{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:49:19Z","timestamp":1777668559986,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2013,6,17]],"date-time":"2013-06-17T00:00:00Z","timestamp":1371427200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hum Factors"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The aim of this study was to investigate the relationship between the revised NIOSH lifting equation (RNLE) and risk of seeking care for low-back pain (SC-LBP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The RNLE is commonly used to quantify low-back physical stressors from lifting\/lowering of loads in workplaces. There is no prospective study on relationship between RNLE and SC-LBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A cohort of 258 incident-eligible workers from 30 diverse facilities was followed for up to 4.5 years. Job physical exposures were individually measured. Worker demographics, medical history, psychosocial factors, hobbies, and current low-back pain were obtained at baseline. The cohort was followed monthly to ascertain SC-LBP and quarterly to determine changes in physical exposure. Associations between SC-LBP and both the peak lifting index (PLI) and peak composite lifting index (PCLI) were tested in multivariate models using proportional hazards regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>SC-LBP lifetime prevalence at baseline was 31.9%, and there were 24 incident cases during follow-up. Factors predicting SC-LBP included job physical exposure (PLI and PCLI), history of low-back pain, age, female gender, and lower body mass index. In adjusted models, risk (hazard ratio [HR]) increased per unit increase in PLI and PCLI ( p = .03 and .02, and maximum HR = 23.0 and 21.9, respectively). Whereas PCLI suggested a continuous increase in risk with an increase in PCLI, the PLI showed elevated, though somewhat reduced, risk at higher exposures (HR = 14.9 at PLI = 6).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Job physical stressors are associated with increased risk of SC-LBP. Data suggest that both the PLI and PCLI are useful metrics for estimating exposure to job physical stressors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0018720813491284","type":"journal-article","created":{"date-parts":[[2013,6,17]],"date-time":"2013-06-17T23:03:55Z","timestamp":1371510235000},"page":"44-57","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":31,"title":["The NIOSH Lifting Equation and Low-Back Pain, Part 2"],"prefix":"10.1177","volume":"56","author":[{"given":"Arun","family":"Garg","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay M.","family":"Kapellusch","sequence":"additional","affiliation":[{"name":"University of Wisconsin\u2013Milwaukee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kurt T.","family":"Hegmann","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Steven","family":"Moore","sequence":"additional","affiliation":[{"name":"Texas A&M University, College Station"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sruthi","family":"Boda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parag","family":"Bhoyar","sequence":"additional","affiliation":[{"name":"University of Wisconsin\u2013Milwaukee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew S.","family":"Thiese","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Merryweather","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gwen","family":"Deckow-Schaefer","sequence":"additional","affiliation":[{"name":"University of Wisconsin\u2013Milwaukee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald","family":"Bloswick","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth J.","family":"Malloy","sequence":"additional","affiliation":[{"name":"American University, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,6,17]]},"reference":[{"key":"bibr1-0018720813491284","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmq085"},{"key":"bibr2-0018720813491284","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-7-88"},{"key":"bibr3-0018720813491284","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199101000-00001"},{"key":"bibr4-0018720813491284","unstructured":"Bureau of Labor Statistics. (2011). Nonfatal occupational injuries and illnesses requiring days away from work, 2010 (USDL-11-1612). Washington, DC: Author. 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M., Keating J. L. (2005). The epidemiology of low back pain in primary care. Chiropractic & Osteopathy, l3, l3. Retrieved from http:\/\/www.chiromt.com\/content\/13\/1\/13","DOI":"10.1186\/1746-1340-13-13"},{"key":"bibr18-0018720813491284","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.1099"},{"key":"bibr19-0018720813491284","doi-asserted-by":"publisher","DOI":"10.1080\/14034940210134086"},{"key":"bibr20-0018720813491284","doi-asserted-by":"publisher","DOI":"10.1136\/jech.54.3.215"},{"key":"bibr21-0018720813491284","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199705150-00014"},{"key":"bibr22-0018720813491284","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.1353"},{"key":"bibr23-0018720813491284","unstructured":"R Development Core Team. (2011). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. 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