centre for the Working Environment, Copenhagen,.
    Does childcare work promote cardiorespiratory fitness and health? A cross‐sectional study of Danish childcare workers based on accelerometry and heart rate measurements2021Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, nr 23, artikel-id 12496Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Childcare workers are reported to have poor cardiorespiratory fitness and health. The Goldilocks Work Principle argues that productive work should be designed with the right composition, intensity and alternations of physical behaviors so that workers get fit and healthy. The purpose of this study was to investigate: (1) composition, (2) intensity and (3) alternations of physical behaviors during work and leisure among childcare workers. Data were collected using accelerometers and heart rate monitors over five workdays among 51 childcare workers at five Danish childcare institutions. Workers mainly spent their work time sedentary (43.0%), spent little time (0.7%) at sufficiently high cardiometabolic intensity to increase cardiorespiratory fitness and often alternated between physical behaviors (67.0% occurred in bouts of <5 min). These findings indicate that the workers have a composition of behaviors at work dominated by sedentary time, little time with high cardiometabolic intensity, and frequent alternations between behaviors. During leisure, workers spent more time sedentary (59.4%), more time at high cardiometabolic intensity (3.4%) and less time occurred in bouts <5 min (38.7%). We see a potential for promoting cardiorespiratory fitness and health of childcare workers by redesigning the way they play with the children, so that work time with high cardiometabolic intensity is increased.

    Ladda ner fulltext (pdf)
    fulltext
  • 82.
    Gupta, Nidhi
    et al.
    National Research Centre for the Working Environment, National Research Centre for the Working Environment, Copenhagen, Denmark.
    Cillekens, Bart
    Department of Public and Occupational Health, AmsterdamUMC, Amsterdam, The Netherlands.
    Ketels, Margo
    Department of Public Health and Primary Care, Ghent University, Gent, Belgium.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Clays, Els
    Department of Public Health and Primary Care, Ghent University, Gent, Belgium.
    Huysmans, Maaike
    Department of Public and Occupational Health, AmsterdamUMC, Amsterdam, The Netherlands.
    Holtermann, Andreas
    National Research Centre for the Working Environment, National Research Centre for the Working Environment, Copenhagen, Denmark.
    Coenen, Pieter
    Department of Public and Occupational Health, AmsterdamUMC, Amsterdam, The Netherlands.
    P09-08 24-Hour Physical Behavior Balance for Better Health for All: “The Sweet-Spot Hypothesis”2022Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 32, nr Suppl2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    'Sit less-move more' has been a common advice to improve health of adults. Research indicates that this advice might be health enhancing among adults with sedentary occupations but not among adults with physically active occupations such as cleaners. This may be explained by the considerable differences in 24-h physical behaviors between adults in sedentary and physically active occupations. To provide a scientific approach and encourage research on 24-h physical behaviors and health for those in physically active occupations, we recently proposed the ‘Sweet-Spot Hypothesis'. The hypothesis postulated that the ‘Sweet-Spot' of 24-h physical behaviors for better health differs between adults, depending on their occupation.

    Methods

    To exemplify such hypothesis, we tested the cross-sectional association between 24-hour time composition of physical behaviors measured using thigh-based accelerometry and self-rated health among adults engaged in white-collar (n = 136), manufacturing (n = 481) and cleaning (n = 130) occupations.

    Results

    We found that the sweet spot of 24-h physical behaviors for better health was far from ‘sit less-move more' zone among adults with physically active occupations. Specifically, among white-collar workers, 24-h physical behavior distribution associated with the best 5% of self-rated health comprised about 30% of the day spent on sedentary behavior, 45% spent actively, and 25% spent on sleep. However, among cleaners, this distribution was about 50% spent sedentary, 15% spent actively, and 35% on sleep and in manufacturing sector, this distribution was about 35% spent sedentary, 35% spent actively, and 30% spent on sleep.

    Conclusion

    The advice ‘sit less-move more' may not bring adults in physically active occupations toward their ‘Sweet-Spot' of 24-h physical behaviors for better health. To promote health for all and reduce social gradient, we see a great need for empirically testing the ‘Sweet-Spot Hypothesis' with high-quality data and strong study design. We hope that the proposal of testing ‘Sweet-Spot Hypothesis' will encourage discussion, debates, and empirical research to expand our collective knowledge about the healthy ‘24-h physical behavior balance' for all.

    Ladda ner fulltext (pdf)
    fulltext
  • 83.
    Gupta, Nidhi
    et al.
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Dumuid, Dorothea
    Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, SA, Australia.
    Vij, Akshay
    Institute for Choice, University of South Australia, Adelaide, Australia.
    Lund Rasmussen, Charlotte
    National Research Centre for the Working Environment, Copenhagen, Denmark; Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
    Birk Jørgensen, Marie
    Department of Forensic Science, University of Copenhagen, Copenhagen, Denmark.
    Holtermann, Andreas
    National Research Centre for the Working Environment, Copenhagen, Denmark; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
    Movement behavior profiles and obesity: a latent profile analysis of 24-h time-use composition among Danish workers2020Ingår i: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 44, nr 2, s. 409-417Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background/objectives

    An element of obesity prevention is increasing total physical activity energy expenditure. However, this approach does not incorporate the balance of various movement behaviors—physical activity, sedentary behaviors and sleep - across domains of the day. We aimed to identify time-use profiles over work and leisure, termed ‘movement behavior profiles’ and to investigate their association with obesity.

    Subjects/methods

    Eight-hundred-and-seven workers completed (a) thigh accelerometry and diaries to determine their 24-h composition of behaviors (sedentary and standing, light physical activity and moderate-to-vigorous physical activity at work and leisure, and time in bed) and (b) obesity measurements. Movement behavior profiles were determined using latent profile analyses of isometric log-ratios of the 24-h composition, and labeled according to animal movement behavior traits. Linear models were applied to determine the association between profiles and obesity.

    Results

    Four profiles were identified, labeled as “Chimpanzees” (n = 226), “Lions” (n = 179), “Ants” (n = 244), and “Koalas” (n = 158). “Chimpanzees” work time was evenly distributed between behaviors while their leisure time was predominantly active. Compared to Chimpanzees, “Lions” were more active at work and sedentary during leisure and spent more time in bed; “Ants” were more active at work and during leisure; “Koalas” were more sedentary at work and leisure and spent similar time in bed. With “Chimpanzees” as reference, “Lions” had least favorable obesity indicators: +2.0 (95% confidence interval [CI] 0.6, 3.4) %body fat, +4.3 cm (1.4, 7.3) waist circumference and +1.0 (2.0, 0.0) Body Mass Index (BMI), followed by “Koalas” +2.0 (0.4, 3.7) %body fat, +3.1 cm (0.1, 6.0) waist circumference, and +0.8 (−0.30, 1.94) BMI. No significant differences were found between “Chimpanzees” and “Ants”.

    Conclusions

    Movement behavior profiles across work and leisure time-use compositions are associated with obesity. Achieving adequate balance between work and leisure movement behaviors should be further investigated as a potential obesity prevention strategy.

  • 84.
    Gupta, Nidhi
    et al.
    The National Research Centre for the Working Environment, Denmark.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Dumuid, Dorothea
    Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
    Vij, Akshay
    Institute for Choice, University of South Australia, North Sydney, Australia.
    Lund Rasmussen, Charlotte
    The National Research Centre for the Working Environment, Denmark.
    Birk Jørgensen, Marie
    The National Research Centre for the Working Environment, Denmark.
    Korshøj, Mette
    The National Research Centre for the Working Environment, Denmark.
    Holtermann, Andreas
    The National Research Centre for the Working Environment, Denmark.
    Physical-behavior profiles and aerobic capacity: A latent profile analysis of 24-hour time-use composition among Danish workers2019Ingår i: ICAMPAM 2019: Oral Abstracts, Maastricht: ICAMPAM , 2019, artikel-id O.11.4Konferensbidrag (Refereegranskat)
    Abstract [en]

    Introduction Obtaining a balance between exercise and recovery is an established approach in Exercise Science to improve aerobic capacity. However, it is unknown how different 24-h time-use profiles depicting a balance between physical behaviors (i.e. physical activities, sedentary behavior and sleep) across main domains of the day are associated with aerobic capacity. We aimed to identify such 'physical-behavior (PB) profiles' and to investigate their association with aerobic capacity. Methods Workers (n=807) participated in thigh-accelerometry to determine 24-h time-use composition of physical activity, sedentary and standing during work and leisure, as well as time in bed. Åstrand submaximal cycle ergometer test was used to estimate aerobic capacity. The PB profiles were determined using latent profile analysis of isometric log-ratios representing the 24-hour composition. Linear models were applied to determine the cross-sectional association between physical-behavior profiles and aerobic capacity. Results Four PB profiles were identified that were labeled based on animal traits; Chimpanzees (n=226), Lions (n=179), Ants (n=244), and Koalas (n=158). Compared to Chimpanzees (at work, in mins; sedentary=197, standing=145, physical activity=117; and at leisure in mins; physical activity=114, standing=121, time in bed= 440); Lions were more active at work, sedentary at leisure and spent more time in bed; Ants had more physical activity at work and similar physical activity and time in bed at leisure; Koalas were more sedentary at work and leisure and spent more time in bed. Compared to Chimpanzees, Koalas had lower aerobic capacity (mlO2/kg/min): -3.7 (95%CI -6.0,-1.5), followed by Lions -3.6 (-5.5,-1.7) and Ants -1.8 (-3.7,- 0.1). Conclusions Physical-behavior profiles based on 24-h time-use composition are associated with aerobic capacity. Obtaining a balance between physical behaviors at work and leisure may be a promising approach for improving aerobic capacity.

  • 85.
    Gupta, Nidhi
    et al.
    National Research Centre for the Working Environment, Copenhagen .
    Lund Rasmussen, Charlotte
    National Research Centre for the Working Environment, Copenhagen .
    Holtermann, Andreas
    National Research Centre for the Working Environment, Copenhagen .
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Time-based data in occupational studies - the whys, the hows and some remaining challenges in Compositional Data Analysis (CoDA)2020Ingår i: Annals of Work Exposures and Health, ISSN 2398-7308 , E-ISSN 2398-7316 , Vol. 64, nr 8, s. 778-785Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Data on the use of time in different exposures, behaviors and work tasks are common in occupational research. Such data are most often expressed in hours, minutes, or percentage of work time. Thus, they are constrained or “compositional”, in that they add up to a finite sum (e.g. 8 hours of work, or 100% work time). Due to their properties, compositional data need to be processed and analyzed using a set of specifically adapted methods called compositional data analysis (CoDA). CoDA has become an established framework to handle compositional data in various scientific fields such as nutritional epidemiology, geology and chemistry, but has only recently gained attention in public and occupational health sciences. In this paper, we introduce the reader to CoDA by explaining why CoDA should be used when dealing with compositional time-use data, showing how to perform CoDA, including a worked example, and pointing at some remaining challenges in CoDA. The paper concludes by emphasizing that CoDA in occupational research is still in its infancy, and stresses the need for further development and experience in the use of CoDA for time-based occupational exposures. We hope that the paper will encourage researchers to adopt and apply CoDA in studies of work exposures and health.

    Ladda ner fulltext (pdf)
    fulltext
  • 86.
    Gupta, Sandra Löfving
    et al.
    Uppsala University, Region Gävleborg.
    Wijk, Katarina
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Uppsala University; Centre for Research and Development, Region Gävleborg/Uppsala University.
    Warner, Georgina
    Uppsala University.
    Sarkadi, Anna
    Uppsala University.
    Readiness of allied professionals to join the mental health workforce: a qualitative evaluation of trained lay trauma counsellors’ experiences when refugee youth disclose suicidal ideation2021Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, nr 4, artikel-id 1486Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The recent refugee crisis presented a huge challenge for the Swedish mental health workforce. Hence, innovative mental health workforce solutions were needed. Unaccompanied refugee minors (URM) are a particularly vulnerable refugee group. Teaching Recovery Techniques (TRT) was introduced as a community-based intervention utilising trained lay counsellors in a stepped model of care for refugee youth experiencing trauma symptoms. Professionals (e.g., teachers, social workers) can deliver the Cognitive Behavioural Therapy-based intervention after a brief training. A point of debate in this workforce solution is the readiness of trained lay counsellors to deal with potentially demanding situations like disclosure of suicidal ideation. This study aimed to explore the TRT trained lay counsellors’ experiences of procedures upon URM’s disclosure of suicidal ideation. Individual semi-structured interviews with TRT trained lay counsellors were conducted, then analysed using systemic text condensation. The analysis revealed four themes: “Importance of safety structures”, “Collaboration is key”, “Let sleeping dogs lie” and “Going the extra mile”. Dealing with suicidal ideation is challenging and feelings of helplessness occur. Adding adequate supervision and specific training on suicidal ideation using role play is recommended. Collaboration between agencies and key stakeholders is essential when targeting refugee mental health in a stepped care model.

    Ladda ner fulltext (pdf)
    fulltext
  • 87.
    Gustafsson, Klas
    et al.
    Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden.
    Bergström, Gunnar
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Institute of Environmental Medicine, Unit of Intervention and Implementation Research for Worker Health, Karolinska Institutet, Stockholm, Sweden.
    Marklund, Staffan
    Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden.
    Aboagye, Emmanuel
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Institute of Environmental Medicine, Unit of Intervention and Implementation Research for Worker Health, Karolinska Institutet, Stockholm, Sweden.
    Leineweber, Constanze
    Stress Research Institute, Stockholm University, Stockholm, Sweden.
    Presenteeism as a predictor of disability pension: A prospective study among nursing professionals and care assistants in Sweden2019Ingår i: Journal of Occupational Health, ISSN 1341-9145, E-ISSN 1348-9585, Vol. 61, nr 6, s. 453-463Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: The aim of the present study was to examine how presenteeism affects the risk of future disability pension among nursing professionals and care assistants (assistant nurses, hospital ward assistants, home-based personal care workers, and child care assistants). A specific objective was to compare health and social care employees with all other occupations.

    METHODS: The study was based on a representative sample of working women and men (n = 43 682) aged 16-64 years, who had been interviewed between 2001 and 2013 for the Swedish Work Environment Survey conducted every second year since 1989. Information on disability pension was obtained from the Social Insurance Agency's database (2002-2014). The studied predictors were related to disability pension using Cox's proportional hazard regression with hazard ratios (HR) and 95% confidence interval (CI) and selected confounders were controlled for. The follow-up period was 6.7 years (SD 4.2).

    RESULTS: Health and social care employees with frequent presenteeism showed a particularly elevated risk of future disability pension after adjusting for sex, sociodemographic variables, physical and psychosocial working conditions, and self-rated health symptoms. In the amalgamated occupational group of nursing professionals and care assistants, the impact on disability pension of having engaged in presenteeism four times or more during the prior year remained significant (HR = 3.72, 95% CI = 2.43-5.68).

    CONCLUSIONS: The study suggests that frequent presenteeism contributes to an increased risk of disability pension among nursing professionals and care assistants as well as among all other occupations.

  • 88.
    Gustafsson, Klas
    et al.
    Karolinska Institutet.
    Marklund, Staffan
    Karolinska Institutet.
    Leineweber, Constanze
    Stockholm University.
    Bergström, Gunnar
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Karolinska Institutet.
    Aboagye, Emmanuel
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Karolinska Institutet.
    Helgesson, Magnus
    Karolinska Institutet.
    Presenteeism, psychosocial working conditions and work ability among care workers - a cross-sectional Swedish population-based study2020Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, nr 7, artikel-id 2419Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Presenteeism, attending work while ill, has been examined in different contexts in the last few decades. The aim was to examine whether poor psychosocial working conditions and perceived work ability are associated with increased odds ratios for presenteeism, focusing on nursing professionals and care assistants. A cross-sectional population-based study was conducted. The selected individuals were extracted from representative samples of employees, aged 16&ndash;64, who participated in the Swedish Work Environment Surveys between 2001 and 2013 (n = 45,098). Three dimensions of psychosocial working conditions were measured: job demands, job control, and job support. Presenteeism and perceived work ability was measured. Using multiple logistic regression analyses, odds ratios for presenteeism with 95% confidence intervals (CI) were estimated. While nurses (n = 1716) showed the same presenteeism level as all the other occupation groups (n = 37,125), it was more common among care assistants (n = 6257). The odds ratio for presenteeism among those with high job demands (OR = 2.37, 95% CI 2.21&ndash;2.53), were higher among women than among men. For nursing professionals and care assistants, the odds ratios for presenteeism were highest among those with the lowest work ability level. The problems of presenteeism and low work ability among many health and care workers may be lessened by a reduction in psychosocial demands.

  • 89.
    Göras, Camilla
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap. Department of Anesthesia and Intensive Care, Falu Hospital, SE-791 31 Falun, Sweden.
    Lohela Karlsson, Malin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Uppsala universitet.
    Castegren, Markus
    Uppsala universitet.
    Condén Mellgren, Emelie
    Centre for Clinical Research Västmanland, Uppsala University, SE-721 89 Västerås, Sweden.
    Ekstedt, Mirjam
    Department of Health and Caring Sciences, Linnaeus University Kalmar/Växjö, SE-392 31 Kalmar, Sweden;Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
    Bjurling-Sjöberg, Petronella
    Centre for Clinical Research Sörmland, Uppsala University, SE-631 88 Eskilstuna, Sweden;Department of Public Health and Caring Sciences, Caring Science, Uppsala University, SE-752 37 Uppsala, Sweden.
    From Threatening Chaos to Temporary Order through a Complex Process of Adaptation: A Grounded Theory Study of the Escalation of Intensive Care during the COVID-19 Pandemic2023Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, nr 21, artikel-id 7019Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    To ensure high-quality care, operationalize resilience and fill the knowledge gap regarding how to improve the prerequisites for resilient performance, it is necessary to understand how adaptive capacity unfolds in practice. The main aim of this research was to explain the escalation process of intensive care during the first wave of the pandemic from a microlevel perspective, including expressions of resilient performance, intervening conditions at the micro-meso-macrolevels and short- and long-term consequences. A secondary aim was to provide recommendations regarding how to optimize the prerequisites for resilient performance in intensive care. A grounded theory methodology was used. First-person stories from different healthcare professionals (n70) in two Swedish regions were analyzed using the constant comparative method. This resulted in a novel conceptual model (including 6 main categories and 24 subcategories), and 41 recommendations. The conclusion of these findings is that the escalation of intensive care can be conceptualized as a transition from threatening chaos to temporary order through a complex process of adaptation. To prepare for the future, the components of space, stuff, staff, system and science, with associated continuity plans, must be implemented, anchored and communicated to actors at all levels of the system.

    Ladda ner fulltext (pdf)
    fulltext
  • 90.
    Haapakangas, Annu
    et al.
    Finnish Institute of Occupational Health.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Bergsten, Eva L.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Office design and occupational health – has research been left behind?2023Ingår i: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 49, nr 1, s. 1-4Artikel i tidskrift (Övrigt vetenskapligt)
    Ladda ner fulltext (pdf)
    fulltext
  • 91.
    Haapakangas, Annu
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Jahncke, Helena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    The effects of moving into an activity-based office on communication, social relations and work demands – A controlled intervention with repeated follow-up2019Ingår i: Journal of Environmental Psychology, ISSN 0272-4944, E-ISSN 1522-9610, Vol. 66, artikel-id 101341Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    When organizations adopt activity-based workplaces (ABWs), improved interaction is a common goal. Yet, few controlled longitudinal studies have been conducted on the effects of ABWs on interaction, social relations and work demands. The aim of this natural intervention study was to investigate the effects of moving into an ABW on satisfaction with communication, on social relations (i.e., social support and social community) and on work demands (i.e., quantitative demands, emotional demands and work pace) 3 months and 12 months after the relocation. The study included four offices which relocated into an ABW and one control office that did not. Questionnaire data from 408 respondents were analyzed with linear mixed models. Satisfaction with communication and the sense of belonging to a community had decreased 3 and 12 months after the relocation. Work pace was not affected while small, mostly short-term, negative effects on social support, quantitative demands and emotional demands were only observed among employees who had moved to ABWs from private offices. Differences between office sites were also observed. The results suggest that, to avoid negative outcomes, organizations moving to ABWs should focus on solving difficulties in locating colleagues at the office and on supporting particularly workers from private offices in adopting activity-based working.

  • 92.
    Halling, Bengt
    et al.
    Högskolan i Gävle, Akademin för teknik och miljö, Avdelningen för industriell ekonomi, industridesign och maskinteknik, Industriell ekonomi. Högskolan i Gävle, Centrum för logistik och innovativ produktion. KTH.
    Bergman, Mikael
    Outokumpu, Sweden.
    Wijk, Katarina
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Region Gävleborg; Uppsala University.
    Sense of coherence and lean-based leadership and alterations in sick leave and productivity at a steel wire manufacturing unit2021Ingår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 68, nr 4, s. 1211-1220Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Managers have an important role in the creation of workplace conditions that prevent sick leave and lead to high performance. In Lean, the assumption is that people are the source for continuous improvements. There is a need for more knowledge about what kind of leadership can help managers in a lean context to create workplace conditions for less sick leave and higher performance.The purpose of this study was to examine how productivity and rate of sick leave changed at a stainless wire manufacturing unit after implementing a new leadership approach based on Sense of Coherence theory (SOC) and lean philosophy.In this case study, interventions coupled with productivity, quality and sick leave evaluations through the company’s key performance indicators were performed. The follow-up was also based on narrative descriptions from the management team in the course of four meetings during the intervention. Notes were taken and analyzed regarding perceived outcomes of the intervention.The results showed that leadership based on SOC and lean philosophy is positively correlated with productivity per worker, as was the amount of yearly production that met the quality specifications. The amount of sick leave decreased during the period of the intervention compared to before the intervention.Changes in management contribute to productivity. Combining Lean tools and Lean philosophy with the Sense of coherence theory (SOC) as a base for leadership can influence productivity and decrease the rate of sick leave. 

    Ladda ner fulltext (pdf)
    fulltext
  • 93.
    Halling, Bengt
    et al.
    Högskolan i Gävle, Akademin för teknik och miljö, Avdelningen för industriell ekonomi, industridesign och maskinteknik, Industriell ekonomi. Högskolan i Gävle, Centrum för logistik och innovativ produktion. Division of Ergonomics, Royal Institute of Technology, KTH.
    Lyckström, Martin
    Scania CV AB, Södertälje, Sweden.
    Wijk, Katarina
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Centre for Research and Development, Region Gävleborg, Gävle, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Application of a sense of coherence-based leadership for productivity and health at Scania2019Ingår i: International Journal of Human Factors and Ergonomics, ISSN 2045-7804, E-ISSN 2045-7812, Vol. 6, nr 2, s. 179-194Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The purpose was to explore if sense of coherence (SOC) theory can be used in human factors ergonomics (HFE) practice as a leadership approach to decrease the rate of sick leave and rehabilitation cases and increase work attendance among assembly personnel without impeding productivity. Via three studies carried out at the Swedish truck manufacturer Scania, we investigated the company's key performance indicators and documented meetings with managers during the intervention. The results show that SOC can be used in HFE practice and that productivity, quality and attendance at work increased, while rehabilitation cases decreased. Our conclusion is that a health promotion approach among managers is essential in a lean organisation that aims to reduce waste in the company and optimise human capability and thereby productivity. SOC theory can support the creation of workplaces that are high performing and healthy, starting with concerns for the people creating the output.

  • 94.
    Hallman, David
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Stillasittande i arbetslivet: Ett hot mot arbetshälsan?2020Ingår i: Kung. Skytteanska Samfundets årsbok / [ed] Roger Jacobsson, Umeå: Förlagshuset Nordens grafiska AB , 2020, s. 71-80Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 95.
    Hallman, David
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Bergsten, Eva L.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Wijk, Katarina
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Övergången till aktivitetsbaserade kontor på Trafikverket - Processen och resultatet: En rapport framtagen av Högskolan i Gävle, Avdelningen för arbetshälshälsovetenskap och psykologi2020Rapport (Övrigt vetenskapligt)
  • 96.
    Hallman, David
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Cillekens, Bart
    Department of Public and Occupational Health , AmsterdamUMC, Amsterdam, The Netherlands.
    Ketels, Margo
    Department of Public Health and Primary Care, Ghent University , Gent, Belgium.
    Gupta, Nidhi
    National Research Centre for the Working Environment, National Research Centre for the Working Environment , Copenhagen, Denmark.
    Clays, Els
    Department of Public Health and Primary Care, Ghent University , Gent, Belgium.
    Huysmans, Maaike
    Department of Public and Occupational Health , AmsterdamUMC, Amsterdam, The Netherlands.
    Holtermann, Andreas
    National Research Centre for the Working Environment, National Research Centre for the Working Environment , Copenhagen, Denmark.
    Coenen, Pieter
    Department of Public and Occupational Health , AmsterdamUMC, Amsterdam, The Netherlands.
    P04-10 The Physical activity health paradox - what do we know about physiological mechanisms? (editorial)2022Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 32, nr Suppl2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There is strong and consistent evidence that leisure-time physical activity (LTPA) improves cardiovascular health and reduces the risk of all-cause and cardiovascular mortality. Less is known about health effects of occupational physical activity (OPA), and results are not in favor of a beneficial effect on cardiovascular health. Several large-scale prospective studies have found that high occupational physical activity (OPA) is associated with detrimental or no effects on cardiovascular health and mortality. These contrasting associations with cardiovascular morbidity and mortality for LTPA and OPA have coined ‘The Physical activity health paradox'. Although the underlying physiological mechanisms are not established, a theoretical framework was proposed by Holtermann and colleagues (2018). This framework suggests that due to the nature of OPA (i.e. low intensity, long duration, constrained postures, and limited recovery), it may not result in healthy adaptation to the same extent as LTPA, or even lead to unhealthy responses, such as elevated 24-hour heart rate and blood pressure and increased inflammation. Drawing on theoretical models and empirical findings, the aim is to summarize the literature regarding potential physiological mediators of the physical activity health paradox. This also includes a brief summary of our own research based on accelerometer measurements of physical activity with cardiovascular regulation assessed by heart rate and blood pressure in workers with low occupational class and manual work.

    Ladda ner fulltext (pdf)
    fulltext
  • 97.
    Hallman, David
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Gupta, Nidhi
    National Research Centre for the Working Environment, Copenhagen, Denmark, National Research Centre for the Working Environment , Copenhagen, Denmark, Copenhagen, Denmark.
    Holtermann, Andreas
    National Research Centre for the Working Environment, Copenhagen, Denmark, National Research Centre for the Working Environment , Copenhagen, Denmark, Copenhagen, Denmark.
    P05-06 Composition of physical behaviors at work and risk of sick leave due to musculoskeletal pain2022Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 32, nr Suppl2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Sick leave due to musculoskeletal pain is common in the workforce. Time use in physical behaviors at work such as sitting, standing, low- (LIPA) and moderate-to-vigorous physical activity (MVPA) may impact on sick leave due to pain. However, studies addressing this relationship using technical measures of physical behaviors are scarce. The aim was to investigate the association between time-use compositions of physical behavior at work and sick leave trajectories due to musculoskeletal pain over one year.

    Methods

    We analyzed data of 981 workers in a Danish cohort (DPHACTO 2012-2014). We assessed physical behaviors at work at baseline using thigh-worn accelerometers, and classified behaviors at work as sitting, standing, LIPA, and MVPA. Over 1 year follow-up, workers reported sick leave days due to musculoskeletal pain using text messages at 4-week intervals (14 waves). We used Latent class growth analysis to distinguish sub-groups with different trajectories of sick leave. We analyzed associations between time-use in physical behaviors and sick leave trajectories using multinomial regression analysis with adjustment for age, gender, BMI, smoking, and accelerometry-measured physical activity during leisure. Compositional data analysis was used to account for the co-dependency of different behaviors.

    Results

    We identified four distinct trajectories of sick leave due to pain over one year as follows: no sick days (prevalence 76%), few days-increasing trajectory (19%), some days-decreasing trajectory (3%), and some days-increasing trajectory (2%). Spending more time in sitting relative to the other behaviors was negatively associated with few days-increasing trajectory of sick leave (p > 0.001), while time in LIPA was positively associated with some days-increasing trajectory of sick leave (p = 0.001). Reallocating 60 min/day from sitting to other behaviors at work predicted a 22% increased likelihood of few days-increasing trajectory of sick-leave. In contrast, reallocating 30 min/day from LIPA to other behaviors at work predicted a 57% decreased likelihood for some days-increasing trajectory.

    Conclusion

    We found that compositions with more sitting relative to the other behaviors had lower odds for the trajectory with increasing sick leave due to pain, while compositions with more LIPA had higher odds. This may have implications for prevention of pain-related sick leave in workers.

    Ladda ner fulltext (pdf)
    fulltext
  • 98.
    Hallman, David
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Gupta, Nidhi
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Januario, Leticia
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Holtermann, Andreas
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Work-Time Compositions of Physical Behaviors and Trajectories of Sick Leave Due to Musculoskeletal Pain2021Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, nr 4, artikel-id 1508Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    We aimed to investigate the association between work-time compositions of physical behavior and sick leave trajectories due to musculoskeletal pain over one year. We conducted a secondary analysis using the data of 981 workers in a Danish prospective cohort (DPHACTO 2012-2014). At baseline, we assessed physical behaviors (sitting, standing, light physical activity (LIPA), and moderate-to-vigorous physical activity (MVPA)) at work and during leisure, using accelerometers. Over 1 year follow-up, workers reported sick-leave days due to musculoskeletal pain at 4-week intervals. Four distinct trajectories of sick leave were previously identified in this cohort ("no sick leave", "few days-increasing trajectory", "some days-decreasing trajectory", "some days-increasing trajectory"), and used as an outcome in multinomial regression models with work-time compositions as predictors, adjusted for compositions of behavior during leisure, age, sex, body mass index, and smoking habits. More time spent sitting relative to the other behaviors was negatively associated with the trajectory of few days-increasing sick leave (p = 0.004), while time in LIPA was positively associated with the trajectory of some days-increasing sick leave (p = 0.009). Standing and MVPA were not significantly associated with sick leave trajectories. In conclusion, work-time compositions with more sitting relative to the other behaviors had lower risk for an increasing trajectory of sick leave due to pain, while compositions with more LIPA had higher risk. This may have implications for prevention of pain-related sick leave in blue-collar workers.

    Ladda ner fulltext (pdf)
    fulltext
  • 99.
    Hallman, David
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Holtermann, Andreas
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Björklund, Martin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
    Gupta, Nidhi
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Nørregaard Rasmussen, Charlotte D.
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Sick leave due to musculoskeletal pain : determinants of distinct trajectories over 1 year2019Ingår i: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 92, nr 8, s. 1099-1108Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose

    This study aimed to identify sub-groups of workers with different trajectories of sick leave due to musculoskeletalpain over 1 year, and to investigate the extent to which the identified trajectories are associated with personal, occupational,lifestyle, and pain-related factors at baseline.

    Methods

    Data on 981 blue- and white-collar workers were analyzed in the DPHACTO cohort (2012–2014). The numberof days on sick leave due to pain was reported using text messages at 4-week intervals across 1 year. Latent class growthanalysis was used to distinguish sub-groups with different trajectories of sick leave. A web-based questionnaire at baselinewas used to assess personal, occupational (physical and psychosocial), lifestyle, and pain-related factors. Multinomial regressionmodels were constructed to determine associations between baseline factors and trajectories of sick leave (referencingno sick leave), with adjustment for potential confounders.

    Results

    Four distinct sub-groups were identified, with trajectories of sick leave due to pain ranging from no sick leave(prevalence 76%; average 0.5 days/year) to some days and increasing sick leave due to pain over 1 year (2%; 89 days/year).The increasing trajectory of sick leave was associated with higher perceived physical exertion, more time in manual work,less social community and influence at work, less leisure-time physical activity, smoking, and more severe symptoms (e.g.,multisite pain, low back pain intensity, and pain interference).

    Conclusions

    We identified four distinct trajectories of sick leave due to musculoskeletal pain. The sub-group with increasingsick leave due to pain was associated with several modifiable physical and psychosocial factors at work and outside work,which may have implications for prevention.

  • 100.
    Hallman, David
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Holtermann, Andreas
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Dencker-Larsen, Sofie
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Birk Jorgensen, Marie
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Nørregaard Rasmussen, Charlotte
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Are trajectories of neck-shoulder pain associated with sick leave and work ability in workers? A 1-year prospective study2019Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 9, artikel-id e022006Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    ObjectivesThe study aimed to determine the extent to which latent trajectories of neck–shoulder pain (NSP) are associated with self-reported sick leave and work ability based on frequent repeated measures over 1 year in an occupational population.

    MethodsThis longitudinal study included 748 Danish workers (blue-collar, n=620; white collar, n=128). A questionnaire was administered to collect data on personal and occupational factors at baseline. Text messages were used for repeated measurements of NSP intensity (scale 0–10) over 1 year (14 waves in total). Simultaneously, selfreported sick leave (days/month) due to pain was assessed at 4-week intervals, while work ability (scale 0–10) was assessed using a single item (work ability index) at 12-week intervals over the year. Trajectories of NSP, distinguished by latent class growth analysis, were usedas predictors of sick leave and work ability in generalised estimation equations with multiple adjustments.

    ResultsSick leave increased and work ability decreased across all NSP trajectory classes (low, moderate, strong fluctuating and severe persistent pain intensity). In the adjusted model, the estimated number of days on sickleave was 1.5 days/month for severe persistent NSP compared with 0.1 days/month for low NSP (relativ risk=13.8, 95% CI 6.7 to 28.5). Similarly, work ability decreased markedly for severe persistent NSP (OR=12.9,95% CI 8.5 to 19.7; median 7.1) compared with low NSP (median 9.5).

    ConclusionSevere persistent NSP was associatedwith sick leave and poor work ability over 1 year amongworkers. Preventive strategies aiming at reducing severepersistent NSP among working populations are needed.

123456 51 - 100 av 289
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf