{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T12:49:02Z","timestamp":1774529342506,"version":"3.50.1"},"reference-count":53,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T00:00:00Z","timestamp":1696636800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Danish Working Environment Research Fund (Arbejdsmilj\u00f8forskningsfonden)","award":["26-2015-09"],"award-info":[{"award-number":["26-2015-09"]}]},{"name":"Danish Working Environment Research Fund (Arbejdsmilj\u00f8forskningsfonden)","award":["ANID\/2020-72210026"],"award-info":[{"award-number":["ANID\/2020-72210026"]}]},{"name":"National Research and Development Agency of Chile","award":["26-2015-09"],"award-info":[{"award-number":["26-2015-09"]}]},{"name":"National Research and Development Agency of Chile","award":["ANID\/2020-72210026"],"award-info":[{"award-number":["ANID\/2020-72210026"]}]},{"name":"European Union\u2014Next Generation EU","award":["26-2015-09"],"award-info":[{"award-number":["26-2015-09"]}]},{"name":"European Union\u2014Next Generation EU","award":["ANID\/2020-72210026"],"award-info":[{"award-number":["ANID\/2020-72210026"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EJIHPE"],"abstract":"<jats:p>Musculoskeletal disorders of the upper extremity are among the most common occupational problems affecting nurses. The aim of this study was to analyze the prospective association between vitality and mental health and increased upper extremity pain intensity in female hospital nurses during a 1-year follow-up. A prospective cohort of 1185 female nurses from 19 hospitals in Denmark was conducted using baseline and 12-month follow-up questionnaires to identify potential associations between levels of vitality and mental health (SF-36 subscales) with pain intensity (0\u201310 scale) in the shoulder, elbow and hand\/wrist regions. Associations were modeled using cumulative logistic regression. The fully adjusted model included the variables of age, baseline pain, body mass index, smoking status, years of occupation, leisure time physical activity level, number of daily patient transfers\/handlings, as well as recognition and influence at work. The mean age was 48.3 (SD: 10.4) years. In the fully adjusted model, significant associations between low vitality levels and the odds of shoulder pain (OR = 1.96; 95%CI: 1.43\u20132.68) and hand\/wrist pain (OR = 2.32; 95%CI: 1.58\u20133.42) were observed. Likewise, moderate levels of mental health was associated with increased odds of shoulder pain at follow-up (OR = 1.50; 95%CI: 1.16\u20131.93). These results provide an important incentive for nursing managers to assess vitality and mental health among hospital nurses and to consider this factor in prevention strategies to ensure good worker health and, by extension, high-quality care.<\/jats:p>","DOI":"10.3390\/ejihpe13100154","type":"journal-article","created":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T12:51:04Z","timestamp":1696855864000},"page":"2192-2201","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Can Vitality and Mental Health Influence Upper Extremity Pain? A Prospective Cohort Study of 1185 Female Hospital Nurses"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4068-9338","authenticated-orcid":false,"given":"Rodrigo","family":"N\u00fa\u00f1ez-Cort\u00e9s","sequence":"first","affiliation":[{"name":"National Research Centre for the Working Environment, 2100 Copenhagen, Denmark"},{"name":"Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain"},{"name":"Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago 8370000, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1969-3057","authenticated-orcid":false,"given":"Ander","family":"Espin","sequence":"additional","affiliation":[{"name":"National Research Centre for the Working Environment, 2100 Copenhagen, Denmark"},{"name":"Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV\/EHU), 48940 Leioa, Spain"},{"name":"Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8670-8346","authenticated-orcid":false,"given":"Joaqu\u00edn","family":"Calatayud","sequence":"additional","affiliation":[{"name":"National Research Centre for the Working Environment, 2100 Copenhagen, Denmark"},{"name":"Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46011 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0841-5767","authenticated-orcid":false,"given":"Sof\u00eda","family":"P\u00e9rez-Alenda","sequence":"additional","affiliation":[{"name":"Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Cruz-Montecinos","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago 8370000, Chile"},{"name":"Division of Research, Development and Innovation in Kinesiology, Kinesiology Unit, San Jos\u00e9 Hospital, Santiago 8370000, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7865-3429","authenticated-orcid":false,"given":"Rub\u00e9n","family":"L\u00f3pez-Bueno","sequence":"additional","affiliation":[{"name":"National Research Centre for the Working Environment, 2100 Copenhagen, Denmark"},{"name":"Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain"},{"name":"Department of Physical Medicine and Nursing, University of Zaragoza, 50009 Zaragoza, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8430-0139","authenticated-orcid":false,"given":"Jonas","family":"Vinstrup","sequence":"additional","affiliation":[{"name":"National Research Centre for the Working Environment, 2100 Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus D.","family":"Jakobsen","sequence":"additional","affiliation":[{"name":"National Research Centre for the Working Environment, 2100 Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2777-8085","authenticated-orcid":false,"given":"Lars Louis","family":"Andersen","sequence":"additional","affiliation":[{"name":"National Research Centre for the Working Environment, 2100 Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,10,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1080\/00140139.2014.917205","article-title":"Upper Limb Musculoskeletal Disorders in Healthcare Personnel","volume":"57","author":"Occhionero","year":"2014","journal-title":"Ergonomics"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/S0749-3797(02)00639-6","article-title":"Perceived Physical Demands and Reported Musculoskeletal Problems in Registered Nurses","volume":"24","author":"Trinkoff","year":"2003","journal-title":"Am. 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